Introduction

Nologo Costumes GEMORE drôles Stripe Clown gonflables -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Isotoner Addie Bottes en microdaim pour Femme.XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête-disease process to become valued and recognized only in the biological aspect of individuals,LYATW Montre de Poche Femme métal épinglette for Nurse Watch^{(Onistuka Tiger Mexico 66)}. This ideology contributed so that events from the course of life started to be seen mechanically.Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert. 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^{(JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BPZ NBA Maillots Hommes - Andre Drummond Vintage Refroidir Respirant Tissu Swingman Basketball Débardeur T-Shirt)}. 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^{(Fuliya Men's Hoodies Sweatshirts)}.

57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard-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^{(Death by Zero Homme Designer Tank Top Shirt - Ibiza)}. Thus, it is important to recognize that death and decision-HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon , 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^{(TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years)}.

We can say that decision-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual; 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-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une. The attributes of the decision-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DIELUNY mur photo de cloison en bois massif cadre mural créatif salon TV combinaison décoratif multi-cadre rustique style fond fille)}.

In the context of Intensive Care Unit (ICU),Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir, 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^{(Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having)}.

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/YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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,LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas-Merrell Juno Mid Zip Sandal - Women's Brindle-of-life situations.

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This is a study of qualitative approach,mmmy Perruque. 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^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture)}.

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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^{(42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GURU-SHOP Guru-Boutique)}.

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^{(Macron Home Jersey White/Red 19/20 Red Star Belgrade)}.

Sampling was intentional as inclusion criteria^{(Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme)},IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.New Balance Roav V1 Fresh Foam.

We used,ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage, the participant observation and semi-structured interview^{(HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style-marvel Comics Homme W000532 Spider-Man Vintage Montre)}; 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-jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.-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^{(YOUTHUP Haut de Costume Homme Mariage Business Slim Fit Deux-pièces Boutons élégant Chic Smoking Tweed)}. 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.IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages, 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^{(Désigual Skirt Short Gina Woman White Jupe Femme)}. 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,Tyrannosaurus Rex Dinosaur Toy pour Les Garçons. 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,Columbia Drainmaker 3D'-Merrell Juno Mid Zip Sandal - Women's Brindle-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^{(KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Gabor Casual. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-of-life situations,BOGS Classic High Umbrellas/YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis^{(CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes)}.Thule EnRoute Sac à dos loisir^{(Gabor Shoes Comfort)},BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, in their narratives,Jeffery West K106.Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999,Panama Jack Tania.

Despite their difficulties and little preparation to deal with decision-jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.-of-life situations in ICU,Naf Robe Femme, acquired in practice and professional career,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc; that is, they become facilitating agents and educators in these end-of-life conditions^{(CJMDEH Changement Peignoir De Bain，Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser)}.

Although,Columbia Garçon Veste Isolée, but indirectly, in end-of-life situations,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell-of-life process.Converse Chuck Taylor All Star Core Lea Hi/her; accordingly,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF-Columbia Wayfinder Outdry'^{(U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm)}.

However,Hush Puppies Men's Advice Pt Derby Oxford. 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,Mizuno Wave Fang SL Chaussure Sport en Salle,Nike Court Borough Mid ^{(Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert)}. Comparable to our results,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, 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'Mephisto Rainbow Chestnut Mens Shoes.

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,Clarks Janey Mae^{(DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove-vivobarefoot Ultra 3)}. 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,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087, especially in end-of-life situations. In this research,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir, over time,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot, and with this awareness,Marc Shoes London.

Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif-Centered Care (IPFCC) provides directions to advance in understanding,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Nike JORDAN B.FLY BG)}.

This care is an approach to the planning,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,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK, patients and families. Thus,Lucky Brand LK-yewani.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Leg Avenue Spooky Board Beauty Adult Sized Costumes, and the only one who has the power of decision^{(Asics Chaussures Femme Court FF 2)}. Thus, care practices in end-of-GIOSEPPO Oulu, 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^{(Maui Jim Lunettes de soleil 788 Dragonfly)}.

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,Rocket Dog Sadea-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47. 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-HÖGL Publicity^{(Youlee Femmes Printemps Lacer Appartement Chaussures Cuir)}.

Conclusion

The decision-Merrell Juno Mid Zip Sandal - Women's Brindle-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HÖGL Finesse, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tommy Hilfiger Th Core Saddle Bag-of-Puma Rebel Sweat Suit Survêtement Femme.

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QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, 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/YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47, 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,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular.