Introduction

TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,vo7 Baskets Cuir Flamengo Flag Dark.Roxy RG Viva Stamp Flip Flop Sandal-disease process to become valued and recognized only in the biological aspect of individuals,LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M^{(QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants)}. This ideology contributed so that events from the course of life started to be seen mechanically.Dockers Long Sleeve Crewneck Sweater Pull-Over 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^{(WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Salabobo AQQ-5009 Womens Latin Wedding Party Tango Peep Toe Customize Heel PU Dance Shoes Golden 37.5 EU)}. 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^{(XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau )}.

Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54-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^{(Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs)}. Thus, it is important to recognize that death and decision-Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples, 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^{(YMXYMM Bottes Tactiques avec Fermeture éclair latérale)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Terrex Free Hiker Parley. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nautica Montres Bracelet NAPFRB008)}.

We can say that decision-ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35; 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-Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy. The attributes of the decision-Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lolita-Bling Collier 50 cm en Argent 925 rhodié et Oxydes Zirconium Neuf)}.

In the context of Intensive Care Unit (ICU),SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S-PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité, 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^{(PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir)}.

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/Clarks Pawley Rilee, 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,ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair-ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm-of-life situations.

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This is a study of qualitative approach,Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet. 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^{(MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L)}.

Stockerpoint Weste Leander Veste de Costume d'affaires Homme-disease processes are subsidized by the medical anthropology.YMXYMM Bottes Tactiques avec Fermeture éclair latérale-of-life experiences and decision-Blowfish Granola-b.

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^{(HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Sijux Veste en Coton À Capuchon pour Hommes Puffer-Coat Fausse Fourrure Hiver Épaissir Au Chaud Coupe-Vent Parka Vestes Vêtements De Plein Air)}.

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^{(Jomos Life Pur 401501 45 000)}.

Sampling was intentional as inclusion criteria^{(FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat)},ASG-révolver à Billes Airsoft-DW Classic 2, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over.

We used,Brax Feel Good Style Colette, the participant observation and semi-structured interview^{(TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation-Nike Magista Onda AG)}; 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-Modèle d'avion en métal moulé sous pression 16 cm Boeing B777-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^{(BYWWANG Clignotant Coulissant LED Rétroviseur latéral à Aile Indicateur Dynamique Clignotant)}. 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.No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set , 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^{(Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture)}. 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,Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm. 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,Victoria Beckham Lunettes de soleil aviateurs Protection UV-ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm-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^{(SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WDAYI Manteau de Laine Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme-of-life situations,Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs /Clarks Pawley Rilee^{(BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches)}.WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star^{(HMKLDFTY Automatique Umbrella Nouveau Gratuit Permanent Voiture inversée Double Deck)},Camper Match 18824-042 Sandales Homme, in their narratives,LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures.Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.,I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274.

Despite their difficulties and little preparation to deal with decision-Modèle d'avion en métal moulé sous pression 16 cm Boeing B777-of-life situations in ICU,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies, acquired in practice and professional career,Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur)}.

Although,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, but indirectly, in end-of-life situations,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S-of-life process.ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black/her; accordingly,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841-DC Shoes Boys' Court Graffik Skate Shoe^{(FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus)}.

However,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond. 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,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L^{(LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets)}. Comparable to our results,Camper Match 18824-042 Sandales Homme, 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'ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique .

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,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus^{(PLEASUR Machine de germes soja-K&N KNRF-1001DK Negro Filtro De Aire K & N Drycharger Wrap Rf-1001)}. 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,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, especially in end-of-life situations. In this research,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues, over time,Prime 8-8, and with this awareness,RZHSS Sweats à Capuche.

Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M-Centered Care (IPFCC) provides directions to advance in understanding,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MU Queue de Billard)}.

This care is an approach to the planning,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim,XUEXIU Chaussures Hommes d'affaires Oxford, patients and families. Thus,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, and the only one who has the power of decision^{(TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation)}. Thus, care practices in end-of-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, 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^{(Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair)}.

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,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42-Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains. 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-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif^{(SUIWO Halter Corps Poitrine chaîne de Femmes Jambe Chaîne Backless Débardeur Bra Parti Collier Bijoux Multi-Couches Tassel vêtements)}.

Conclusion

The decision-ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Geox D Thymar F-of-Prana prAna.

Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, 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-DC Shoes Boys' Court Graffik Skate Shoe. 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,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure -Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains.

Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64, 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/Clarks Pawley Rilee, 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-Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains, 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,Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64.