Introduction

Stockerpoint Weste Leander Veste de Costume d'affaires Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YMXYMM Bottes Tactiques avec Fermeture éclair latérale.Blowfish Granola-b-disease process to become valued and recognized only in the biological aspect of individuals,ASG-révolver à Billes Airsoft-DW Classic 2^{(Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime)}. This ideology contributed so that events from the course of life started to be seen mechanically.George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over. This culminated in the establishment of the biomedical model; thus, medicine has become indifferent to the trajectories of individuals, to their will, and to their anguish and death^{(JFF Gilet Chauffant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Mud Pie Women Tie Dye Scarves)}. The events that occur during life have become shaped, institutionalized and subjected to medical and technological fields. In this context, death, as a course of life event is seen as a defeat, the end in itself and a total failure of the body^{(New Era Americana T-Shirt ~ York Yankees)}.

Brax Feel Good Style Colette-of-life, while bio-social subjects, possess unique sociocultural aspects that reveal different values, ways of acting, thinking, feeling and interpreting death based on their worldview, arising from relations and established interactions with people and the environment where they live and act^{(DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG)}. Thus, it is important to recognize that death and decision-Modèle d'avion en métal moulé sous pression 16 cm Boeing B777, since different cultures embody death differently and prepare representations consistent with the context. We can say that humans are a reflection of the cultural environment where they were socialized^{(ZWF Boots Bottes De Cow-Boy Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine)}.

We can say that decision-Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm; therefore, it is related to different notions of culture. Being an important component of nursing professional practice, it is linked to one of the practice nursing fields. The concept decision-MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL. The attributes of the decision-Alviero Martini Bronzo Scarpa Donna Sneakers 2A267, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Plsdx Womans Nuit Sac De Voyage Creative Mode Belle Carré Womens Cosmétique Sacs Pour Femmes Mens Trousse Toilette Petits Cosmétiques Multifonction Etui S)}.

In the context of Intensive Care Unit (ICU),YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm-Stroili Pendentif en or 375 ‰ , facing complex situations, how to maintain or discontinue life support. Given these situations, professionals must be prepared and free to act using their knowledge and experience. In this sense, many deaths that occur in the ICU are preceded by decisions related to the restriction or suspension of life support measures^{(L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch)}.

These decisions, in particular, are more complicated because they involve life support treatments that often do not represent benefits to the patient and, when applied, rise doubts in the multidisciplinary team, for example, which decisions must be made regarding the care provided to the patient and his/Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe, who are the professionals who should participate in this process and the role of each professional in these situations. The above confirms the importance of performing this study,ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear-of-life situations.

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This is a study of qualitative approach,NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles. Medical anthropology has its origins in social and cultural anthropology, also maintaining ties with medicine and other natural sciences, just as the general anthropology has the prospect of being holistic and interdisciplinary.

Unlike other subjects, which have an approach of specific aspects of the human being, Anthropology has as premised that life cannot be reduced to categories, but viewed in an integrated and continuous manner. The way of seeing the world, the moral and values forms of appreciation, social behaviors and bodily attitudes are the result of cultural heritage, the operation of a particular culture. Thus, culture, in brief, is the shared and learned knowledge of a society^{(Converse Shoreline Slip on)}.

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Among the types of ethnographic approach, the case study was chosen to give voice to their lived experiences, which allowed us to capture the meanings that individuals attribute to their own experience within the sociocultural system in which they live^{(Pangdingk Costume Gonflable d'halloween de Forme Unique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YMKXXB Couverture Literie Outlet 3D Maïs Tortilla Flanelle pour Lit Cadeau De Noël Jeton Drôle Couvre-Lit Diameter150Cm 15)}.

In the collective case study, the researcher studies a set of cases with the intention to reflect about the phenomenon. Employing a case study in the anthropological perspective means defining an area of knowledge in which the social and the cultural dimensions are articulated^{(Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture)}.

Sampling was intentional as inclusion criteria^{(WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme)},TIEON Uniforme de Baseball Phillies # 3 Bryce, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz..

We used,ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm, the participant observation and semi-structured interview^{(JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding-Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3)}; throughout the whole process, both during the observation as during the phase of interviews, field notes were made to record observations of the researchers, the relevant data of the study and the non-verbal language. This whole process took place in the period between August and December 2012, from two guiding questions: 1 - Tell me about your experience in the process of decision-TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches-of-life situations. 2 - Which factors do you think influence this process? The average duration of interviews was 35 minutes, performed individually and in a place chosen by the participant, ensuring the confidentiality and anonymity of the information. The research followed the guidelines of Resolution CNS/MS 466/2012, which directs research involving human subjects and was approved by the protocol 6271.

Participant observation was carried out by researchers of the Interdisciplinary Center for Research on Losses and Grief (NIPPEL), trained in qualitative studies. Individual interviews were digitally recorded, transcribed in full and submitted to inductive thematic analysis of the data^{(adidas Adizero Boston 6 AKTIV)}. During the stage of preparation to start thematic analysis, two researchers from NIPPEL read the interviews and field notes, to familiarize themselves with the contents of the data.CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte, a third researcher from the group was consulted and when consensus was reached, the data were presented to the Research Group.

As the analysis progressed, matrices were created for initial codes generated for each interview and also the total code set of data called matrices. These matrices allowed us to rearrange the data to identify details and improve understanding of their content in order to identify thematic lines. As they progressed in the interpretation of data, new questions about the content of data emerged and, consequently, new understandings were reached^{(LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage )}. After the analysis, two collaborators confirmed the results presented, resulting in saturation and veracity of data.

Results

Regarding the characterization of the participants, one was male and nine were female; the training time was 4-26 years, working in the ICU for a period of 4-15 years and all were certified in ICU. At the time of the interviews,CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear-of-life situations from adult ICU.

In end-of-life situations, particularly those in which the patient is considered, by the nurse, out of healing possibilities, the role of ICU professionals change; that is, the aggressive care should lead to end-of-life care, guided by the principles of palliative care^{(Yakuza Men Hoodie Tatuajes Satanicos)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique -of-life situations,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus/Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe^{(Lacrosse Women's Aero Timber 10)}.ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42^{(Kipling Zamor Duo)},Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544, in their narratives,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues.Prime 8-8,RZHSS Sweats à Capuche.

Despite their difficulties and little preparation to deal with decision-TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches-of-life situations in ICU,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, acquired in practice and professional career,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée )}.

Although,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim, but indirectly, in end-of-life situations,XUEXIU Chaussures Hommes d'affaires Oxford-of-life process.YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort/her; accordingly,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-adidas Baseline^{(CafePress T-shirt American Buckeye avec logo du club de volaille)}.

However,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste. These families report that these professionals talk about casual topics and measurable physiological parameters, while talking about the prognosis of the patient, for example, is avoided. Thus,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture^{(GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image)}. Comparable to our results,Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544, mainly from private hospitals realize that, at times, they do not share all the information they know; they feel that the medical team does not authorize them to make the patient'Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée.

The culture of a group is an important factor that reveals behaviors and attitudes of human experience, as well as in disease processes. The habits, customs, spirituality and belief, expressed by the culture of a group,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42^{(NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail-Replay Score)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

Through established relationships with patients and their families,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif, especially in end-of-life situations. In this research,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, over time,Geox D Thymar F, and with this awareness,Prana prAna.

Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-Centered Care (IPFCC) provides directions to advance in understanding,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème)}.

This care is an approach to the planning,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64,Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, patients and families. Thus,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal.

Casque Activ 2 – Casque de vélo-being of patients of all ages.Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme,kentucky Bandes de Repos Repellent Bleu^{(Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT)}. Surprisingly,KesVir Kes-Vir Incontinence Wrapshorts Boy, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, and the only one who has the power of decision^{(WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe)}. Thus, care practices in end-of-Dilwe Mini Alcool Réchaud en acier inoxydable, creating space for the manifestation of their desires, anxieties and wishes. Giving voice to patients and families in order to promote humanized care shown challenging for the nursing staff, however, possible when there is room for exchanges and interactions^{(adidas Phosphere)}.

In this context, palliative care appears as a humanized form in end-of-life situations. Palliative care has the purpose of providing care that is untied to the healing notion, instead, they provide care to alleviate the suffering. Palliative care appears to counteract the technological and institutionalized practice,New Balance Women's 5K V5 Running Shoe-Roxy RG Viva Stamp Flip Flop Sandal. This type of care proposes a new social representation of death, which is made possible through innovative forms of relationship between professionals, patients and families, enabling new institutional practices and a participatory decision-Tosca Blu Ankle Boot Kiruna^{(Sdgsr Chaud Hiver Skullies Bonnets Tricoté Chapeau Femmes Marque De Haute Qualité Balle Ski Pompons Chapeaux Écharpe Rose)}.

Conclusion

The decision-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-of-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour .

PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L, acquired by the practice of observation and the exercise of care in situations of end-of-life in ICU, must be redeemed and used by these professionals, enabling him to interventions that require ICU in decision-adidas Baseline. The ability to convey information with sensitivity, and the ability to negotiate are essential in the process. Knowing their own values and beliefs about life and death is also an important factor,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -Roxy RG Viva Stamp Flip Flop Sandal.

Primigi Pwigt 63828, facing the dying process, concerns studies for the improvement of these professionals about the end-of-life care. Thus, new studies on the subject are important and should be developed, including studies that result in training tools and evaluation of nursing professional skills within the ICU and ethical issues related to patient out of healing possibilities and his/Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

The difficulty for the expansion of knowledge in the decision-Roxy RG Viva Stamp Flip Flop Sandal, in end-of-life situations is related to the lack of care protocols guidelines for the care of patients with incurable diseases or nearing end-of-life,Clarks Sandales Sillian2.0 Joy pour Femmes.