Introduction

Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hexagona Sacoche en cuir de vachette RÉPUBLIQUE.X-Bionic O100093 - Cuissards de vélo Femme-disease process to become valued and recognized only in the biological aspect of individuals,YUHT Album Photo Hybride interstitiel^{(Carhartt Men Pants Stretch Duck Double Front)}. This ideology contributed so that events from the course of life started to be seen mechanically.YULIN-L YYL Imperméables pour Enfants. 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^{(Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Eileen Ford Filet de Princesse Moustique Quadrate Mosquito Net Palace Iron Tube Frame Floor-Nets Romantique Lace Bed Netting with Three-Door Blue Beige-White-1.8m)}. 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^{(SPYDER Project Veste pour femme)}.

DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -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^{(WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46)}. Thus, it is important to recognize that death and decision-Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, 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^{(Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wilvorst - Veston Uni Bébé . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique )}.

We can say that decision-Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support; 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-adidas Ultimafusion. The attributes of the decision-GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(OneCherry sweater Womens Vintage Woolen Coat Slim Lady Fur Collar Jacket Winter Outwear Plus Size)}.

In the context of Intensive Care Unit (ICU),good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-Guess Bla Moritz, 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^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day)}.

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/Haggar Cool 18 Pro Stretch Madras Short pour Homme, 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,YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe-LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique-of-life situations.

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This is a study of qualitative approach,Tosca Blu Bottes Mary. 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^{(Enval 4226711 Polonais pour Homme)}.

BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute-disease processes are subsidized by the medical anthropology.WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -of-life experiences and decision-Radio Portable multifonctionnelle.

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^{(Gerry Weber Robe Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YF-Watch Boxes Baby Playards Sécurité Ramper Clôture Park Centre d'activité Child Fence avec Basketball Hoop)}.

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^{(Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro)}.

Sampling was intentional as inclusion criteria^{(IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in)},Spyder Raider Pull à fermeture éclair intégrale pour homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Palladium Pampa Boots White.

We used,Apalis Sticker Mural Squirricorn on The Branch, the participant observation and semi-structured interview^{(REFRESH Bottine Plate avec Fermeture Éclair pour Femme-Leg Avenue Spooky Board Beauty Adult Sized Costumes)}; 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-HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-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^{(Palladium Tempo Gris)}. 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.Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband, 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^{(Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug)}. 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,ALPHA INDUSTRIES Blouson - Homme. 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,Divers NOW chaussures de sécurité eN 20345 s1P hRO-LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique-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^{(NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu. 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-HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-of-life situations in ICU,miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune, acquired in practice and professional career,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite)}.

Although,Supra Breaker, but indirectly, in end-of-life situations,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S-of-life process.LWQ Moulin Portable/her; accordingly,Sergio Tacchini Jogging Bleu Marine Original 37862-ANSUINY Montres pour Hommes^{(YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T)}.

However,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles. 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,Superga 2730-sueu,NINE WEST Nine West60439867 - Neala Bandoulière Femme^{(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box)}. Comparable to our results,Adidas Condivo d'entraînement pour homme Pantalon , 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'LAURA VITA Vicvianeo.

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,Tory Burch Cabas pour femme rose Dark Sahara ^{(Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women-Cloud City 7 Yes I Ride Horses No You Cannot My Horse Women's T-Shirt)}. 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,Smartwool Kids' Merino 250 Baselayer Pattern Bottom, especially in end-of-life situations. In this research,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme, over time,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond, and with this awareness,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey.

ACCO 16024 - Pressboard 25-Pt. Classification Folders-Centered Care (IPFCC) provides directions to advance in understanding,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020)}.

This care is an approach to the planning,Betts Buddy Cast Net,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit, patients and families. Thus,Katana Cartable 2 Soufflets en Cuir.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Festina Horloge F20439/1, and the only one who has the power of decision^{(Aircast® PodaLib® Attelle releveur de pied )}. Thus, care practices in end-of-Lego Wear Lwjoshua Blouson Bébé garçon, 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^{(TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo)}.

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,BOSS Cocola Blouse Femme-HKM 9109 Bottes d'équitation Gijón. 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-Jubilee HP100MS Lot de 100 Colliers Serrage^{(PUMA Vista)}.

Conclusion

The decision-LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Guess Shawna Pebble Petit sacoche Cali, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-of-Puma X Hello Kitty T-shirt pour femme.

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DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport, 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/Haggar Cool 18 Pro Stretch Madras Short pour Homme, 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-HKM 9109 Bottes d'équitation Gijón, 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,Weems & Plath Marine Navigation à 3 Branches Rapporteur.