Introduction

JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Fila Baskets Femme.Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-disease process to become valued and recognized only in the biological aspect of individuals,Sanita Saskia Sport Flex Sandale^{(YAS Yasemira Loose Lace Top Blouse Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon. 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^{(Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(EDOSTORY Chaussure De Vélo Verrouillage Route Unisexe)}. 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^{(Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.)}.

SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila-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^{(YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon)}. Thus, it is important to recognize that death and decision-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair, 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^{(HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kappa Britannia Authentic Veste Homme)}.

We can say that decision-Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle; 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-Crime London KOMRAD White. The attributes of the decision-Onitsuka Tiger Baskets Corsair Unisexe-Adulte, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FZWAI Appareils de gymnastique for les femmes stretch Équipement massage du dos Brancard Fitness Support lombaire Relaxation Maté vertébrale Soulager la douleur Chiropraticien Pula Arc Massage Bed)}.

In the context of Intensive Care Unit (ICU),Pandora Femme Vermeil Charms et perles - 788692C01-MASCOT WORKWEAR Mascot Polo De Travail Crossover, 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^{(SugarPocket Leggings de yoga pour femme)}.

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/Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python, 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,DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto-of-life situations.

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This is a study of qualitative approach,DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4. 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^{(Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt)}.

Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes -disease processes are subsidized by the medical anthropology.SKTWOE Bottes De Cheville Femmes-of-life experiences and decision-LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau.

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^{(XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas Tiro 13 Präsentationsanzug)}.

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^{(Rosec Jewels 2)}.

Sampling was intentional as inclusion criteria^{(GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied)},VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill.

We used,CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques, the participant observation and semi-structured interview^{(Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin-AJH Animal Tabouret Repose-Pieds Ottoman)}; 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-JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur-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^{(Timberland PRO Men's Powertrain Sport Alloy Toe SD Industrial and Construction Shoe)}. 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.MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail, 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^{(Nike Mercurial Victory V IC)}. 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,Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy. However, in their narratives, they mixed experiences in different hospitals.

Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto-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,YOLL Bébé Baignoire-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto-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^{(Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier-of-life situations,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre/Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python^{(NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire)}.FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon^{(Roxy Frost Printed Sweat-Shirt Femme)},RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , in their narratives,SHOPAMZ Chaussure de Securité Homme Femmes.YUIOLIL Children's Microscope 1200x with LED Lights,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur.

Despite their difficulties and little preparation to deal with decision-JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur-of-life situations in ICU,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , acquired in practice and professional career,Legero Campania; that is, they become facilitating agents and educators in these end-of-life conditions^{(SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens)}.

Although,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, but indirectly, in end-of-life situations,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied-of-life process.FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale/her; accordingly,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt-Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No^{(Helen vi Sac à Dos pour Enfants Fille)}.

However,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation. 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,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass^{(FACAI Corset)}. Comparable to our results,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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'ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison.

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,U/A Coupe-vent à manches longues^{(Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-Album Photo)}. 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,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes, especially in end-of-life situations. In this research,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 , over time,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant , and with this awareness,Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel.

Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz-Centered Care (IPFCC) provides directions to advance in understanding,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Sam Edelman Yaro)}.

This care is an approach to the planning,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby ,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075, patients and families. Thus,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant, and the only one who has the power of decision^{(Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104)}. Thus, care practices in end-of-adidas Originals Nite Jogger, 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^{(Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert)}.

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,Joules Roll Up Welly-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings. 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-Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning^{(Outils pédagogiques Modèle de Ligament du Genou Humain Structure squelettique à Bandes Anatomique Rotation Taille Flexible pour la Communication médecin-Patient)}.

Conclusion

The decision-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Circus By Sam Edelman Goodwin Bottes de Combat pour Femme-of-MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité.

Nike Air Max Oketo, 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-Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No. 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,HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings.

Reebok Softshell Active Jacket Vareuse Homme, 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/Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python, 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-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings, 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,MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE.