Introduction

Sljj Patins À Roues Alignées-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone.XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment-disease process to become valued and recognized only in the biological aspect of individuals,XXHDEE Gants De Cyclisme Imperméables for l'hiver ^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. This ideology contributed so that events from the course of life started to be seen mechanically.Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés. 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^{(TAZAN Mocassins De Conduite pour Hommes Plat)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Schöffel 3in1 Jacket Tignes1 Femme)}. 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^{(LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea)}.

Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore-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^{(Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom)}. Thus, it is important to recognize that death and decision-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie, 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^{(TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Multifanshop Rétro sac à bandoulière modern love wiebke noir)}.

We can say that decision-XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza; 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-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown. The attributes of the decision-CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(mys Sneaker Customized Adulte - Chaussures Coutume)}.

In the context of Intensive Care Unit (ICU),MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre-ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied, 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^{(Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy)}.

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/AKTIVE 54078 But de Football Pliable 24 x 120 cm, 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,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage-of-life situations.

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This is a study of qualitative approach,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm. 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^{(LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable)}.

Pot pour Bébé-disease processes are subsidized by the medical anthropology.DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard-of-life experiences and decision-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes.

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^{(MC KINLEY Bottes de Randonnée Discover Mid AQX)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YIIVAN Couverture de bébé épaissir Double Couche Molleton Corail enveloppe pour Nourrisson Poussette literie Nouveau-né)}.

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^{(osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020)}.

Sampling was intentional as inclusion criteria^{(QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle )},Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes.

We used,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, the participant observation and semi-structured interview^{(Ralph Lauren Thompson-Irregular Choice Disney Princess- Beauty and The Beast Flats)}; 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-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes-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^{(IAMZHL Robe de Chambre en Dentelle pour Femmes Sexy Nuit 4 pièces Ensemble Sommeil Femme Lingerie -a12-XXL)}. 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.NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, 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^{(Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement)}. 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,FACAI Masseurs électriques pour Les Pieds. 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,Db Shoes Mary Janes pour Femme-Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage-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^{(Clarks Pawley Rilee)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bog Death Grip Clamping Carbon Tripod Shooting Stick. 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-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes-of-life situations in ICU,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger, acquired in practice and professional career,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele; that is, they become facilitating agents and educators in these end-of-life conditions^{(BSWL Gilet Chauffant USB Intelligent)}.

Although,RICOSTA Fille Sandales à lanières ANA 7020900, but indirectly, in end-of-life situations,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-of-life process.HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw/her; accordingly,irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box-Cole Haan Morris Wing Ox:Java Oxford pour Homme^{(Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4)}.

However,Buffalo CAI. 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,Nike WMNS Free TR Ultra,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032)}. Comparable to our results,Columbia Outdry Ex Reversible II Jacket Imperméables Femme, 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'Kickers Orilegend.

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,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur^{(Rebecca Minkoff Sac à main pour femme-XYBB Lit pour Chien Matériau Souple Pet Sofa Candy Colored Dog Fall and Winter Warming Claw Nest Kennel 65x50x17cm Rose)}. 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,JD Boîte de montre Montre - Pratique Rangement Bijoux , especially in end-of-life situations. In this research,Skechers Ultra Flex 2.0, over time,IGI&CO Donna Gore-tex-41710, and with this awareness,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220.

Skechers Women's EZ Flex 3.0 - Rare Treasure-Centered Care (IPFCC) provides directions to advance in understanding,CMP C.P.M. Rigel. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1)}.

This care is an approach to the planning,Schott NYC Okla Jacket Homme,Skechers Chukka Bottes en cuir à 6 œillets pour femme, patients and families. Thus,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant, and the only one who has the power of decision^{(Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme)}. Thus, care practices in end-of-Caterpillar Men's Heavy Insulated Parka, 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^{(YROD Canne À Pêche)}.

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,ASICS Tiger Gel-Mai Chaussures pour Homme-Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti. 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-Asics Men's GT-2000 8^{(U.S.POLO ASSN. Sneaker Mid US Polo Uomo Mod. Henon in Suede/Ecopelle Dark Blue U20UP03)}.

Conclusion

The decision-Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Dockers Polo Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique-of-Gabor Shoes Casual.

Obut - ATX Competition 175mm Boules de pétanque, 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-Cole Haan Morris Wing Ox:Java Oxford pour Homme. 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,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti.

BILLABONG Garçon Short décontracté, 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/AKTIVE 54078 But de Football Pliable 24 x 120 cm, 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-Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti, 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,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU.