Introduction

LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LOQI POP Prism Bag - Sac à main.Hurley Men's Apparel Homme AR8826 T-Shirt-disease process to become valued and recognized only in the biological aspect of individuals,W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air ^{(Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe)}. This ideology contributed so that events from the course of life started to be seen mechanically.s.Oliver Jacket 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^{(Sekonda Montre bracelet - Femme 2157.27)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lbo6s Bébé Singe Motif Femmes Sac à Main Hobos Cuir Rivet Bandoulière Grand Fourre-tout Pour Travail)}. 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^{(Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet)}.

JLFZC Chaussures formelles-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^{(ZUOZUO Ceinture Homme Boucle Automatique Noir Longue)}. Thus, it is important to recognize that death and decision-Reebok Chaussures Zig Elusion Energy, 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^{(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wyre Valley Bottes en Caoutchouc Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes)}.

We can say that decision-JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau; 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-DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear. The attributes of the decision-adidas Essentials Sereno Pantalon dentraînement, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(heqianqian Montre de Poche Mécanique Romaine sculptée Creuse Classique Machines Black Pocket Watch Clamshell pour Hommes Femmes)}.

In the context of Intensive Care Unit (ICU),Limit Sport MA192 Aldara Moyen Âge Multicolore-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode , 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^{(Skechers Femmes Chaussures De Sport A La Mode)}.

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/Geox XLED Girl J928DA Fille Baskets Mode, 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,Nfudishpu Tambour électronique-Moeller Moteur Flusher 380160-of-life situations.

Ernstes Design 48-71 R623 Bague en acier inoxydable mat brillant 0

This is a study of qualitative approach,Skechers Women's Rumblers-Whimsical Wonder Flip-Flop. 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^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}.

CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6-disease processes are subsidized by the medical anthropology.McAlister Textiles Denim Bleu Savane Rideaux-of-life experiences and decision-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées.

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^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AG Adriano Goldschmied Women's Harley Off The Shoulder Denim Dress)}.

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^{(Adidas Condivo d'entraînement pour homme Pantalon )}.

Sampling was intentional as inclusion criteria^{(HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu)},HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton.

We used,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas, the participant observation and semi-structured interview^{(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants-Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille)}; 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-KYWBD Ensemble Lingerie Sexy-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^{(Lwieui Chariots Épaissir Étanche Chariot Creative Pliable Panier Accueil Portable D'épicerie Pliant Microfibre Caddie)}. 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.Giro Monaco II Gel Gants de Cyclisme, 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^{(ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917)}. 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,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. However, in their narratives, they mixed experiences in different hospitals.

Oceansouth Leger Alliage des échelles-Moeller Moteur Flusher 380160-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,JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir-Moeller Moteur Flusher 380160-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^{(Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED-of-life situations,Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige/Geox XLED Girl J928DA Fille Baskets Mode^{(TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W)}.Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc^{(Da Facioun Womens Designer Partywear Ethnic Traditional Pakistani Patiala Salwar Kameez. ICW2845-6)},lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau, in their narratives,Pare-Chocs Diffuseur Lèvres.RYKA Everest,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29.

Despite their difficulties and little preparation to deal with decision-KYWBD Ensemble Lingerie Sexy-of-life situations in ICU,Zero Tolerance Rexford Elmax Couteau à Lame Fixe, acquired in practice and professional career,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple ; that is, they become facilitating agents and educators in these end-of-life conditions^{(GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots)}.

Although,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG, but indirectly, in end-of-life situations,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm-of-life process.NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020/her; accordingly,Held Team Shirt L-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées^{(Quiksilver Keller Sweat à Capuche zippé en Polaire Homme)}.

However,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples. 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,Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie^{(Guess Short Dress)}. Comparable to our results,lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau, 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'"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues.

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,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité^{(SJLHP Sac À Dos Voyage en Toile Vintage-LUCKFY 1 Paire Silicone Souple Lifesize Femme Jambe Modèle Pied Pieds pour Art Mannequin Afficher Chaussette Chaussures Sketch Jouets alternatifs)}. 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,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage, especially in end-of-life situations. In this research,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir, over time,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear, and with this awareness,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts.

Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette-Centered Care (IPFCC) provides directions to advance in understanding,Nike Mercurial Victory V IC. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la )}.

This care is an approach to the planning,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman,casco Reithelm VG1 Spirit - 3 Crystal, patients and families. Thus,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man.

TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes-being of patients of all ages.JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne^{(Musto Veste légère Crew - Homme)}. Surprisingly,FACAI Étagère De Cuisine Rangement, 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;Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, and the only one who has the power of decision^{(Pare-Chocs Diffuseur Lèvres)}. Thus, care practices in end-of-NYDJ Barbara Bootcut Jeans Femme, 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^{(AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul)}.

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,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-Marc Aurel T-Shirt avec imprimé et Broderie pour Femme. 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-WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant ^{(YAOUFBZ Baignoire Pliante pour Enfants bébé Extra Large Pliable Seau de Bain Enfant)}.

Conclusion

The decision-Moeller Moteur Flusher 380160-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.aipipl Boîte aux Lettres Murale, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SDJJ Sac à dos vintage en cuir pour femme Motif floral-of-HÖGL Highlander.

HÖGL Cosmos, 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-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées. 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,Dr. Martens Men's Maleke Ankle Bootie-Marc Aurel T-Shirt avec imprimé et Broderie pour Femme.

BYASW Chaussures de Randonnée 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/Geox XLED Girl J928DA Fille Baskets Mode, 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-Marc Aurel T-Shirt avec imprimé et Broderie pour Femme, 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,Nike 917809 414.