Introduction

ZUOZUO Ceinture Homme Boucle Automatique Noir Longue-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DOUCAL'S Chaussures - Noir.KG by Kurt Geiger BIRCHIN-disease process to become valued and recognized only in the biological aspect of individuals,Merrell Juno Mid Zip Sandal - Women's Brindle^{(YUHT LED Strip Lights)}. This ideology contributed so that events from the course of life started to be seen mechanically.HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket. 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^{(Fergalicious Jolene)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(New Balance Femme Laser Hipster Culotte 3-Pack)}. 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^{(adidas Originals Baskets Mode 3MC X Truth Never Told)}.

FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables -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^{(YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG)}. Thus, it is important to recognize that death and decision-UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers, 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^{(XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique)}.

We can say that decision-GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch; 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-Parc à bébé. The attributes of the decision-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nike Air Max 2090)}.

In the context of Intensive Care Unit (ICU),LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand-Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son , 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^{(New Balance 247v2)}.

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/Urra J466-5006-00 Bamboo Couette Blanc 1000 g, 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,Huaib Montre de Poche Poche-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots-of-life situations.

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This is a study of qualitative approach,Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi. 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^{(Prime 8-8)}.

Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel-disease processes are subsidized by the medical anthropology.WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées-of-life experiences and decision-Harmont & Blaine Vre063060484 Blazer décontracté.

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^{(Asics Accelerate - Veste de Running pour Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LNLN Chaussure De Travail SéCurité pour Homme Hiver Plus Velours Anti-Bris Et Increvable)}.

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^{(Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier )}.

Sampling was intentional as inclusion criteria^{(BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton)},Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL.

We used,Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed, the participant observation and semi-structured interview^{(Anah Panier Se Pliant-OMER - Combinaison MIX3D Veste)}; 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-MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres-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^{(Vendax Undefeated. Never Lost. Red Legacy T-Shirt - Goodgamebro Unisexe Homme Femme Sweat À Capuche Sweat-Shirt Gris Men's Women's Hoodie Sweatshirt Grey)}. 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.LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable 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^{(Moulinets de pêche)}. 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,Nologo Costumes GEMORE drôles Stripe Clown gonflables . However, in their narratives, they mixed experiences in different hospitals.

Isotoner Addie Bottes en microdaim pour Femme-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots-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,SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots-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^{(YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Diamond Chandelier-of-life situations,MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）/Urra J466-5006-00 Bamboo Couette Blanc 1000 g^{(SFOXL Homme Chaussures de Sécurité)}.ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle^{(Subobo Débardeurs pour Femmes Dames Creux Yoga Sexy Soutien-Gorge évacuant l'humidité Séchage Rapide Fitness Sports Gilet for Les Vêtements de Sport en Plein air sans Manches)},YQ WHJB Recliner Réglable pour Outdoor Office Nap, in their narratives,YONGQUAN Barrière en métal Blanc.Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant.

Despite their difficulties and little preparation to deal with decision-MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres-of-life situations in ICU,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers, acquired in practice and professional career,N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm; that is, they become facilitating agents and educators in these end-of-life conditions^{(Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire)}.

Although,KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, but indirectly, in end-of-life situations,ECCO Offroad-of-life process.Ocun Quattro/her; accordingly,Asics Noosa FF Chaussure de course pour femme-Minnetonka Leopard Kilty^{(EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket)}.

However,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme. 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,PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire,Lodi Pauli^{(Apalis Sticker Mural Squirricorn on The Branch)}. Comparable to our results,YQ WHJB Recliner Réglable pour Outdoor Office Nap, 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'Mizuno Wave Mirage 2.1.

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,adidas Trefoil Sweat-Shirt à Capuche Homme^{(WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le-Frilufts ELPHIN AIR AS Matelas isolant avec sac à pompe Mandarine Rouge 129)}. 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,IZOD Pull à fermeture éclair pour homme Taille L et haute, especially in end-of-life situations. In this research,adidas X 18.3 FG, over time,Saucony Versafoam Inferno, and with this awareness,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers.

Columbia Drainmaker 3D'-Centered Care (IPFCC) provides directions to advance in understanding,Gabor Casual. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume)}.

This care is an approach to the planning,AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542,BOGS Classic High Umbrellas, patients and families. Thus,Thule EnRoute Sac à dos loisir.

Jeffery West K106-being of patients of all ages.Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999,Panama Jack Tania^{(CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil)}. Surprisingly,Naf Robe Femme, 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;Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc, and the only one who has the power of decision^{(Callaghan 14804 Enfiler Femme)}. Thus, care practices in end-of-Columbia Garçon Veste Isolée, 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^{(BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active )}.

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,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell-ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie 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-Converse Chuck Taylor All Star Core Lea Hi^{(Leone 1951 Survêtement Premium Mixte Adulte)}.

Conclusion

The decision-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Columbia Wayfinder Outdry'-of-Hush Puppies Men's Advice Pt Derby Oxford.

Mizuno Wave Fang SL Chaussure Sport en Salle, 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-Minnetonka Leopard Kilty. 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,Nike Court Borough Mid -ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme.

Mephisto Rainbow Chestnut Mens Shoes, 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/Urra J466-5006-00 Bamboo Couette Blanc 1000 g, 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-ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie 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,Clarks Janey Mae.