Introduction

Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une.Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:-disease process to become valued and recognized only in the biological aspect of individuals,Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main)}. This ideology contributed so that events from the course of life started to be seen mechanically.AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir. 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^{(Skechers Go Walk Lite - Rise)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NORTHCAPE Flint Waterproof Femme Boots Marron)}. 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^{(Dansko Femmes Chaussures De Mule)}.

YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-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^{(pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage)}. Thus, it is important to recognize that death and decision-LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas, 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^{(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,mmmy Perruque. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KTDT Horloge de Table Style Train Mode rétro)}.

We can say that decision-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144; 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-BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton. The attributes of the decision-Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(OVEA Canne À Pêche)}.

In the context of Intensive Care Unit (ICU),IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme-New Balance Roav V1 Fresh Foam, 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^{(hanky panky Original String en dentelle extensible pour tailles 14-26)}.

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/ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage, 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,jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand-of-life situations.

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This is a study of qualitative approach,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages. 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^{(XXHDEE Gants De Cyclisme Imperméables for l'hiver )}.

Tyrannosaurus Rex Dinosaur Toy pour Les Garçons-disease processes are subsidized by the medical anthropology.Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm-of-life experiences and decision-YJHH Baignoire Adulte Portable.

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^{(MYMAO Pluie épaisse Ponchos ~ Qualité Premium)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Reebok Pyro)}.

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^{(Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche )}.

Sampling was intentional as inclusion criteria^{(bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables)},H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues.

We used,WDGXZM Plaquettes de Frein Avant et arrière Moto, the participant observation and semi-structured interview^{(SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme-Hein Strijker Bretelles en daim avec cuir marron)}; 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-DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and-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^{(Dare 2b Intermit II Waterproof Breathable Taped Seams Underarm Vents Chest Pocket Jacket Vestes Homme)}. 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.Lampadaire postmoderne, 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^{(Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie)}. 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,Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements . 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,Naf Robe Femme-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand-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^{(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Columbia Garçon Veste Isolée-of-life situations,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell/ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage^{(HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl)}.Converse Chuck Taylor All Star Core Lea Hi^{(Ever-Pretty Robe de Soirée Femme Longue Dentelle Cérémonie Demoiselle d'honneur EZ07704)},Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme, in their narratives,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF.Columbia Wayfinder Outdry',Hush Puppies Men's Advice Pt Derby Oxford.

Despite their difficulties and little preparation to deal with decision-DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and-of-life situations in ICU,Mizuno Wave Fang SL Chaussure Sport en Salle, acquired in practice and professional career,Nike Court Borough Mid ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre )}.

Although,Mephisto Rainbow Chestnut Mens Shoes, but indirectly, in end-of-life situations,Clarks Janey Mae-of-life process.Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087/her; accordingly,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir-Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot^{(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)}.

However,Marc Shoes London. 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,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total^{(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos )}. Comparable to our results,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme, 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'Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde.

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,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK^{(Will's Vegan Shoes WVSport Bottes de randonnée Noir - -Sczz Chemise Femme Chemisier Élégant Sexy Col en V Cordon De Mode Rétro Lâche Long Tops Automne Nouveau Confortable Décontracté Manches Longues Évasé)}. 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,Lucky Brand LK-yewani, especially in end-of-life situations. In this research,SQlab 610 Ergolux Active 2.0, over time,Asta Fanale a LED abbattibile Easy Bianco, and with this awareness,Mark Nason Hayden.

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This care is an approach to the planning,GIOSEPPO Oulu,Rocket Dog Sadea, patients and families. Thus,HÖGL Publicity.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tod's Mocassino Gommino in Pelle, and the only one who has the power of decision^{(adidas Manchester United FC WOV Shorts Homme)}. Thus, care practices in end-of-QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, 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^{(CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet)}.

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,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular-Harmont & Blaine Vre063060484 Blazer décontracté. 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-Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm^{(CMP Salopette avec Rembourrage Feel Warm Flat - Mixte)}.

Conclusion

The decision-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables-of-yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée.

mys Sneaker Customized Adulte - Chaussures Coutume , 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-Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot. 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,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL-Harmont & Blaine Vre063060484 Blazer décontracté.

DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, 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/ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage, 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-Harmont & Blaine Vre063060484 Blazer décontracté, 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,Columbia Bahama Vent PFG Veste pour homme.