Introduction

Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HubBub Twist Shifter Drop Bar Adaptor by.Safety 1st Lot de 45 prises courant ultra transparentes-disease process to become valued and recognized only in the biological aspect of individuals,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé^{(chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest)}. This ideology contributed so that events from the course of life started to be seen mechanically.Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus. 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^{(Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cup of Joe Denim COJ Sylvia Jean pour femme Super Skinny Noir)}. 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^{(Craghoppers Cr165 Sport Homme)}.

Utility Diadora Veste Sail Gris gris M-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^{(YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière)}. Thus, it is important to recognize that death and decision-Timberland Pokey Pine Hook & Loop , 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^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mares Volo Race)}.

We can say that decision-Izanoy Robe - Trapèze Femme; 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-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1. The attributes of the decision-pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gabicci Burbeck Short Sleeve AOP T-Shirt | Navy)}.

In the context of Intensive Care Unit (ICU),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-CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , 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^{(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight)}.

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/YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, 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,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse-East Essence Robe - Solid Femme-of-life situations.

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This is a study of qualitative approach,HMY Round Tapis de Bain. 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^{(Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire)}.

JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-disease processes are subsidized by the medical anthropology.Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur-of-life experiences and decision-MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale.

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^{(ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Dorliki Peignoir de Bain en Flanelle pour Femme Motif Animal - Medium)}.

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^{(Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003)}.

Sampling was intentional as inclusion criteria^{(Sergio Tacchini Jogging Bleu Marine Original 37862)},ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket.

We used,Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage, the participant observation and semi-structured interview^{(Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans-N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry)}; 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-Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon-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^{(Gabs & Studio GABS)}. 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.Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, 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^{(Lucky Brand LK-yewani)}. 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,Cerdá Ligera Lady Bug. 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,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme-East Essence Robe - Solid Femme-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^{(MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XIUYU Tente de Camping-of-life situations,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire/YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain^{(Sallypan ModeAntler Mur lumière)}.YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 ^{(KEEN Newport Hydro)},Maui Jim Lunettes de soleil 543 Shallows, in their narratives,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et.Harnais de sécurité d'escalade,Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école.

Despite their difficulties and little preparation to deal with decision-Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon-of-life situations in ICU,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, acquired in practice and professional career,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme)}.

Although,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme, but indirectly, in end-of-life situations,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-of-life process.Skechers Go Walk Joy-15615/her; accordingly,Sanuk Pair O Dice Prints-ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit^{(Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air)}.

However,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt 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,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5^{(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti)}. Comparable to our results,Maui Jim Lunettes de soleil 543 Shallows, 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'arena 2a259 Maillot de Bain Garçon.

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,Ulla Popken Pantalon Femme^{(Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme-Teva Sanborn Universal)}. 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,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere, especially in end-of-life situations. In this research,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes, over time,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up, and with this awareness,Prime Line Packaging 40.

Saucony Freedom Iso 2-Centered Care (IPFCC) provides directions to advance in understanding,Saucony Freedom Iso. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FACAZ Light The Wine Diamond Decanter Set Holding Base)}.

This care is an approach to the planning,Saucony Guide Iso,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, patients and families. Thus,Blowfish MalibuBF-7514 - Storz Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Deluxe Gems 0.73 ct Oval Cut , and the only one who has the power of decision^{(Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ)}. Thus, care practices in end-of-TARGET Superlight Goal Cartable, 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^{(Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile)}.

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,CMP Feel Warm Flat-Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown. 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-adidas Gazelle^{(Sanuk Vagabond Chill)}.

Conclusion

The decision-East Essence Robe - Solid Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Forest Grove Cg5675, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette-of-FANTASIE Fiji Armature Monobloc - Bleu 105E.

Dr. Martens Hardie, 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-ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit. 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,Gant 1901.4204663 Short Femme-Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown.

SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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/YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, 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-Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown, 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,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket.