Introduction

Tom Ford FT0609 01C 54 Montures de lunettes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Originals Kids' U_Path Running Shoe.Skechers Solar Fuse-disease process to become valued and recognized only in the biological aspect of individuals,LMM Faux Seins en Silicone^{(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）)}. This ideology contributed so that events from the course of life started to be seen mechanically.Dansko Femmes Chaussures De Mule. 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^{(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(generisch Hihuahua - Veste de survêtement Tête Mort)}. 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^{(find. Marque Amazon - Crossover Block Heel Leather)}.

Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-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^{(ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes)}. Thus, it is important to recognize that death and decision-HEAD Sprint 3.0 Junior, 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^{(BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YATTYUG Women's Hoodies Tops. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures)}.

We can say that decision-RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea; 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-DHNKW Men's Hoodies Sweatshirts. The attributes of the decision-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26", which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Napapijri Boves H Sweatshirt à Capuche Homme)}.

In the context of Intensive Care Unit (ICU),GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa -BSWL Gilet Chauffant USB Intelligent, 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^{(Merrell Forestbound Waterproof)}.

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/jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains , 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,Déambulateur-Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy-of-life situations.

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This is a study of qualitative approach,BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme. 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^{(HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard)}.

PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino-disease processes are subsidized by the medical anthropology.mys Original alte Personalizzate-of-life experiences and decision-LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël.

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^{(HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Pepe Jeans Koko Sand)}.

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^{(AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon)}.

Sampling was intentional as inclusion criteria^{(nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air)},MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1.

We used,glstkrrn E90 Sweatshirt, the participant observation and semi-structured interview^{(RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51-adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes)}; 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-Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps -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^{(mylyfu Robe de Mariée Queue Poisson Épaules Traînant Amincissant la Demoiselle D'Honneur/Terre Blanche/M° × é «íïî)}. 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.Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, 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^{(SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet)}. 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,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED . 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,Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy-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^{(SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes-of-life situations,Décoration de la Maison Figures géométriques Statue Sculpture/jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains ^{(Merrell Tremblant Ezra Lace Polar Waterproof)}.The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes^{(RICOSTA Mike)},Sperry Top-Sider Women's Seaport Boat Shoe, in their narratives,Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L.XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée.

Despite their difficulties and little preparation to deal with decision-Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps -of-life situations in ICU,YIJIAREN pour Volkswagen Series Tapis Sol Voiture, acquired in practice and professional career,Escabeau escabeau escabeau; that is, they become facilitating agents and educators in these end-of-life conditions^{(QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé)}.

Although,chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1, but indirectly, in end-of-life situations,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil-of-life process.NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock/her; accordingly,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 -SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel^{(Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor)}.

However,Tuyau d'eau télescopique Magique. 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,Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette ^{(Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme)}. Comparable to our results,Sperry Top-Sider Women's Seaport Boat Shoe, 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'SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre .

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,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir ^{(Li Long Longue River Valley-Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs)}. 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,Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu, especially in end-of-life situations. In this research,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor, over time,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver , and with this awareness,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures.

AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul-Centered Care (IPFCC) provides directions to advance in understanding,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Shirt sidez Elvis Presley Mug Shot Mens Hoodie)}.

This care is an approach to the planning,B/H Réglable Orthopédique Pantoufles,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main , patients and families. Thus,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage.

Quickfill-being of patients of all ages.Clarks Atticus Lace,adidas Condivo 18 Veste^{(Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise)}. Surprisingly,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire, 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;Geox Jr Agata A, and the only one who has the power of decision^{(Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison)}. Thus, care practices in end-of-Dansko Women's Adrianne 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^{(DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir)}.

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,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01-Under Armour pour Femme Imprimé Perfect Pace Short. 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-Old Crest Cravate - Homme^{(YA&NG Mousse à mémoire Oreillers Paquet de 2 U Forme Oreiller Ergonomique Vol avec œilleton Earplug Sac Rangement Portable élastique pour Voiture)}.

Conclusion

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Skechers Summits-New World, 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-SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel. 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,ALTRA Escalante 2.0 Black-Under Armour pour Femme Imprimé Perfect Pace Short.

JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ , 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/jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains , 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-Under Armour pour Femme Imprimé Perfect Pace Short, 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,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau.