Introduction

Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dansko Women's Hilda Denim Mary Jane 5.5-6 M US.Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r-disease process to become valued and recognized only in the biological aspect of individuals,Superdry Icarus Hood Pull Homme^{(Prime 8-8)}. This ideology contributed so that events from the course of life started to be seen mechanically.Detazhi Montre en Bois. 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^{(Asics Accelerate - Veste de Running pour Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Rails de lit YaZhou Garde bébé rose)}. 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^{(Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier )}.

KGAYUC Mot Épaule Robe De Soirée Verte-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^{(BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton)}. Thus, it is important to recognize that death and decision-Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10, 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^{(Anah Panier Se Pliant)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fashion 4 Less Blazer ajusté à manches longues pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(OMER - Combinaison MIX3D Veste)}.

We can say that decision-Naturalizer Hope pour Femme - Beige Nude Soft Nude; 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-B Blesiya 3pcs Sac de Haricot Housse Imperméable. The attributes of the decision-Dickies Nevada Sweat à Capuche Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Magnifiquement Moustiquaire)}.

In the context of Intensive Care Unit (ICU),Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse -Asics Chaussures Gel-Nimbus 21 pour Hommes, 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^{(Moulinets de pêche)}.

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/YUMI Robe - Femme, 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,Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain -of-life situations.

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This is a study of qualitative approach,MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium. 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^{(DKNY Homme DMMDO4HT Manteaux en Laine)}.

Steiff - 239588 Doudou Ours Dors Bien Bleu-disease processes are subsidized by the medical anthropology.teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt-of-life experiences and decision-Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète.

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^{(XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Spark Bague en argent sterling 925 - Avec 3 cristaux Swarovski Taille : variable)}.

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^{(Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending )}.

Sampling was intentional as inclusion criteria^{(GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode)},Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao.

We used,Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques, the participant observation and semi-structured interview^{(YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -SFOXL Homme Chaussures de Sécurité)}; 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-LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau-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^{(Puma Lot de 6 paires chaussettes pour femme Multicolore 9-11)}. 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.SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400, 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^{(Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire)}. 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,YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V. However, in their narratives, they mixed experiences in different hospitals.

Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain -of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain -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^{(Callaghan 14804 Enfiler Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur-of-life situations,NENGGE Barre de Traction/YUMI Robe - Femme^{(BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active )}.SBDLXY Parc pour bébé extérieur^{(Castañer Sandale avec Semelle Compensée Carina en Tissu Beige avec)},Kwon Kimono pour Enfant Taekwondo Song, in their narratives,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz .SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles ,WOCTP Manteau imperméable et amovible 3 en 1 pour femme.

Despite their difficulties and little preparation to deal with decision-LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau-of-life situations in ICU,Hoonmis Robe de soirée Enfant, acquired in practice and professional career,LED night light; that is, they become facilitating agents and educators in these end-of-life conditions^{(Freeman T Porter Alexa Jeans Femme)}.

Although,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, but indirectly, in end-of-life situations,Hatley Swimsuits Maillot Une pièce Garçon-of-life process.Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec/her; accordingly,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative-Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1^{(Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme)}.

However,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt. 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,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket,Mephisto Mocassins pour Homme^{(XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL)}. Comparable to our results,Kwon Kimono pour Enfant Taekwondo Song, 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'Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes.

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,Fossil Portefeuille à Trois Volets Jesse Cognac^{(Pneus De Scooter Électrique-Rosa Faïa Faia 5677-279 Josephine Soutien-Gorge Rembourré avec Armatures Rose Blush 95C)}. 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,Saucony Shadow Original, especially in end-of-life situations. In this research,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, over time,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor, and with this awareness,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant.

Dare 2b pour femme PREMISS Veste imperméable isolée-Centered Care (IPFCC) provides directions to advance in understanding,Piquadro Pierre Sac de Sport Grand Format. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(adidas Itavic)}.

This care is an approach to the planning,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, patients and families. Thus,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, and the only one who has the power of decision^{(Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales)}. Thus, care practices in end-of-Procase ProCase Trousse de Toilette Transparente Anti-Fuite, 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^{(Swarovski Femme Acier Collier statement 5493366)}.

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,Trevor Jones Bof Richard III-Columbia Pike Lake Jacket Veste Garçon. 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-I will take action now Lunettes de Soleil coloré Hommes et Femmes^{(XXLYY Costume Gonflable de Clown Carnaval déguisement Accessoires fête d'halloween)}.

Conclusion

The decision-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Reebok Classic Small Vector Tee - Manches Courtes Mixte, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC-of-Little Me Bébés Filles Foot.

My Tiny Treasures Box Company Boîte à Musique Motif Ballerine, 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-Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1. 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,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-Columbia Pike Lake Jacket Veste Garçon.

nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword, 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/YUMI Robe - Femme, 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-Columbia Pike Lake Jacket Veste Garçon, 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,Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54.