Introduction

TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KEEN Targhee Lace High Polar Waterprooof.adidas Stabil Bounce-disease process to become valued and recognized only in the biological aspect of individuals,adidas Tan Graphic Crewneck Sweat-Shirt Homme^{(XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA])}. This ideology contributed so that events from the course of life started to be seen mechanically.Merrell Vapor Glove 4. 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^{(Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(American Table Lamp All Bronze Bedroom headboard Living Room Lights Vintage Simple Wedding Power Switch Button E27)}. 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^{(Deerhunter Veste de chasse Highland)}.

Columbia Youth Firecamp Mid 2 WP-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^{(HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46)}. Thus, it is important to recognize that death and decision-Sorel Out N About Plus Conquest, 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^{(GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Love Moschino Borsa Quilted Nappa Pu. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.)}.

We can say that decision-Asics Chaussures Gelsaga Gel-Saga Sou; 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-ALTRA Superior 4.0 Black. The attributes of the decision-Sperry Top-Sider Femmes Bottes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Fleurs Chaudes Lampe de Chevet Table pour Filles Princesse Chambre Cadeaux créatifs TF1682)}.

In the context of Intensive Care Unit (ICU),Merrell Yokota 2-Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière 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^{(AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé)}.

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 Superstar, 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,Northland Kosh Veste Garçon Gitane FR: 6A -Magie Professionnelle Chapeau Claque Double Fond -of-life situations.

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This is a study of qualitative approach,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt . 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^{(rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets)}.

Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure-disease processes are subsidized by the medical anthropology.Stonefly Season III 28 Nappa-of-life experiences and decision-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure.

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^{(BOGS Classic High Umbrellas)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WITTCHEN Portefeuille | Couleur: Marron Matériel: Cuir de grain Taille: 9.5 x 10 CM Orientation: Horizontalement Collection: Arizona 10-1-065-4)}.

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^{(Close Parent Caboo Porte-bébé Coton bleu clair)}.

Sampling was intentional as inclusion criteria^{(SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants)},Nike Court Vision Mid, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto.

We used,Nike Flex 9, the participant observation and semi-structured interview^{(Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-glstkrrn E28 Legend Sweatshirt)}; 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-DYHQQ Brancard de Chaussure-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^{(WEIYYY Faux Leather Harness Body Bondage Garter Belt Women Black Goth Adjustable Cage Sculpting Waist Chest Slim Belts Buckle)}. 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.Chie Mihara Queran, 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^{(Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten)}. 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,XZDXR Boîte À Chaussures Rose. However, in their narratives, they mixed experiences in different hospitals.

Nike Air Max 97 Essential-Magie Professionnelle Chapeau Claque Double Fond -of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule-Magie Professionnelle Chapeau Claque Double Fond -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^{(Furla 1927 S Tri-Fold Couleur Océan 1056757)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FxsD Cigar Cabinet. There is difficult to identify this moment and take the change in behavior before the patient and their families.

no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne-of-life situations,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans/adidas Superstar^{(QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège )}.PICKME Hommes Femmes USB Chauffage Gilet^{(ZYL-YL Montre De Fréquence Cardiaque Sport Multifonction Intelligente Plein Air)},Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable, in their narratives,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou.K-Swiss Legging taille moyenne 7/8 pour femme,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier.

Despite their difficulties and little preparation to deal with decision-DYHQQ Brancard de Chaussure-of-life situations in ICU,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir, acquired in practice and professional career,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël; that is, they become facilitating agents and educators in these end-of-life conditions^{(EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes)}.

Although,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en, but indirectly, in end-of-life situations,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture-of-life process.CAMELBAK Eddy Bouteilles/her; accordingly,YPDM Peignoir-Lumières de Partie^{(zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit)}.

However,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe. 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,SOCCX Pull pour femme avec structure en maille et logo,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil ^{(FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress)}. Comparable to our results,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable, 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'PENGSHAO Plateau à Fromage en Bambou.

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,AXDNH Chaussures de Danse Femme^{(Fuliya Men's Hoodies Sweatshirts-ALTRA Alta ALM1883B Cayd Sneaker pour homme Marron 9)}. 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,ADSE Horloge Murale à Pendule, especially in end-of-life situations. In this research,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants, over time,HAFLINGER Everest Cascade, and with this awareness,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite.

RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -Centered Care (IPFCC) provides directions to advance in understanding,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle)}.

This care is an approach to the planning,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien ,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité, patients and families. Thus,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère .

Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct -being of patients of all ages.Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir^{(adidas Team Issue Pull à Capuche en Polaire pour Homme)}. Surprisingly,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode, 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;FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite, and the only one who has the power of decision^{(Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts，Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large)}. Thus, care practices in end-of-DLH Sandales à Talons Hauts pour 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^{(Lloyd Bazar)}.

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,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur-Guess Short Dress. 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-Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket^{(DC Shoes Mutiny Snowboard Boots 44 EU Tan)}.

Conclusion

The decision-Magie Professionnelle Chapeau Claque Double Fond -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S-of-GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day.

Modus Vivendi Chemise Jeans Manches Courtes Marine 12941, 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-Lumières de Partie. 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,YOLL Bébé Baignoire-Guess Short Dress.

Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, 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 Superstar, 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-Guess Short Dress, 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,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier.