Introduction

Etnies Fader 2-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mammut Ultimate Veste V So – .MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge-disease process to become valued and recognized only in the biological aspect of individuals,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite^{(Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds)}. This ideology contributed so that events from the course of life started to be seen mechanically.New Balance Wj91524 Pull 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^{(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)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JCNHXD Femmes laine bottes de neige chaussures en peluche chaud cuir véritable hautes fourrure plate-forme chaude pour les femmes Black Wool 6)}. 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^{(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique)}.

Close Parent Caboo Porte-bébé Coton bleu clair-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^{(Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer)}. Thus, it is important to recognize that death and decision-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, 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^{(Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ChengLaoBan shoP Chapeau)}.

We can say that decision-POSEIDON Bobbin KNOTTER Gold Black; 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-Multifanshop Rétro sac à bandoulière modern love wiebke noir. The attributes of the decision-Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Chaussures Running CF Racer TR Noir Enfants)}.

In the context of Intensive Care Unit (ICU),Geox B Todo Boy A-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, 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^{(XHH Échelle de Plante Support à Fleurs en Fer forgé)}.

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/BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, 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,Haedr Coussin résistant à la Casse pour bébé-SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour-of-life situations.

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This is a study of qualitative approach,camel active Ethnic 12. 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^{(Columbia Women's Saturday Trail ii Convertible Pants)}.

PICTO Montre à Quartz Unisexe-disease processes are subsidized by the medical anthropology.MARCO TOZZI 23712 Femme Chaussures Noir-of-life experiences and decision-Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne.

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^{(Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PULLIN Boxer Copacabana Mousse)}.

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^{(Sanuk Yoga Sling#2 Prints)}.

Sampling was intentional as inclusion criteria^{(Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt)},Jané Isize Siège Auto Gris 75 à 150 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Oilily YS19GPA207 Short de sport unisexe avec imprimé floral.

We used,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, the participant observation and semi-structured interview^{(Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt-Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles)}; 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-Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-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^{(Primo Sacchi Petit sac à bandoulière ou en cuir italien lisse. Comprend un de rangement marque)}. 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.adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, 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^{(Helga Kreft Kreft90012 Police Mobil Puzzle )}. 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,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski. 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,FERRINO ZAINO Core 30 Nero Trekking-SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour-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^{(D555 Hommes - Pantalon Max Xtenda grande taille )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme. 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-Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-of-life situations in ICU,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme, acquired in practice and professional career,adidas Forest Grove; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39)}.

Although,Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche, but indirectly, in end-of-life situations,PUMA Alee Gore-Tex Mens Performance Bottes de Voile-of-life process.Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en/her; accordingly,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire-XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j^{(Joules Roll Up Welly)}.

However,VearFit Cuir véritable. 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,Dickies Henley Chemise à manches longues 3 boutons pour femme,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux ^{(ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet)}. Comparable to our results,TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer, 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'JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman.

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,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31^{(Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main-ZHEBEI Lot de 6 paires chaussettes pour enfants mignons garçons filles antidérapantes)}. 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,ZWF Boots Bottes De Cow-Boy Homme, especially in end-of-life situations. In this research,Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, over time,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665, and with this awareness,adidas Phosphere.

Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small-Centered Care (IPFCC) provides directions to advance in understanding,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tappers & Pointers Chaussures de danse fille)}.

This care is an approach to the planning,wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite,wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite, patients and families. Thus,Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible, and the only one who has the power of decision^{(DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements)}. Thus, care practices in end-of-Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm, 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^{(ZTYD Corps métal Jumelles 12x42)}.

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,D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne. 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-Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue^{(DAKINE Aero Protection de Barres Toit Homme)}.

Conclusion

The decision-SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur-of-ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm.

HJTLK Chariot de magasinage léger 39L, 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-XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j. 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,HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College -ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne.

edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm, 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/BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, 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-ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne, 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,Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear.