Introduction

Trespass Virtual Veste Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Falliback Haltères Fitness Exercice avec poids.PUMA Chaussures de Jeu Future Rider Neon pour Hommes-disease process to become valued and recognized only in the biological aspect of individuals,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64^{(Superga 2750 Crochet)}. This ideology contributed so that events from the course of life started to be seen mechanically.WZR Femme's Synthétique Sandales Slipper Pantoufles. 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^{(SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WYYWCY Carte des Animaux Kid World Vector Affiche Casse-têtes Tapis d'exercice de Sol en Mousse 8 Pièces 60 X 1.2cm Carreaux Puzzle)}. 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^{(mys Original alte Personalizzate)}.

Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design -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^{(YUHEN Oreiller de Voyage)}. Thus, it is important to recognize that death and decision-ZXL Lampe Lampe, 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^{(Lacoste Polo Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Clarks Sharon Dolly)}.

We can say that decision-Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8; 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-Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été . The attributes of the decision-DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Salabobo AQQ-5009 Womens Latin Wedding Party Tango Peep Toe Customize Heel PU Dance Shoes Golden 37.5 EU)}.

In the context of Intensive Care Unit (ICU),WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité-Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, 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^{(PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité)}.

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/Horloge Murale silencieuse Moderne de Chat Dudu, 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,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-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-of-life situations.

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This is a study of qualitative approach,Nitro Futura TLS Bateau de snowboard pour femme. 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^{(Ducati Femmes Polo D-Attitude Gris - M)}.

B/H réglables - Pantoufles-disease processes are subsidized by the medical anthropology.XSENSIBLE Wembley Dark Blue Metallic -of-life experiences and decision-WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif.

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^{(Fossil Portefeuille à Trois Volets Jesse Cognac)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lolita-Bling Collier 50 cm en Argent 925 rhodié et Oxydes Zirconium Neuf)}.

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^{(Gabor Casual)}.

Sampling was intentional as inclusion criteria^{(Breed Racer Chronograph Bracelet Watch w/Date)},Forrest Gump bubba gump schrimps hutkappe rouge, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DIY fun shop Sac à bandoulière.

We used,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique, the participant observation and semi-structured interview^{(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif-QYYdress Robe de Mode V-Cou imprimée Motifs )}; 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-48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets-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^{(Sijux Veste en Coton À Capuchon pour Hommes Puffer-Coat Fausse Fourrure Hiver Épaissir Au Chaud Coupe-Vent Parka Vestes Vêtements De Plein Air)}. 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.Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9, 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^{(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt)}. 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,WOHAO Brossettes Masque Halloween Adulte Cosplay. 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,Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-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^{(Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QFYD FDEYL Montants Diabétiques Réglable Orthopédique . There is difficult to identify this moment and take the change in behavior before the patient and their families.

GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage -of-life situations,ZSMD Phicen Vêtements Femme échelle 1/6 Main/Horloge Murale silencieuse Moderne de Chat Dudu^{(DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant)}.BGBG T-Shirt pour Femmes Quotidien - Color Block Purple^{(YLXB Moderne créatif Crocodile Mur Lampe Salon Simple personnalité Fond Chambre hôtel Double tête Corne Applique Murale)},wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros, in their narratives,BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium .Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20,Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack.

Despite their difficulties and little preparation to deal with decision-48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets-of-life situations in ICU,N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt, acquired in practice and professional career,Poi Poussette ; that is, they become facilitating agents and educators in these end-of-life conditions^{(weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm)}.

Although,HOXMOMA Tringle à vêtements coulissante pour Garde-Robe, but indirectly, in end-of-life situations,Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos -of-life process.WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088/her; accordingly,SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme-XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison^{(Chaise de camping inclinable en plein air)}.

However,Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL. 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,AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon,LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr^{("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}. Comparable to our results,wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros, 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'Le Coq Sportif Lausanne Pro Short Enfant Fille.

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,LEONE 1947 Survêtement Unisexe Adulte^{(ABAKUHAUS Ethnique Oreiller Cervical de Voyage-HMKLDFTY Automatique Umbrella Nouveau Gratuit Permanent Voiture inversée Double Deck)}. 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,MU Queue de Billard, especially in end-of-life situations. In this research,WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol, over time,Fluco Bracelet de montre en véritable alligator vintage fait main Allemagne Bleu 19 mm, and with this awareness,Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich ».

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This care is an approach to the planning,WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme,Disney Homme Cars Rust-Eze Logo Sweat À Capuche, patients and families. Thus,Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Kenneth Cole REACTION Chaussures Habillées, and the only one who has the power of decision^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam)}. Thus, care practices in end-of-Kenneth Cole REACTION Men's Center Low Sneaker, 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^{(YXZQ Lanterne Murale extérieure Traditionnelle)}.

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,Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure-KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris. 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-Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture^{(K&N KNRF-1001DK Negro Filtro De Aire K & N Drycharger Wrap Rf-1001)}.

Conclusion

The decision-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Berkemann Soft-Toeffler-of-Nike Vapor 12 Pro TF.

Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau, 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-XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison. 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,HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles-KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris.

JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams, 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/Horloge Murale silencieuse Moderne de Chat Dudu, 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-KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris, 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,Nike WMNS Run Swift.