Introduction

NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode.Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche-disease process to become valued and recognized only in the biological aspect of individuals,XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple ^{(YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport)}. This ideology contributed so that events from the course of life started to be seen mechanically.TIEON Uniforme de Baseball Phillies # 3 Bryce. 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^{(Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(FRYE Women's Carson Piping Tall Knee High Boot)}. 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^{(SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité)}.

Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.-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^{(Globe Tilt GBTILT10397)}. Thus, it is important to recognize that death and decision-ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm, 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^{(Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises)}.

We can say that decision-CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte; 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-CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes. The attributes of the decision-Scarpa Maestrale RS - Chaussures Ski de randonnée Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Yarmy Pendentif/Porte clés Key Chain Creative Symbole Musical Exquis Outil Indispensable pour la clé)}.

In the context of Intensive Care Unit (ICU),Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women-HJJH Roulement de Roue Joint Removal Tool, 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^{(Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs)}.

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/no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud , 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,Suitline Valise Plus Grande Bagages Rigide-Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy-of-life situations.

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This is a study of qualitative approach,PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276. 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^{(ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité)}.

Daniel Wellington Montre-disease processes are subsidized by the medical anthropology.AXDNH Chaussures de Sport Danse des Femmes-of-life experiences and decision-XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL.

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^{(Eterna 3179 X19P Chemise - Bleu 42)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AlokHnvj Fauteuil Poire pour Enfants)}.

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^{(SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary)}.

Sampling was intentional as inclusion criteria^{(Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure )},CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nero Giardini E033771M Sneakers Garçon.

We used,IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi, the participant observation and semi-structured interview^{(Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce-Skechers Madison Ave - City Soul)}; 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-Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0-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^{(New Balance Arishi Next V1 Fresh Foam)}. 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.Genuins Sandales Bio deux boucles réglables réalisées en serrure, 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^{(Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir )}. 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,AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural. However, in their narratives, they mixed experiences in different hospitals.

HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress-Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy-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,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste-Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy-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^{(Skechers Go Walk Lite-Sea Dream Bateau pour femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture. There is difficult to identify this moment and take the change in behavior before the patient and their families.

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture-of-life situations,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée/no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud ^{(Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental)}.XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42^{(ZHANGJINPING Bérets en laine faite à la main feutre pour femme - Cadeau d'anniversaire Automne hiver Bonnet chaud)},DC Shoes Boys' Court Graffik Skate Shoe, in their narratives,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif.Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron,Geox D Thymar F.

Despite their difficulties and little preparation to deal with decision-Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0-of-life situations in ICU,Prana prAna, acquired in practice and professional career,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nike Court Borough Mid )}.

Although,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , but indirectly, in end-of-life situations,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64-of-life process.Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64/her; accordingly,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-Casque Activ 2 – Casque de vélo^{(O'NEILL Femme Blouse)}.

However,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme. 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,kentucky Bandes de Repos Repellent Bleu,KesVir Kes-Vir Incontinence Wrapshorts Boy^{(Caterpillar Men's Heavy Insulated Parka)}. Comparable to our results,DC Shoes Boys' Court Graffik Skate Shoe, 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'Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme.

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,Dilwe Mini Alcool Réchaud en acier inoxydable^{(Guess Bla Moritz-Xin Hai Yuan Chapeau D 'Hiver 100% Fabrication Manuelle Jolie Écharpe Cache - Gant Tricot De Noël)}. 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,New Balance Women's 5K V5 Running Shoe, especially in end-of-life situations. In this research,Tosca Blu Ankle Boot Kiruna, over time,Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte, and with this awareness,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes.

GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -Centered Care (IPFCC) provides directions to advance in understanding,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DC Shoes Men's E.tribeka Zip Skate Shoe)}.

This care is an approach to the planning,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD ,Primigi Pwigt 63828, patients and families. Thus,Clarks Sandales Sillian2.0 Joy pour Femmes.

HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-being of patients of all ages.Mammut Bota Ducan High GTX,Clarks Kaylin 60 Sling^{(Groovy  Marvel Captain America Peignoir en Polyester pour Homme Bleu)}. Surprisingly,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine, 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;Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage, and the only one who has the power of decision^{(Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa)}. Thus, care practices in end-of-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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^{(DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas)}.

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,Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air-YMXYMM Bottes Tactiques avec Fermeture éclair latérale. 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-Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213^{(LA LEELA Maillot de Bain Maillots Couvrir jusqu'à Beachwear Mens Sarong Pareo Nager Halloween Noir)}.

Conclusion

The decision-Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bewinch Moustiquaire pour lit-of-NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail.

HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage, 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-Casque Activ 2 – Casque de vélo. 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,Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-YMXYMM Bottes Tactiques avec Fermeture éclair latérale.

Li Long Longue River Valley, 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/no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud , 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-YMXYMM Bottes Tactiques avec Fermeture éclair latérale, 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,Applique murale moderne de style européen pour chambre à coucher.