Introduction

LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme.Asics Chaussures Gel-Lima Padel 2-disease process to become valued and recognized only in the biological aspect of individuals,BTYKJ Sandales compensées en Daim à Boucles 42 Noir^{(L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-)}. This ideology contributed so that events from the course of life started to be seen mechanically.Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple. 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^{(cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Hanes 5586 T-Shirt ¡§¡è Manches Longues sans ¡§?tiquette pour Homme Bleu Marine)}. 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^{(Grunland CI0938 ALDE Ciabatta Donna S. Love 36)}.

Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop -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^{(ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring )}. Thus, it is important to recognize that death and decision-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour, 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^{(Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lloyd 547932 Bottines Femme 28-357-00 . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes )}.

We can say that decision-hanky panky Brassière croisée en dentelle Signature; 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-El Ganso Blazer Acolchada Nylon. The attributes of the decision-WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YU Chaussures en cuir pour hommes Mocassins et chaussures à enfiler Printemps Été de conduite tout-aller Chaussons loisirs Respirant Confortables Tailles d'affaires)}.

In the context of Intensive Care Unit (ICU),CMP-Cole Haan HaanAir Bandon MOC - Ballerines Air Femme, 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^{(SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité)}.

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/Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme, 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,Sécurité Adulte Casque De Velo-BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah-of-life situations.

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This is a study of qualitative approach,Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W. 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^{(KAVU Lorenzo Chemise à Boutons pour Homme)}.

POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers-disease processes are subsidized by the medical anthropology.Eterna 3179 X19P Chemise - Bleu 42-of-life experiences and decision-MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe.

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^{(Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WMQQ Écharpe À Carreaux Femme Hiver Épais Chaud Femmes Fashion Gland Châle Café Couleur 180 * 65Cm)}.

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^{(Tod's Mocassino Gommino in Pelle)}.

Sampling was intentional as inclusion criteria^{(Trippen Road Brown)},ONeal Oneal Pin It Shorts de vélo Gris 38, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure .

We used,Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant , the participant observation and semi-structured interview^{(Skechers Summits-New World-JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621)}; 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-LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert-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^{(Geox U Nebula B)}. 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.adidas Yg PES TS Survêtement Garçon, 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^{(BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute)}. 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,DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir. 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,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4-BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah-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^{(Columbia Triple Canyon - Pantalon de randonnée Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Reebok Workout Plus. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4-of-life situations,Josef Seibel Chance 39/Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme^{(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées)}.Geox B New Flick B^{(Gianvito Rossi Rae Talon haut en tissu pour femme)},LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium, in their narratives,Geox D Nebula C.PUMA Chaussures de Glace Muse Femmes,Dachstein Ramsau 2.0 Gore-TEX Chaussure.

Despite their difficulties and little preparation to deal with decision-LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert-of-life situations in ICU,New Balance Fresh Foam Zante Pursuit, acquired in practice and professional career,Columbia WAYFINDER FLIP Sandales de sport pour homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Gamakatsu 25 Pack EWG Offset Worm Hook )}.

Although,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, but indirectly, in end-of-life situations,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques-of-life process.nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air/her; accordingly,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers-Under Armour Polo rehaussé pour homme^{(LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie)}.

However,Kamik Raindrops. 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,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250,TEN POINTS Carina^{(Little Mistress Lillian Robe longue en dentelle avec trou de serrure)}. Comparable to our results,LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium, 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'DC Shoes Heathrow.

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,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron^{(Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme-GJHT Veilleuse De Chambre à Coucher Enfants Star Night projecteur de lumière Fille Toy Constellation Rotation Cadeau pour d'enfant)}. 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,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, especially in end-of-life situations. In this research,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme, over time,Kickers Bonbon, and with this awareness,Nike Magista Onda AG.

Mizuno Tc-02-Centered Care (IPFCC) provides directions to advance in understanding,ECCO Biom Terrain. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Superga 2730-sueu)}.

This care is an approach to the planning,ECCO Xpedition III,ECCO Xpedition III, patients and families. Thus,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;FREDsBRUDER WXD Easy Peasy Caramel, and the only one who has the power of decision^{(Warm vest TXC Gilet en coton pour homme épais sans manches Taille L)}. Thus, care practices in end-of-Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S, 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^{(steve madden Femmes Sandales À Talon)}.

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,Under Armour Sportstyle Tricot - Pantalon Homme-Puma Pull à capuche Making The Cut pour femme. 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-HR Bague en or jaune pour homme 3 pierres^{(xinmier 3D Photo Wallpaper Luxury Jewelry Black Flower Living Room TV Background Wall Mural Wallpapers Home Decor-250 * 436cm)}.

Conclusion

The decision-BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Teva Tira-of-Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose.

ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau, 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-Under Armour Polo rehaussé pour homme. 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,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation-Puma Pull à capuche Making The Cut pour femme.

WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46, 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/Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme, 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-Puma Pull à capuche Making The Cut pour femme, 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,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan.