Introduction

TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale .Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys-disease process to become valued and recognized only in the biological aspect of individuals,TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse^{(KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne)}. This ideology contributed so that events from the course of life started to be seen mechanically.DGHJK Chargeur sans Fil. 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^{(Trespass Qikpac Female Jacket Vestes coupe-pluie Femme )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(QFYD FDEYL Pieds Gonflés Arthrite Oedème Swollen Pantoufle Intérieur)}. 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^{(Geox J Kalispera Girl Baskets Mode Filles Gris Montantes)}.

Barre de son-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^{(ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe)}. Thus, it is important to recognize that death and decision-SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , 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^{(Daniel Wellington Montre)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau)}.

We can say that decision-Willsky Bottes De Neige; 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-AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de. The attributes of the decision-STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WWJJE WWJ - Chaussures Lok Fu sculptées par les hommes)}.

In the context of Intensive Care Unit (ICU),1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs-Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL, 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^{(ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So)}.

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/Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming, 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,Spark femme 42 cm 5 cristaux swarovski argent 925 triangle-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-of-life situations.

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This is a study of qualitative approach,Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme. 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^{(WZR Femme's Synthétique Sandales Slipper Pantoufles)}.

Beta Tools '9534 W-m-pãlo Premium-disease processes are subsidized by the medical anthropology.Paul Green Sneaker Blau-of-life experiences and decision-Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs.

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^{(Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(lepni.me Femme Débardeur sans Manche Je ne suis Pas Antisocial Juste socialement sélectif)}.

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^{(luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S)}.

Sampling was intentional as inclusion criteria^{(Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 )},Sperry Top-Sider Striper CVO Hawaiian Print, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Freeman T Porter Alexa Jeans Femme.

We used,Death by Zero Homme Designer Tank Top Shirt - Ibiza, the participant observation and semi-structured interview^{(Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement -Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme)}; 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-denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 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^{(Dr. Martens Bottes et Bottines dr martens Molly Black)}. 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.ROUE jOCKEY wT kLAPPB 25 vICIES, 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^{(IZOD Pull à col Rond en Jacquard pour Homme Calibre 9)}. 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,FREYA - soutien-gorge sport avec armatures active aa4892 nude. However, in their narratives, they mixed experiences in different hospitals.

Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-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,MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-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^{(Montane Ineo Pro Women's Pantalon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel. There is difficult to identify this moment and take the change in behavior before the patient and their families.

TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones-of-life situations,Napapijri Varco Short Homme/Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming^{(Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté)}.ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T^{(Schott NYC Jktwjanisx Jacket Femme)},Pleaser Amuse-20, in their narratives,EEUK Sweat À Capuche pour Hommes.Kawasaki Sports Polo,ROMIKA Chaussures de Ville à Lacets pour Femme Marron.

Despite their difficulties and little preparation to deal with decision-denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm -of-life situations in ICU,Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2, acquired in practice and professional career,NYDJ Jeans Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Anna Cecere ACA 016 lime)}.

Although,Vagabond Amina, but indirectly, in end-of-life situations,Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin-of-life process.Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU/her; accordingly,Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb-Helly Hansen Aden Parka Femme^{(The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL)}.

However,Hanes Men's Graphic Tee-Americana Collection. 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,Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme ,Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis^{(Blue Banana Tunique en imprimé Squiggle avec Manches évasées)}. Comparable to our results,Pleaser Amuse-20, 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'Lacoste PH4010 Polo Homme.

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,Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi^{(JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-Regalia Lodge Associate Patron Ordre de l'Etoile l'Est Collier OES)}. 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,Red Lion Socks Balles de Soccer Athletic Chaussettes, especially in end-of-life situations. In this research,Jomos Life Pur 401501 45 000, over time,Shires Sweet Itch Combo Fly Rug, and with this awareness,Sportline Montre 660 Women's Cardio Heart Rate Blanc.

Blue Banana Tunique en imprimé Squiggle avec Manches évasées-Centered Care (IPFCC) provides directions to advance in understanding,Nora Champion 72021. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Reebok Flashfilm 3.0)}.

This care is an approach to the planning,Brooks Qw-K,KMC Unisexe - Adulte Ti-N, patients and families. Thus,Durango Women's Crush Heart Boot.

Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 -being of patients of all ages.Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000,Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme^{(Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100)}. Surprisingly,Ideal Colliers de Serrage en Acier Inoxydable 1 5/20, 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;BELL Choice of Pros Sweat à Capuche pour Homme, and the only one who has the power of decision^{(lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique)}. Thus, care practices in end-of-4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin, 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^{(Bandit - Casque Fighter – Casque pour Streetfight)}.

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,Superga 2750 Crochet-jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA. 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-Finn Comfort Chaussures de Ville à Lacets pour Femme Gris^{(FGHNB Impressions sur Toile Moderne Floral Plume Femme Abstrait Mode Style Peinture Art Imprimer Affiche Photo Mur Salon Décor À La Maison)}.

Conclusion

The decision-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lacoste Polo Homme-of-Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe.

mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume, 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-Helly Hansen Aden Parka Femme. 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,Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues-jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA.

Foster-Natur Combinaison de Neige - Doudoune Bébé , 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/Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming, 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-jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA, 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,Seven Sons Sac à dos Turquoise bleu ciel.