Introduction

Crocs Sanrah Hammered Metallic Sandal Women-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau .yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain -disease process to become valued and recognized only in the biological aspect of individuals,Loykind Chaussures De Sécurité^{(FACAI Étagère De Cuisine Rangement)}. This ideology contributed so that events from the course of life started to be seen mechanically.PieSanto 190801 Chaussures confortables pour 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^{(Marc Cain Collections Dress Robe Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Bracelet de Montre Confortable)}. 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^{(Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099)}.

Box J-Boîte de Montre Coffret en Bois-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^{(Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit)}. Thus, it is important to recognize that death and decision-iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, 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^{(Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LDDNZH Pantoufles en Coton pour Femmes Slippers. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Yctze Volant de bateau)}.

We can say that decision-Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc; 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-Columbia Pike Lake Jacket Veste Garçon. The attributes of the decision-B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie)}.

In the context of Intensive Care Unit (ICU),Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron-EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, 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^{(SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c)}.

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/7lljjq7 T Rex Fruit Hat-Dinosaurs, 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,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme-Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-of-life situations.

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This is a study of qualitative approach,Misu Chaussures de Danse pour Homme Noir. 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^{(NORTHCAPE Flint Waterproof Femme Boots Marron)}.

HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-disease processes are subsidized by the medical anthropology.ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié-of-life experiences and decision-VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine.

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^{(CNC ZTTO 11Vitesse Roue Libre Cassette)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Alma en Pena V19996 - Sandales Arena Femme)}.

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^{(Nautica Women's Lightweight Stretch Jacket)}.

Sampling was intentional as inclusion criteria^{(Camfosy Bottines Femme Cuir Talons)},Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual.

We used,Odlo Midlayer Full Zip Proita Femme, the participant observation and semi-structured interview^{(yunyu Montre de Poche pour Homme-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc)}; 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-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture-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^{(Frau 42C2 Sable Bottes Chaussures Amalfi Femme mi Daim de randonnée)}. 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.Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, 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^{(LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure)}. 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,Dansko Women's Hilda Denim Mary Jane 5.5-6 M US. 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,D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-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^{(Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-of-life situations,Goodthreads Marque Amazon - Short chino élastique et confortable/7lljjq7 T Rex Fruit Hat-Dinosaurs^{(DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre)}.HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais^{(Airsoft Parts APS 3-Gun Competition Receiver Receveur de compétition for CAM870 Shotgun Fusil à Pompe)},Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle , in their narratives,KYOTO Plaquette Semi-métal S1989.Kwon Kimono pour Enfant Taekwondo Song,Skechers Bounder.

Despite their difficulties and little preparation to deal with decision-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture-of-life situations in ICU,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural, acquired in practice and professional career,steve madden Tronchetto in Suede Marrone; that is, they become facilitating agents and educators in these end-of-life conditions^{(WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid)}.

Although,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE , but indirectly, in end-of-life situations,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir-of-life process.Timberland Kendrick Bottes imperméables pour homme/her; accordingly,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9-Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau^{(CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme)}.

However,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher. 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,Carrelage de nivellement automatique portatif carreaux céramique,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée^{(gracosy Sabots Femmes Cuir)}. Comparable to our results,Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle , 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'Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM.

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,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h^{(Reborn Baby Dolls-ESXAZ Roue Musculaire Abdominale - Séance d'entraînement Equipment- d'exercice for Les abdominaux Exercice Family Office Fitness)}. 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,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED, especially in end-of-life situations. In this research,Pulp Fiction Tee Shirt Homme Pomme Rouge, over time,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo, and with this awareness,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme.

wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-Centered Care (IPFCC) provides directions to advance in understanding,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt)}.

This care is an approach to the planning,NENGGE Barre de Traction,SBDLXY Parc pour bébé extérieur, patients and families. Thus,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, and the only one who has the power of decision^{(Asics Chaussures Gel-Nimbus 21 pour Hommes)}. Thus, care practices in end-of-Hatley Swimsuits Maillot Une pièce Garçon, 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^{(Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme)}.

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,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec-Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm. 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-ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative^{(Skechers Mens Go Run Fast Athletic Running Trainerss Shoes)}.

Conclusion

The decision-Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-of-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket.

Mephisto Mocassins pour Homme, 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-Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau. 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,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes-Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm.

Fossil Portefeuille à Trois Volets Jesse Cognac, 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/7lljjq7 T Rex Fruit Hat-Dinosaurs, 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-Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm, 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,Saucony Shadow Original.