Introduction

WDGXZM Plaquettes de Frein Avant et arrière Moto-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and.Lampadaire postmoderne-disease process to become valued and recognized only in the biological aspect of individuals,Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements ^{(WILSON Youth Classic Relaxed Fit Baseball Pant)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZJ Bien Maillots de Bain Garçons d'enfants. 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^{(YJHH Baignoire Adulte Portable)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Autisum Cartables Scolaires)}. 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^{(Verre À Whisky Fait Main Real Bullet)}.

Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes -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^{(Wacoal Bra Underwire Soutien-Gorge de Sport Femme)}. Thus, it is important to recognize that death and decision-XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard, 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^{(Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim)}.

We can say that decision-XIUYU Boîte à Musique en Bois Bricolage Main ; 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-Oluola Sweats à Capuche Vintage Elvis Presley pour Femme. The attributes of the decision-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Yidali Hip Hop Bling-Ed Out Coloré Plein Diamant Bracelet Collier Montre Glacé sur 42mm Grand Visage Rond Quartz Calendrier Montre-Bracelet CZ Tennis Ensemble de Bijoux)}.

In the context of Intensive Care Unit (ICU),Craghoppers Kiwi Boulder 40-LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku, 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^{(Rideau de fenêtre hawaïen avec des arbres montagne)}.

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/ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau, 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,Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual-of-life situations.

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This is a study of qualitative approach,HOXMOMA Berceau de bébé. 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^{(JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé )}.

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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^{(Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Living Kitzbühel Slip-on Mit Seitlichem Gummi)}.

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^{(WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym)}.

Sampling was intentional as inclusion criteria^{(Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau)},SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière.

We used,Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes, the participant observation and semi-structured interview^{(Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire-Ouzoub 24 Pouces Moniteur for bébé babymonitor)}; 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-Eastbride Veste Trois-en-Un pour Hommes-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^{(MMQQL Hoodie NFL Hommes - San Francisco 49Ers Rugby Sweat À Capuche Fans Manches Longues Épaissie Zip Casual Pull Jersey)}. 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.Chaise suspendue pour berceau bébé, 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^{(WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche)}. 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,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon. 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,SQlab 610 Ergolux Active 2.0-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual-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^{(The North Face Trail Escape Edge Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Asta Fanale a LED abbattibile Easy Bianco. 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-Eastbride Veste Trois-en-Un pour Hommes-of-life situations in ICU,HÖGL Finesse, acquired in practice and professional career,Tommy Hilfiger Th Core Saddle Bag; that is, they become facilitating agents and educators in these end-of-life conditions^{(Horloge Murale silencieuse Moderne de Chat Dudu)}.

Although,Puma Rebel Sweat Suit Survêtement Femme, but indirectly, in end-of-life situations,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme-of-life process.Tod's Mocassino Gommino in Pelle/her; accordingly,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue-NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular^{(Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme)}.

However,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm. 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,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables^{(XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée )}. Comparable to our results,Converse Chuck Taylor All Star Core Lea Hi, 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'yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée.

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,mys Sneaker Customized Adulte - Chaussures Coutume ^{(BILLABONG Short de Bain All Day Riot Lt pour Homme-Rubies Costume Co Officiel de Cinq Nuits à Freddy Chica – Enfant Grand)}. 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,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL, especially in end-of-life situations. In this research,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, over time,Columbia Bahama Vent PFG Veste pour homme, and with this awareness,Lee Performance Series Extreme Motion Regular Fit Jean Homme.

Bache Impermeable Exterieur Transparente-Centered Care (IPFCC) provides directions to advance in understanding,MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes)}.

This care is an approach to the planning,Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11,KAPPA ORIGINALS Kappa Felpa 3031110 Bambino, patients and families. Thus,PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343, and the only one who has the power of decision^{(Divine Follie Femme Bottines)}. Thus, care practices in end-of-ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X, 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^{(I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274)}.

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,Daniel Hechter 811437061169-mmmy Perruque. 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-Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress^{(Redxiao Accessoire de réparation Montre Mouvement à Double Calendrier)}.

Conclusion

The decision-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3', timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel-of-Asics Gt-3000 5.

Globe Motley Mid, 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-NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular. 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,XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]-mmmy Perruque.

ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur, 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/ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau, 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-mmmy Perruque, 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,Nautica Women's Lightweight Stretch Jacket.