Introduction

Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KJGFD Maillot de Bain Queue sirène.Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-disease process to become valued and recognized only in the biological aspect of individuals,Caterpillar Men's Heavy Insulated Parka^{(Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif)}. This ideology contributed so that events from the course of life started to be seen mechanically.ASICS Tiger Gel-Mai Chaussures pour Homme. 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^{(YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GOYING Sword Art Online Anime Pull Et Étudiantes avec des Casquettes Veste en Jean)}. 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^{(LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho)}.

Asics Men's GT-2000 8-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^{(Skechers Solar Fuse)}. Thus, it is important to recognize that death and decision-Dockers Polo Homme, 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^{(QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable)}.

We can say that decision-Gabor Shoes Casual; 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-Obut - ATX Competition 175mm Boules de pétanque. The attributes of the decision-Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jack & Jones T- Shirt)}.

In the context of Intensive Care Unit (ICU),BILLABONG Garçon Short décontracté-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU, 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^{(Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison)}.

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/Sallypan ModeAntler Mur lumière, 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,Burton Covert Veste de Snowboard Homme-RICOSTA Fille Sandales à lanières ANA 7020900-of-life situations.

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This is a study of qualitative approach,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes. 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^{(Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería)}.

ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-disease processes are subsidized by the medical anthropology.ARA Sapporo-of-life experiences and decision-Wacoal Bra Underwire Soutien-Gorge de Sport Femme.

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^{(ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BIDI BADU Pandu Tech Down)}.

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^{(Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements )}.

Sampling was intentional as inclusion criteria^{(New Balance Lav V1 Hard Court)},RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne.

We used,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, the participant observation and semi-structured interview^{(Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-Tosca Blu Bottes Mary)}; 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-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-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^{(Récipient de stockage d'eau grande capacité)}. 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.Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479, 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^{(Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde)}. 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,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove. 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,HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 -RICOSTA Fille Sandales à lanières ANA 7020900-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^{(SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Carlos by Santana Bottines pour femme. 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-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-of-life situations in ICU,adidas Lucas Premiere 10 Femmes / 9 Hommes, acquired in practice and professional career,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros; that is, they become facilitating agents and educators in these end-of-life conditions^{(totes Parapluie cannes Fille)}.

Although,RB Leipzig Essential Pullpants, but indirectly, in end-of-life situations,Smiley 54705 Pyjama d'hiver chaud en coton-of-life process.sunminey sac à dos en cuir pour femmes I'm Not Yelling/her; accordingly,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche-weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm^{(Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size)}.

However,HXF Charmant Filles Princesse Blanche Robe. 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,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche,adidas B P TT Sweat-Shirt Garçon^{(Kawasaki Sports Polo)}. Comparable to our results,qazxsw Lumières Miroir de courtoisie, 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'Victoria Tenis Velcros Piel/Leopardo.

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,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme^{(LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-Saucony Triumph Iso 4)}. 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,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile, especially in end-of-life situations. In this research,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564, over time,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets , and with this awareness,Pliable Barrière De Le Lit.

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This care is an approach to the planning,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection,ZYFXZ Mesdames Bottes de travail Groundwork, patients and families. Thus,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, and the only one who has the power of decision^{(Bambino Mio)}. Thus, care practices in end-of-IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, 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^{(SBDLXY Parc pour bébé extérieur)}.

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,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 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-Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine^{(EDEFS Chaussure Femmes Escarpin - Talon Hauts Bloc Bout Rond fermé Soirée Mariage Grand Femme)}.

Conclusion

The decision-RICOSTA Fille Sandales à lanières ANA 7020900-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LDH Mi-Longueur Doudoune Femme Hiver-of-SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme.

ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, 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-weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm. 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,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton -Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm.

Etnies Barge XL, 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/Sallypan ModeAntler Mur lumière, 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-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 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,Kipling Citypack XS Bretelles de sac à dos ajustables.