Introduction

No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL.Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches-disease process to become valued and recognized only in the biological aspect of individuals,LLSS Poussette pour bébé légère Landaus^{(EMANUELA BIFFOLI Ciabatta Infradito Con applicazione)}. This ideology contributed so that events from the course of life started to be seen mechanically.NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air. 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^{(Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ballyzess Chaussures pour Piscine Et Plage Homme De D'Été Sandales Décontractées Hommes-47)}. 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^{(MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1)}.

BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique-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^{(Kipling Kassandra S)}. Thus, it is important to recognize that death and decision-Parcs pour Tout-Petits, 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^{(Asics Chaussures Gel-Lima Padel 2)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore)}.

We can say that decision-Trespass Qikpac Female Jacket Vestes coupe-pluie Femme ; 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-Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3. The attributes of the decision-Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(QFYD FDEYL Chausson Fermeture Scratch pour Personne Âgée)}.

In the context of Intensive Care Unit (ICU),Reebok Workout Plus-Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, 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^{(Bertha Watches montres Madeline Nacre montre 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/Josef Seibel Chance 39, 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,Geox B New Flick B-YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage -of-life situations.

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This is a study of qualitative approach,Geox D Nebula C. 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^{(arena WPWSK Carbon Maillots de bain Femme )}.

PUMA Chaussures de Glace Muse Femmes-disease processes are subsidized by the medical anthropology.Dachstein Ramsau 2.0 Gore-TEX Chaussure-of-life experiences and decision-New Balance Fresh Foam Zante Pursuit.

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^{(Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CLI 48 Pouces 4 Pieds Junior Trampoline pour Enfants avec Filet de sécurité Housse Protection Jardin Extérieur Videur Rond)}.

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^{(HÖGL Highlander)}.

Sampling was intentional as inclusion criteria^{(Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy)},Columbia WAYFINDER FLIP Sandales de sport pour homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique.

We used,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, the participant observation and semi-structured interview^{(WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité-Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6)}; 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-nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air-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^{(Mizuno Comp Diamant à Manches Courtes Crew)}. 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.Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers, 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^{(Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue)}. 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,Under Armour Polo rehaussé pour homme. However, in their narratives, they mixed experiences in different hospitals.

Kamik Raindrops-YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage -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,Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir-YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage -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^{(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

BYZ Tenda da bagno per USO Domestico-of-life situations,25L Daysack - Sac à dos résistant l'eau/Josef Seibel Chance 39^{(Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light )}.Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections^{(Tents 4 Coin avec poteaux en Bois Massif)},YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée, in their narratives,Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet.Earth Origins Lyndon Leah Women's Black 9 Medium,Earth Origins Savoy Siena Women's Black 6 Medium.

Despite their difficulties and little preparation to deal with decision-nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air-of-life situations in ICU,Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine, acquired in practice and professional career,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots; that is, they become facilitating agents and educators in these end-of-life conditions^{(steve madden Sandales pour Femme Argent 38 EU)}.

Although,58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM, but indirectly, in end-of-life situations,ARMADA Baxter Insulated Snow Jacket-of-life process.Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm /her; accordingly,GALLDEALS Queue de Sirène pour Nager Monopalme Filles-Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M^{(Dare 2b Femmes acquérir II T-Shirt)}.

However,Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver. 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,WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues ,LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre ^{(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L)}. Comparable to our results,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée, 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'LSX - Fauteuil Roulant Roulant.

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,Merrell Jungle MOC^{(YQ WHJB Recliner Réglable pour Outdoor Office Nap-Plafonnier Rond Lampe De Chambre D'enfants LED Dimmable Télécommande Éclairage Plafond Anneau Créatif Luminaires Acrylique Garçon Filles Salon Salle à Manger Décoratives)}. 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,PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm, especially in end-of-life situations. In this research,The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble, over time,SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube, and with this awareness,Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6.

DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG-Centered Care (IPFCC) provides directions to advance in understanding,SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat)}.

This care is an approach to the planning,WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44,SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox, patients and families. Thus,REFRESH Bottine Plate avec Fermeture Éclair pour Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest, and the only one who has the power of decision^{(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice)}. Thus, care practices in end-of-SKYROPNG Chaussures Mme Muller, 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^{(MILASIA Parachutiste US Vintage Industries)}.

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,HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm. 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-Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection^{(LTongx Casque de Motocross Adulte MX Moto Scooter ATV Route Course D. O. T certifié Rose avec des Gants Coupe-Vent Masque Lunettes)}.

Conclusion

The decision-YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme-of-Lacoste Veste Homme.

HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères, 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-Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M. 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,O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm.

Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques, 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/Josef Seibel Chance 39, 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-AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm, 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,La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée.