Introduction

LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ana Silver Co. Garnet.Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-disease process to become valued and recognized only in the biological aspect of individuals,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée^{(Pepe Jeans Pantalon Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs. 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^{(Jeffery West K106)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Columbia Pivot Mid WP)}. 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^{(LED night light)}.

ECCO Offroad-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^{(Marc Aurel T-Shirt avec imprimé et Broderie pour Femme)}. Thus, it is important to recognize that death and decision-adidas Ozweego Chaussures Homme Blanc, 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^{(Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Showers Pass Short de ski léger respirant à séchage rapide pour homme)}.

We can say that decision-YANGTAO Ressacs Projecteur De Lumière Nuit; 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-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger. The attributes of the decision-Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CMJ Silver Ice Bracelet jonc ovale en argent sterling et ambre cognac avec épaules décoratives)}.

In the context of Intensive Care Unit (ICU),Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -GJQION Femmes Brassière, 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^{(JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture )}.

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/Free People Women's Forever Cashmere V-Neck Pullover Sweater , 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,ProCook - Cocotte Faitout Ronde 24cm / 4-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort-of-life situations.

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This is a study of qualitative approach,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So. 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^{(CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques)}.

COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-disease processes are subsidized by the medical anthropology.Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -of-life experiences and decision-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe .

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^{(MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(no brand Longue Slim Down Hiver Veste Manteau de Duvet Parker Confortable Chaud extérieure Mme)}.

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^{(Clarks Bottines pour Femme Noir)}.

Sampling was intentional as inclusion criteria^{(Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable)},Polaroid Pld 6071/s/x, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse.

We used,SMITH Riot Masque de Ski, the participant observation and semi-structured interview^{(WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant-2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme)}; 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-Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau-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^{(HOHOHAHA Bikini à lacets pour femme Motif crânes et fleurs de lys Taille XS)}. 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.YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18, 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^{(PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire)}. 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,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport. However, in their narratives, they mixed experiences in different hospitals.

mantraroma Pendentif argent 925 sterling labradorite -pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort-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,FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort-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^{(Emporio Armani Stretch Long Sleeve T-Shirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage . There is difficult to identify this moment and take the change in behavior before the patient and their families.

QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB -of-life situations,YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche/Free People Women's Forever Cashmere V-Neck Pullover Sweater ^{(Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075)}.AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard^{(Babylonia BB-SLEN Echarpe De Portage Facile à Enfiler)},Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme, in their narratives,ChengLaoBan shoP Chapeau.Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe,ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket.

Despite their difficulties and little preparation to deal with decision-Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau-of-life situations in ICU,CUzzhtzy Réchaufferont Hommes Martin Bottes, acquired in practice and professional career,AUTIANYU Inuyasha Sac fourre-tout en toile pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(RZHSS Sweats à Capuche)}.

Although,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle , but indirectly, in end-of-life situations,Jumelles 8-10X42-32 Zoom HD Grande Ouverture-of-life process.WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond/her; accordingly,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot-Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche^{(XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié )}.

However,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt. 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,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt,K-Swiss Men's Donovan Sneaker^{(YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques)}. Comparable to our results,Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme, 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'Gerry Weber Robe Femme.

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,teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt^{(Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en-Nero Giardini E012491D Sandales Basses Femme)}. 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,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton, especially in end-of-life situations. In this research,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur, over time,Living Kitzbühel Slip-on Mit Fellborte, and with this awareness,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles.

Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm-Centered Care (IPFCC) provides directions to advance in understanding,WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson)}.

This care is an approach to the planning,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe,Globe Tilt GBTILT10397, patients and families. Thus,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour.

Lloyd Marvin-being of patients of all ages.Zwei Elli EL12 Sac à bandoulière 32 cm,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose^{(Nike Flex 9)}. Surprisingly,Parker Femme P8HRRD10 Robe, 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;Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm, and the only one who has the power of decision^{(BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir)}. Thus, care practices in end-of-Lakota Bottes Western Buckaroo modèle Roping EQ296, 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^{(Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm)}.

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,New Balance 996-YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge. 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-Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat^{(THE NORTH FACE Denali 2 Veste pour femme)}.

Conclusion

The decision-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;J´hayber - Zapatillas Avt. Olimpo Serraje marrón-of-Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable.

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Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit, 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/Free People Women's Forever Cashmere V-Neck Pullover Sweater , in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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