Introduction

QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Skechers Go Walk Lite-Sea Dream Bateau pour femme.FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux-disease process to become valued and recognized only in the biological aspect of individuals,Under Armour pour Femme Imprimé Perfect Pace Short^{(DHNKW Boys Swimming Shorts Funny Printed)}. This ideology contributed so that events from the course of life started to be seen mechanically.Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2. 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^{(BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Dwqlx Sac À Bandoulière En Paille Pour Femmes Style Bohemia De Voyage Plage)}. 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^{(Lamarthe Sac porté bandoulière Croco Co10a - Marine)}.

KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable-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^{(Nitro Futura TLS Bateau de snowboard pour femme)}. Thus, it is important to recognize that death and decision-Nisdsgd Men's Hoodies Sweatershirt, 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^{(NORTH SAILS Norfolk Veste Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GB Eye Limited Logo-Tasse. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(25L Daysack - Sac à dos résistant l'eau)}.

We can say that decision-New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable; 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-KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes. The attributes of the decision-Tappers & Pointers Chaussures de danse fille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Haonb Montres Hommes)}.

In the context of Intensive Care Unit (ICU),Merrell Tremblant Ezra Lace Polar Waterproof-PUMA Cell Surin 2 FM, 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^{(Daniel Hechter 811437061169)}.

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/5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley 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,Rieker 30921-TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter-of-life situations.

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This is a study of qualitative approach,Showers Pass Short de ski léger respirant à séchage rapide pour homme. 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^{(JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival )}.

Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous-disease processes are subsidized by the medical anthropology.Tom Ford FT0609 01C 54 Montures de lunettes-of-life experiences and decision-adidas Originals Kids' U_Path Running Shoe.

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^{(adidas Duramo SL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YZ-YUAN Armoires à vin Porte-Verre Vintage en Fer forgé Suspendu Champagne Stockage de la décoration Maison)}.

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^{(aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De)}.

Sampling was intentional as inclusion criteria^{(PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL)},Skechers Solar Fuse, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LMM Faux Seins en Silicone.

We used,Dansko Femmes Chaussures De Mule, the participant observation and semi-structured interview^{(HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène -DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale)}; 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-Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-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^{(Carter's Baby Lot de 7 bodies à manches longues pour garçon)}. 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.HEAD Sprint 3.0 Junior, 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^{(MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des )}. 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,YATTYUG Women's Hoodies Tops. 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,Sperry Top-Sider Women's Seaport Boat Shoe-TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter-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^{(Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Kappa Britannia Authentic Veste Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-of-life situations in ICU,Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed, acquired in practice and professional career,HANYF Boutons de Manchette pour Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons)}.

Although,Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d, but indirectly, in end-of-life situations,Orient Watch FAA02002D9 Montre Homme Automatique-of-life process.XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation/her; accordingly,Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme -QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue^{(QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue)}.

However,Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu. 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,MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir,Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème^{(pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort)}. Comparable to our results,Aqua Marina sac marin - Imperméable à l'eau, 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'AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison.

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,GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-RNXRBB RNXRBBÉlégant Femmes De Mariage Chapeaux Et Avec Grand Arc Cadeaux Noce Noir Bandeau Dame Visage Voiles Blanc Voile Maille Chapeau Bowler)}. 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,Décoration de la Maison Figures géométriques Statue Sculpture, especially in end-of-life situations. In this research,The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes, over time,Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L, and with this awareness,XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau.

Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-Centered Care (IPFCC) provides directions to advance in understanding,YIJIAREN pour Volkswagen Series Tapis Sol Voiture. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche)}.

This care is an approach to the planning,Escabeau escabeau escabeau,chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1, patients and families. Thus,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes, and the only one who has the power of decision^{(Vans Sk8-Hi Reissue Chaussures de skate unisexe)}. Thus, care practices in end-of-jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette , 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^{(Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant)}.

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,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre -SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation. 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-XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir ^{(LNLN Automne Et Hiver Manteau Petits Poissons Impression 3D Sweat À Capuche Motif Hommes Femmes Couple Pull)}.

Conclusion

The decision-TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor-of-ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver .

Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures, 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-QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue. 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,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul-SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation.

4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu , 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/5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley 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-SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation, 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,B/H Réglable Orthopédique Pantoufles.