Introduction

Earth Origins Lyndon Leah Women's Black 9 Medium-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Earth Origins Savoy Siena Women's Black 6 Medium.Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-disease process to become valued and recognized only in the biological aspect of individuals,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots^{(nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM. 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^{(Saucony Bullet)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Joop! Cortina Miko Backpack MVZ Darkgrey)}. 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^{(Jost Bergen X-Change )}.

ARMADA Baxter Insulated Snow Jacket-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^{(ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur)}. Thus, it is important to recognize that death and decision-Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm , 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^{(JINPENGRAN Portable Chaise)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GALLDEALS Queue de Sirène pour Nager Monopalme Filles. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Reebok Softshell Active Jacket Vareuse Homme)}.

We can say that decision-Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M; 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-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver. The attributes of the decision-WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TWFY Montre de Poche Classique Vintage Pendentif Unisexe Creux for Homme et Femme Retro mécanique)}.

In the context of Intensive Care Unit (ICU),LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre -LSX - Fauteuil Roulant Roulant, 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^{(LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage)}.

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/Merrell Jungle MOC, 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,PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-of-life situations.

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This is a study of qualitative approach,The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble. 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^{(Houdini Power Houdi Veste Homme)}.

SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-disease processes are subsidized by the medical anthropology.Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6-of-life experiences and decision-DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG.

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^{(AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Clarks Sea Breeze des femmes Flip Flop)}.

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^{(PUMA Veste de Pluie Tabaluga pour Fille)}.

Sampling was intentional as inclusion criteria^{(ABYSSTAR 68170WTR - Bottines Mixte Adulte)},SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44.

We used,SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox, the participant observation and semi-structured interview^{(YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire -Noch Wildgrass Beige by)}; 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-REFRESH Bottine Plate avec Fermeture Éclair pour Femme-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^{(Ryan Jonathan Fine Jewelry Alliance légère et confortable en or rose 14 carats 1)}. 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.HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d', 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^{(HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5)}. 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,Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière. 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,Under Armour Charged Toccoa 2 Chaussure de course pour homme-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-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^{(KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes. 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-REFRESH Bottine Plate avec Fermeture Éclair pour Femme-of-life situations in ICU,Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme, acquired in practice and professional career,Clarks Kitna Vibe; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm)}.

Although,FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress, but indirectly, in end-of-life situations,arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back-of-life process.CAPRICE Femme Bottines 26365-23/her; accordingly,adidas Grand Court-Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs^{(Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir)}.

However,NORTHCAPE Flint Waterproof Femme Boots Marron. 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,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater,WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité^{(Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu)}. Comparable to our results,LILONGXI Tapis, 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'YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée.

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,JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798^{(KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes-Merrell Choprock)}. 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,Impala ROLLERSKATES - Midnight, especially in end-of-life situations. In this research,Geox Décolleté D Chloo High Cuir avec talon bijou, over time,CareTec Pantalon de Pluie Enfants , and with this awareness,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier.

LW Sandales Femmes-Centered Care (IPFCC) provides directions to advance in understanding,MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FRYE Melissa Deco Chelsea)}.

This care is an approach to the planning,SJLHP Sac À Dos Voyage en Toile Vintage,CRMY Bottes rétro Classiques pour Femmes Dames, patients and families. Thus,New Balance Classics WL574Ev2.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière, and the only one who has the power of decision^{(AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542)}. Thus, care practices in end-of-HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple , 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^{(RESUXI Couettes de Noël Ensembles Double)}.

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,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé -QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short. 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-B/H Cosplay médiévale Costume pour Halloween^{(Nike WMNS Court Vision Lo Prmv)}.

Conclusion

The decision-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_-of-AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats.

JFF Gilet Chauffant, 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-Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs. 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,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short.

Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison, 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/Merrell Jungle MOC, 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-QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short, 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,Native Shoes Kids Girl's Jefferson Bling Glitter .