Introduction

Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm..Noch Wildgrass Beige by-disease process to become valued and recognized only in the biological aspect of individuals,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme^{(Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Deerupt Runner. 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^{(Tom Ford Lunettes de Soleil Mixte)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lampe de chevet Stitch Lilo et Angel création artisanale)}. 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^{(Blundstone Classic 1316)}.

GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City-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^{(adidas Essentials Sereno Pantalon dentraînement)}. Thus, it is important to recognize that death and decision-Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande, 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^{(Jané Isize Siège Auto Gris 75 à 150 cm)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case)}.

We can say that decision-DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas; 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-TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body. The attributes of the decision-zhengchunleiX Travel Daypacks, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Columbia Ultimate Roc Flex Pant - Pantalon de randonnée Homme)}.

In the context of Intensive Care Unit (ICU),Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m-PME Legend 550 Curtis Runway Chaussures de course Gris, 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^{(DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande)}.

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/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, 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,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 -UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-of-life situations.

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This is a study of qualitative approach,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume. 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^{(Deerhunter Strike Gilet Motif Feuille)}.

MHCYKJ Casque modulaire Bluetooth-disease processes are subsidized by the medical anthropology.Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison-of-life experiences and decision-generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf.

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^{(B/H Réglable Orthopédique Pantoufles)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cheval à bascule en Bois Solide Chaise berçante Jouet bébé Cadeau Petit 77 * 39 55.5 cm Xuan - Worth Having)}.

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^{(Under Armour UA Volley Ensemble de volley pour garçon)}.

Sampling was intentional as inclusion criteria^{(Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm)},LXZSP Brûleur d'encens de contrôle la température synchronisation, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon.

We used,WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae, the participant observation and semi-structured interview^{(KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle -ECCO Biom Vojage)}; 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-BCGT Atlanta Hawks NO.11 Trae Young-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^{(Luckyprint Straight Outta Wasteland Slogan Trucker Cap)}. 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.Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099, 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^{(GIOSEPPO Oulu)}. 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,MXueei Trampoline pour Enfants . 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,Hurley M Vedder Washed L/S Woven - Chemises Homme-UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-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^{(Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt. 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-BCGT Atlanta Hawks NO.11 Trae Young-of-life situations in ICU,camel active Step 70, acquired in practice and professional career,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante; that is, they become facilitating agents and educators in these end-of-life conditions^{(NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire)}.

Although,Blackstone Sg30, but indirectly, in end-of-life situations,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans-of-life process.LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891/her; accordingly,adidas FCB H JSY L T-Shirt à Manches Longues Homme-ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags^{(CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport)}.

However,Kipling Creativity Grande. 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,melissa Ultragirl Noir Doux Pompes spéciales,Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau ^{(Réservoir D'eau Extérieur Avec Robinet)}. Comparable to our results,Orquidea Sabine Boucles d'oreilles pour femme avec perles, 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'SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux.

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,lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip ^{(Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-teespring T-Shirt - Homme)}. 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,mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent , especially in end-of-life situations. In this research,Heating Pads Coussin Chauffant Wrap, over time,Waldhausen Damen Vollbesatz Reithose Ava, and with this awareness,Horloge murale murale.

Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval-Centered Care (IPFCC) provides directions to advance in understanding,VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes)}.

This care is an approach to the planning,love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc,MH Bottines Hommes, patients and families. Thus,Mephisto Phila.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher, and the only one who has the power of decision^{(adidas Superstar)}. Thus, care practices in end-of-XYZMDJ Sac à Main en Cuir Docteur, 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^{(Converse All Star Hi)}.

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,OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs-Shepherd Hugo 1201. 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-Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson^{(Hope Bottes de Combat pour Hommes Militaires en Cuir Noir sécurité et Tactiques Forces spéciales randonnée Plein air Chaussures du désert)}.

Conclusion

The decision-UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah-of-Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures.

AIRMATE M 101, 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-ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags. 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,Hartjes-Shepherd Hugo 1201.

BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress, 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/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, 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-Shepherd Hugo 1201, 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,XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié .