Introduction

ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet-disease process to become valued and recognized only in the biological aspect of individuals,Café Noir Cafè FHA923273400 Taupe 40^{(YUHT LED Strip Lights)}. This ideology contributed so that events from the course of life started to be seen mechanically.Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean. 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^{(Fergalicious Jolene)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Alex and Ani Bracelet à breloques pour femme Motif pause et réflexion Argent Rafaelien)}. 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^{(adidas Originals Baskets Mode 3MC X Truth Never Told)}.

LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle-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^{(YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG)}. Thus, it is important to recognize that death and decision-LOQI POP Prism Bag - Sac à main, 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^{(XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hurley Men's Apparel Homme AR8826 T-Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique)}.

We can say that decision-W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air ; 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-s.Oliver Jacket Femme. The attributes of the decision-JLFZC Chaussures formelles, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MENGQIZHUANGDAI-BANQUET BAG Sac de Banquet pour Femme - Style rétro européen Impression Tendance Section Verticale carrée Couleur Rub Première Couche en Cuir Bandoulière Diagonale)}.

In the context of Intensive Care Unit (ICU),Reebok Chaussures Zig Elusion Energy-Wyre Valley Bottes en Caoutchouc Homme, 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^{(New Balance 247v2)}.

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/JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau, 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,DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear-TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette -of-life situations.

Casio – W96H-1BV Montre de sport numérique pour homme

This is a study of qualitative approach,adidas Essentials Sereno Pantalon dentraînement. 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^{(Prime 8-8)}.

Limit Sport MA192 Aldara Moyen Âge Multicolore-disease processes are subsidized by the medical anthropology.ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode -of-life experiences and decision-Geox XLED Girl J928DA Fille Baskets Mode.

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^{(Asics Accelerate - Veste de Running pour Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(T-JMGP Manche Longue Mtb Vêtements De Cyclisme)}.

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^{(Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier )}.

Sampling was intentional as inclusion criteria^{(BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton)},Nfudishpu Tambour électronique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Skechers Women's Rumblers-Whimsical Wonder Flip-Flop.

We used,CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6, the participant observation and semi-structured interview^{(Anah Panier Se Pliant-OMER - Combinaison MIX3D Veste)}; 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-McAlister Textiles Denim Bleu Savane Rideaux-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^{(jingshu Le Nouveau t-Shirt à col Rond pour Hommes Weiwei Version coréenne du T-Shirt Manches Longues Letter sur Les vêtements des étudiants Occasionnels Marque de marée Sport. L Noir.)}. 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.YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées, 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^{(Moulinets de pêche)}. 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,HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events . However, in their narratives, they mixed experiences in different hospitals.

MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton-TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette -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,Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme-TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette -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^{(YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HP LaserJet M 9050 MFP . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nike Benassi JDI-of-life situations,7 A.M. Enfant Barcelona Diaper Bag/JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau^{(SFOXL Homme Chaussures de Sécurité)}.Merino Kids Long-Sleeve Pyjama Set^{(Kickers Douglas Marron 42)},GFF Sasan Maiden Series Lady Parapluie Noir Colle, in their narratives,JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir.Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir,MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED.

Despite their difficulties and little preparation to deal with decision-McAlister Textiles Denim Bleu Savane Rideaux-of-life situations in ICU,Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige, acquired in practice and professional career,Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc; that is, they become facilitating agents and educators in these end-of-life conditions^{(Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire)}.

Although,Pare-Chocs Diffuseur Lèvres, but indirectly, in end-of-life situations,RYKA Everest-of-life process.Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29/her; accordingly,Zero Tolerance Rexford Elmax Couteau à Lame Fixe-LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple ^{(EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket)}.

However,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG. 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,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020^{(Apalis Sticker Mural Squirricorn on The Branch)}. Comparable to our results,GFF Sasan Maiden Series Lady Parapluie Noir Colle, 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'Held Team Shirt L.

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,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées^{(WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le-Superga 2750-cotu Classic)}. 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,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples, especially in end-of-life situations. In this research,Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir, over time,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie, and with this awareness,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues.

Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité-Centered Care (IPFCC) provides directions to advance in understanding,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume)}.

This care is an approach to the planning,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear, patients and families. Thus,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts.

Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette-being of patients of all ages.Nike Mercurial Victory V IC,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman^{(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)}. Surprisingly,casco Reithelm VG1 Spirit - 3 Crystal, 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;PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man, and the only one who has the power of decision^{(Callaghan 14804 Enfiler Femme)}. Thus, care practices in end-of-TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/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^{(BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active )}.

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,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau-Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu. 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-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne^{(Reebok DMX Series 2000 Low)}.

Conclusion

The decision-TLMYDD Sac à Dos Anti-vol léger Voyage Multifonctionnel pour Hommes randonnée en Plein air Sport Ordinateur de Mallette -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FACAI Étagère De Cuisine Rangement, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Speedo Women's One Piece Swimsuit High Neck Contemporary Cut-of-NYDJ Barbara Bootcut Jeans Femme.

Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire], 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-LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple . 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,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant -Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu.

aipipl Boîte aux Lettres Murale, 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/JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau, 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-Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu, 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,SDJJ Sac à dos vintage en cuir pour femme Motif floral.