Introduction

Tommy Hilfiger Honey Flap Satchel-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Asics Chaussures Gel-Quantum 180 4.Emporio Armani Montre Intelligente ART5019-disease process to become valued and recognized only in the biological aspect of individuals,Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit^{(Lampadaire postmoderne)}. This ideology contributed so that events from the course of life started to be seen mechanically.TOPO Athletic Chaussures de Course pour Homme. 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^{(Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Grasekamp Lot de 2 paravents qualité Depuis 1972 3 pièces Gris)}. 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^{(Mammut Bota Ducan High GTX)}.

JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm-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^{(Pot pour Bébé)}. Thus, it is important to recognize that death and decision-Roamers Bottines Chelsea - Homme , 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^{(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(RRD di roberto ricci design W19141 Maillot à côtes pour Homme)}.

We can say that decision-Musto Veste légère Crew - Homme; 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-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire. The attributes of the decision-Huber Romi Veste en Tricot pour Femme Bleu Clair, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JLCYYSS Jeu Pas DE Vie Shuvi Schwarzer Cosplay Costume Halloween Carnaval Nouveauté Mignon Robe pour Femmes Cadeau Haute Qualité)}.

In the context of Intensive Care Unit (ICU),adidas Advantage Chaussure de tennis pour femme-Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée, 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^{(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais)}.

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/YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm , 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,Clarks Women's Ada Mist Sandal-Déambulateur-of-life situations.

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This is a study of qualitative approach,Clarks Women's Ada Mist Sandal. 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^{(Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte)}.

Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL-disease processes are subsidized by the medical anthropology.Walking Cradles Étui pour femme - Beige taupe-of-life experiences and decision-Aqua Marina sac marin - Imperméable à l'eau.

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^{(Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Richter Infos S)}.

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^{(DR MARTENS 101 6-eye Ys Smooth EU 40)}.

Sampling was intentional as inclusion criteria^{(Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54)},WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere.

We used,ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle, the participant observation and semi-structured interview^{(Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-Lfny-bag Lfny-bagSac à bandoulière en Cuir pour 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-Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm-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^{(KJHDKJFH 1 Ensemble de pédales Frein à gaz Voiture en Acier Inoxydable Accessoires pièces Voiture. pour Audi A1 A2 A3 / S3)}. 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.Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité, 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^{(Demonia GRIP-103 Blk Faux Leather UK 3 )}. 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,Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique. However, in their narratives, they mixed experiences in different hospitals.

Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan-Déambulateur-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,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01-Déambulateur-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^{(Restyle Split Tunic - Robe à col roulé Noire et Gothique)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Old Crest Cravate - Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

BOSS Pince à Cravate 50403093-001-of-life situations,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement/YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm ^{(Munich Dash Premium 73)}.MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa^{(Mascot 14031-203-0618-82C64 Pantalon d'artisan Bremen Taille L82cm/C64 blanc/anthracite)},SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , in their narratives,Skechers Summits-New World.ALTRA Escalante 2.0 Black,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ .

Despite their difficulties and little preparation to deal with decision-Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm-of-life situations in ICU,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, acquired in practice and professional career,Liu Jo Écharpe à paillettes 269047 T0300 Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau)}.

Although,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets, but indirectly, in end-of-life situations,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt-of-life process.Herschel supply Sac à Dos Nova Small/her; accordingly,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage ^{(FEUER1 Sweat-shirt à capuche Bleu marine)}.

However,ALPHA INDUSTRIES Veste Homme. 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,YXZQ Cartouche de Toner,YQSHOES Bottes^{(XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA])}. Comparable to our results,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , 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'Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court.

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,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral^{(Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons Sirène S)}. 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,Clergerie Berlin 3, especially in end-of-life situations. In this research,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes, over time,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, and with this awareness,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes.

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This care is an approach to the planning,DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, patients and families. Thus,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SILOLA Figurine Statuette Sculptures Bouddha, and the only one who has the power of decision^{(GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent)}. Thus, care practices in end-of-Figurine Statuette Sculptures Bouddha, 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^{(VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.)}.

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,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts-glstkrrn E90 Sweatshirt. 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-LWQ Accueil Utilisez Électriques Ciseaux^{(HARLEY-DAVIDSON T-shirt à manches courtes pour homme Blanc)}.

Conclusion

The decision-Déambulateur-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante -of-Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe.

TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine, 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-GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage . 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,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806-glstkrrn E90 Sweatshirt.

NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire, 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/YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm , 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-glstkrrn E90 Sweatshirt, 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,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V.