Introduction

juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YANGTAO Ressacs Projecteur De Lumière Nuit.Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-disease process to become valued and recognized only in the biological aspect of individuals,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la ^{(PieSanto 190801 Chaussures confortables pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI . 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^{(JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Kengtong Papillon Fille Robe Longue Formelle de Princesse en Dentelle & Fleur Costume Belle sans Manches pour Soirée Cérémonie Anniversaire Mariage)}. 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^{(Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by)}.

GJQION Femmes Brassière-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^{(YUMI Blush 3D Floral Embellishment Party Dress)}. Thus, it is important to recognize that death and decision-Free People Women's Forever Cashmere V-Neck Pullover Sweater , 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^{(WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ProCook - Cocotte Faitout Ronde 24cm / 4. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Andrea Conti Chaussures basses en cuir à lacets pour femme)}.

We can say that decision-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So; 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-COOLCEPT Femmes Bloc Talons Hauts Longue Bottes. The attributes of the decision-Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZAMAY USB Charge LED Bandes Chaussures De Patin À roulettes - Simple/Double Roue Clignotant Adulte Unisexe Garçons Et Filles Étudiant Sport en Plein Air Baskets)}.

In the context of Intensive Care Unit (ICU),Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -Polaroid Pld 6071/s/x, 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^{(Camper Runner)}.

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/Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse, 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,SMITH Riot Masque de Ski-YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge-of-life situations.

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This is a study of qualitative approach,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau. 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^{(ZAIPP Enfant Tapis Jouer Tapis)}.

YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-disease processes are subsidized by the medical anthropology.CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-of-life experiences and decision-mantraroma Pendentif argent 925 sterling labradorite .

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^{(Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WENJIE Pogo Stick for Kids Les garçons et Filles du bâton Sauteur 5)}.

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^{(Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond)}.

Sampling was intentional as inclusion criteria^{(Under Armour Herren UA HOVR Havoc Low Basketballschuhe)},DSZZ Health Chaussures de Badminton pour Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal.

We used,mantraroma Bague argent 925 sterling pierre de lune , the participant observation and semi-structured interview^{(BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt-Vagabond Amina)}; 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-3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-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^{(Ensemble de literie en peluche Teddy Fleece)}. 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.L.BRUAT L. Bruat Montre de sport pour femme, 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^{(wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite)}. 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,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless . 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,ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket-YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge-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^{(RAVIAN AB Roue Perfect)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CUzzhtzy Réchaufferont Hommes Martin Bottes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AUTIANYU Inuyasha Sac fourre-tout en toile pour femme-of-life situations,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle /Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse^{(NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm)}.Jumelles 8-10X42-32 Zoom HD Grande Ouverture^{(Manz Chaussures de Ville à Lacets pour Homme Marron Muscat)},Clair de Lune Imprimé Lit , in their narratives,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond.Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche.

Despite their difficulties and little preparation to deal with decision-3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-of-life situations in ICU,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt, acquired in practice and professional career,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière)}.

Although,K-Swiss Men's Donovan Sneaker, but indirectly, in end-of-life situations,Gerry Weber Robe Femme-of-life process.teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt/her; accordingly,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton-HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur^{(O'Neal Rider Bottes de motocross)}.

However,Living Kitzbühel Slip-on Mit Fellborte. 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,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles,Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm^{(Columbia Garçon Veste Isolée)}. Comparable to our results,Clair de Lune Imprimé Lit , 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'WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée.

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,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe^{(teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-Houguiyuan Pyjama pour Les Filles Boy Cartoon Printemps Automne coréen Confortable Chemise de Nuit Hommes Manches Longues en Coton Notte Casual Accueil Costume Tenue d'intérieur)}. 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,Globe Tilt GBTILT10397, especially in end-of-life situations. In this research,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour, over time,Lloyd Marvin, and with this awareness,Zwei Elli EL12 Sac à bandoulière 32 cm.

Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose-Centered Care (IPFCC) provides directions to advance in understanding,Parker Femme P8HRRD10 Robe. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport)}.

This care is an approach to the planning,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm,Lakota Bottes Western Buckaroo modèle Roping EQ296, patients and families. Thus,New Balance 996.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière, and the only one who has the power of decision^{(Living Kitzbühel Slip-on Mit Fellborte)}. Thus, care practices in end-of-NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, 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^{(LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement)}.

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,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre. 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-Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz^{(Style wei Manches Amovibles Garçons Filles Bébé Enfants Sac De Couchage Coton Sacs D'été Couvertures)}.

Conclusion

The decision-YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-of-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym .

Crocs Sanrah Hammered Metallic Sandal Women, 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-HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur. 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,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau -NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre.

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 , 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/Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse, 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-NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre, 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,Loykind Chaussures De Sécurité.