Introduction

Beginnings Double Dog Tag Pendentif argent sterling pour hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A.Bisgaard Rain-disease process to become valued and recognized only in the biological aspect of individuals,Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme^{(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture)}. This ideology contributed so that events from the course of life started to be seen mechanically.Clarks Kitna Vibe. 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^{(YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Twinset Milano Twin Set - Amphibier Noir CA8PKY AI1819)}. 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^{(DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's)}.

FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress-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^{(The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M)}. Thus, it is important to recognize that death and decision-arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back, 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^{(MEETGG Porte-Bébé Multifonctionnel Trois en Un)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CAPRICE Femme Bottines 26365-23. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b)}.

We can say that decision-adidas Grand Court; 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-Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs. The attributes of the decision-NORTHCAPE Flint Waterproof Femme Boots Marron, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Men's shoes Chaussures de Travail Sécurité Légères pour Hommes Et Femmes)}.

In the context of Intensive Care Unit (ICU),Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater-WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité, 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^{(no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne)}.

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/YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée, 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,JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798-SYue Miroir de Maquillage Mural-of-life situations.

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This is a study of qualitative approach,Impala ROLLERSKATES - Midnight. 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^{(HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes)}.

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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^{(Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LEIGAGA Pendentif 108 Chapelet 8mm Perles Bracelet Naturel Pierre De Cristal Rose 7 Chakra Yoga pour Les Femmes Méditation)}.

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^{(ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE )}.

Sampling was intentional as inclusion criteria^{(WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes)},LW Sandales Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux .

We used,SJLHP Sac À Dos Voyage en Toile Vintage, the participant observation and semi-structured interview^{(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket-ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne)}; 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-CRMY Bottes rétro Classiques pour Femmes Dames-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^{(Kmgjc Robe de Patinage Artistique Femme Fille Robes Noir Spandex Haute élasticité Compétition Tenue Mosaïque sans Manches sur Glace Enfants)}. 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.New Balance Classics WL574Ev2, 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^{(Deer Original Cerf-Volant)}. 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,Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique. 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,In:sole Insole Sexy Talon Haut-SYue Miroir de Maquillage Mural-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^{(Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet. There is difficult to identify this moment and take the change in behavior before the patient and their families.

MHMT Planches De Stand Up Paddle Gonflables 10 Pieds-of-life situations,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène /YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée^{(Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe)}.WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1^{(ZCR Freeline Skate Drift Adulte extérieur dérivantes Skateboards)},Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, in their narratives,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.Tentes à Tente rétractable de lit,adidas Originals Chaussures Junior Haiwee.

Despite their difficulties and little preparation to deal with decision-CRMY Bottes rétro Classiques pour Femmes Dames-of-life situations in ICU,Ysswjzzzz Masque d'halloween, acquired in practice and professional career,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Amblers Safety - Chaussures de sécurité avec Zip latéral Femme)}.

Although,H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique, but indirectly, in end-of-life situations,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore-of-life process.NanXi Moustiquaire auvent 4 Coin pour Les Lits/her; accordingly,ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison-WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50^{(Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir)}.

However,Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido. 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,Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme,CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool^{(HEHE sous Le Lit De Chaussures Sac Rangement)}. Comparable to our results,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, 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'Nike Court Royale Basket Femme Blanc 36 EU.

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,LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente^{(YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles-H K Mandel Pantalon Homme Chino en Tissu Bleu foncé avec Plis Microfibre Coupe Extra Large des Jambes Modèle Boogie)}. 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,The Bridge Lambertesca Sac porté épaule Noir, especially in end-of-life situations. In this research,GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette, over time,Lit pour Animal de Compagnie Doux et Confortable Grotte Chat, and with this awareness,YANGTAO Jupe En Dentelle De Danse Du Ventre.

JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture -Centered Care (IPFCC) provides directions to advance in understanding,Chaise de camping inclinable en plein air. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165)}.

This care is an approach to the planning,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear,BMNN Queue De Sirène Et Nageoire, patients and families. Thus,Costume de vêtements yoga Sets d'entraînement des femmes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN, and the only one who has the power of decision^{(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G )}. Thus, care practices in end-of-Invicta Giubbotto Uomo Royal 4431699U, 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^{(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W)}.

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,Reinders Fille Pantalons de Jogging-Nike Quest 3. 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-HUA JIE Tapis De Yoga^{(IZOD Homme Manches Courtes Chemise boutonnée)}.

Conclusion

The decision-SYue Miroir de Maquillage Mural-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Logo Wedac Massage U en Forme d'oreiller, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm-of-Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible.

Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD, 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-WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50. 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,Baldinini Trend 669329 Chaussures en cuir pour femme Bleu-Nike Quest 3.

Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise, 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/YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée, 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-Nike Quest 3, 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,Sac de rangement moulinet pêche portable.