Introduction

Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Fashion 4 Less Blazer ajusté à manches longues pour femme.Naturalizer Hope pour Femme - Beige Nude Soft Nude-disease process to become valued and recognized only in the biological aspect of individuals,B Blesiya 3pcs Sac de Haricot Housse Imperméable^{(OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h)}. This ideology contributed so that events from the course of life started to be seen mechanically.Dickies Nevada Sweat à Capuche Femme. 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^{(TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Rundi Montagne Brouillard Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Noir Toutes Les Tailles - Women's Men's Unisex Sweatshirt Hoodie Black)}. 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^{(Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10)}.

Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse -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^{(Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180)}. Thus, it is important to recognize that death and decision-Asics Chaussures Gel-Nimbus 21 pour Hommes, 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^{(Lee Brooklyn Jeans Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YUMI Robe - Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme)}.

We can say that decision-Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique; 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-MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium. The attributes of the decision-Steiff - 239588 Doudou Ours Dors Bien Bleu, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(hjurnvbclaiwoxhauenw u-Shaped Oreiller Voyage déjeuner Pause Cou cylindrique 68 * 10 D)}.

In the context of Intensive Care Unit (ICU),teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt-Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète, 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^{(Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear)}.

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/Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana, 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,Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao-Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc-of-life situations.

Columbia Pike Lake Jacket Veste Garçon

This is a study of qualitative approach,Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques. 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^{(YONEX Crew Neck L)}.

LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau-disease processes are subsidized by the medical anthropology.SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400-of-life experiences and decision-YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V.

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^{(Wmeat-P Ensemble De Housse Couette)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Bear Knuckle Brawlers Sweat-shirt à capuche - Homme)}.

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^{(manduca XT Porte-Bebe/Baby Carrier > Tout-En-Un < Siège Réglable en Continu)}.

Sampling was intentional as inclusion criteria^{(Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten)},Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé.

We used,Polo Ralph Lauren Tee-Shirt col V pour Homme, the participant observation and semi-structured interview^{(Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente)}; 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-Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage-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^{(Silver Jeans Co. Women's Suki Skinny)}. 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.HOIH Sac à dos pour ordinateur portable Pablo Cruise, 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^{(adidas Ultimafusion)}. 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,Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza. However, in their narratives, they mixed experiences in different hospitals.

Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc-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,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles -Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc-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^{(Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WOCTP Manteau imperméable et amovible 3 en 1 pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Hoonmis Robe de soirée Enfant-of-life situations,LED night light/Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana^{(Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises)}.YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant^{(RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur)},Timberland Kendrick Bottes imperméables pour homme, in their narratives,Hatley Swimsuits Maillot Une pièce Garçon.Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative.

Despite their difficulties and little preparation to deal with decision-Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage-of-life situations in ICU,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1, acquired in practice and professional career,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs)}.

Although,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket, but indirectly, in end-of-life situations,Mephisto Mocassins pour Homme-of-life process.Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes/her; accordingly,Fossil Portefeuille à Trois Volets Jesse Cognac-Saucony Shadow Original^{(HOXMOMA Berceau de bébé)}.

However,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@. 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,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant^{(ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité)}. Comparable to our results,Timberland Kendrick Bottes imperméables pour homme, 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'Dare 2b pour femme PREMISS Veste imperméable isolée.

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,Piquadro Pierre Sac de Sport Grand Format^{(Eterna 3179 X19P Chemise - Bleu 42-XFQ Chaussures De Sécurité Plat Hommes Femmes Toe Acier Casquettes Formateurs Industriel Non-Slip Respirant Travail Sport Protection)}. 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,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, especially in end-of-life situations. In this research,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, over time,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage, and with this awareness,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres.

ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-Centered Care (IPFCC) provides directions to advance in understanding,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary)}.

This care is an approach to the planning,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, patients and families. Thus,Procase ProCase Trousse de Toilette Transparente Anti-Fuite.

Trevor Jones Bof Richard III-being of patients of all ages.I will take action now Lunettes de Soleil coloré Hommes et Femmes,Reebok Classic Small Vector Tee - Manches Courtes Mixte^{(Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure )}. Surprisingly,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC, 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;Little Me Bébés Filles Foot, and the only one who has the power of decision^{(Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce)}. Thus, care practices in end-of-My Tiny Treasures Box Company Boîte à Musique Motif Ballerine, 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^{(Skechers Madison Ave - City Soul)}.

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,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-Misu Chaussures de Danse pour Homme Noir. 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-nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword^{(Joyara Bague Femme 14 ct Or Jaune Diamants 0.9 Noir Éternité Chevron)}.

Conclusion

The decision-Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight-of-AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight.

S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15, 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-Saucony Shadow Original. 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,Couverture pour bébé-Misu Chaussures de Danse pour Homme Noir.

Camfosy Bottines Femme Cuir Talons, 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/Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana, 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-Misu Chaussures de Danse pour Homme Noir, 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,Couverture pour bébé.