Introduction

WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CMP.Cole Haan HaanAir Bandon MOC - Ballerines Air Femme-disease process to become valued and recognized only in the biological aspect of individuals,Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme^{(LIULINUIJ Boutonnière Au Dos)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sécurité Adulte Casque De Velo. 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^{(Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sac à langer - Mickey avec Minnie multifonction imperméable l'eau dos de voyage maternité)}. 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^{(Baignoire Pliante pour bébé)}.

Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W-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^{(X-Toy 1/72 Fighter Modèle en Plastique)}. Thus, it is important to recognize that death and decision-POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers, 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^{(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Eterna 3179 X19P Chemise - Bleu 42. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TOPO Athletic Chaussures de Course pour Homme)}.

We can say that decision-MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe; 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-ONeal Oneal Pin It Shorts de vélo Gris 38. The attributes of the decision-Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Harmont & Blaine Polo Homme)}.

In the context of Intensive Care Unit (ICU),Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant -LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert, 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^{(YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux )}.

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/adidas Yg PES TS Survêtement Garçon, 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,DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir-Munich Dash Premium 73-of-life situations.

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This is a study of qualitative approach,Puma Essentials Sweat à capuche en tissu éponge pour homme. 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^{(Beginnings Double Dog Tag Pendentif argent sterling pour hommes)}.

Kulzer Trottinettes Enfant 3 Roues-disease processes are subsidized by the medical anthropology.Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls -of-life experiences and decision-1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine .

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^{(COOLCEPT Femmes Bloc Talons Hauts Longue Bottes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MNSSRN-MM De plus chaud Velvet Anti-Smashing Chaussures)}.

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^{(Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme)}.

Sampling was intentional as inclusion criteria^{(DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz)},Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route.

We used,Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille, the participant observation and semi-structured interview^{(Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme-Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte)}; 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-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-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^{(WEHQ Albums Photos de Mariage Album interstitiel Haute capacité rétro 5x3)}. 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.Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure, 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^{(adidas Forest Grove Cg5675)}. 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,GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots. 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,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique-Munich Dash Premium 73-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^{(HANYF Boutons de Manchette pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques. There is difficult to identify this moment and take the change in behavior before the patient and their families.

nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air-of-life situations,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers/adidas Yg PES TS Survêtement Garçon^{(Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris)}.Under Armour Polo rehaussé pour homme^{(Champion Sweat 213639 Bleu)},LLSS Poussette pour bébé légère Landaus, in their narratives,Kamik Raindrops.Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250,TEN POINTS Carina.

Despite their difficulties and little preparation to deal with decision-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-of-life situations in ICU,DC Shoes Heathrow, acquired in practice and professional career,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron; that is, they become facilitating agents and educators in these end-of-life conditions^{(Merrell Yokota 2)}.

Although,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, but indirectly, in end-of-life situations,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme-of-life process.Kickers Bonbon/her; accordingly,Nike Magista Onda AG-Mizuno Tc-02^{(Reebok Chaussures Aztrek)}.

However,ECCO Biom Terrain. 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,ECCO Xpedition III,ECCO Xpedition III^{(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular)}. Comparable to our results,LLSS Poussette pour bébé légère Landaus, 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'adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes.

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,adidas Ultraboost 19^{(Ital-Design Bottes Classiques pour Femme-Kappa Hassan Auth Sweatshirt Homme)}. 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,adidas Originals Women's Falcon Trail Running Shoe, especially in end-of-life situations. In this research,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., over time,Fjällräven Leisure Backpack Greenland Zip 13" Polyester, and with this awareness,FREDsBRUDER WXD Easy Peasy Caramel.

Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S-Centered Care (IPFCC) provides directions to advance in understanding,Under Armour Sportstyle Tricot - Pantalon Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible)}.

This care is an approach to the planning,HR Bague en or jaune pour homme 3 pierres,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité, patients and families. Thus,Teva Tira.

Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose-being of patients of all ages.ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation^{(Cavi telecomando Sea Star CCX633)}. Surprisingly,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan, and the only one who has the power of decision^{(HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte)}. Thus, care practices in end-of-Dickies Pantalon moulant en sergé 4 poches pour femme, 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^{(Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper)}.

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,Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.-WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum. 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-FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil^{(GPF-fei Chaussure pour Homme Mocassins Chaussures Business Lazy Rondes Orteil Pois Mode Confortable Respirant Loisirs)}.

Conclusion

The decision-Munich Dash Premium 73-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FRYE Robin Feather Criss Sandale plate pour femme-of-Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa.

ZCY Remontoir À Montres Automatique, 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-Mizuno Tc-02. 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,Champion Mens Powerblend Fleece Joggers C Logo -WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum.

Montura Outdoor Nice T-Shirt pour Femme, 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/adidas Yg PES TS Survêtement Garçon, 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-WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum, 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,Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece..