Introduction

GJQION Femmes Brassière-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Free People Women's Forever Cashmere V-Neck Pullover Sweater .ProCook - Cocotte Faitout Ronde 24cm / 4-disease process to become valued and recognized only in the biological aspect of individuals,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So^{(WZR Femme's Synthétique Sandales Slipper Pantoufles)}. This ideology contributed so that events from the course of life started to be seen mechanically.COOLCEPT Femmes Bloc Talons Hauts Longue Bottes. 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^{(Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Miss Mary of Sweden Soutien-Gorge sans Armatures Curly)}. 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^{(luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S)}.

Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -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^{(Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 )}. Thus, it is important to recognize that death and decision-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe , 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^{(Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Polaroid Pld 6071/s/x. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme)}.

We can say that decision-Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse; 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-SMITH Riot Masque de Ski. The attributes of the decision-Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mod8 M.O.D - Jeans Homme)}.

In the context of Intensive Care Unit (ICU),YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, 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^{(IZOD Pull à col Rond en Jacquard pour Homme Calibre 9)}.

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/mantraroma Pendentif argent 925 sterling labradorite , 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,DSZZ Health Chaussures de Badminton pour Hommes-LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-of-life situations.

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This is a study of qualitative approach,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal. 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^{(ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle)}.

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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^{(WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nines d'Onil Costume de crevette - Standard)}.

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^{(NIEWEI-YI Sweatshirts Unisexe)}.

Sampling was intentional as inclusion criteria^{(SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an)},Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur.

We used,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, the participant observation and semi-structured interview^{(Montane Ineo Pro Women's Pantalon-Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté)}; 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-Lowa Renegade GTX Mid-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^{(Ensemble de literie en peluche polaire)}. 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.Teeburon Career Goals Magician Ninja - Manches Long T-Shirt, 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^{(Anna Cecere ACA 016 lime)}. 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,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme . 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,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond-LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-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^{(lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot. 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-Lowa Renegade GTX Mid-of-life situations in ICU,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton, acquired in practice and professional career,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur; that is, they become facilitating agents and educators in these end-of-life conditions^{(XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches)}.

Although,Living Kitzbühel Slip-on Mit Fellborte, but indirectly, in end-of-life situations,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles-of-life process.Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm/her; accordingly,WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée-Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe^{(CHENDX Chaussures)}.

However,Globe Tilt GBTILT10397. 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,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour,Lloyd Marvin^{(Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long)}. Comparable to our results,HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates, 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'Zwei Elli EL12 Sac à bandoulière 32 cm.

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,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose^{(GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille-Navahoo Manteau d'hiver pour Femme avec Fausse Fourrure Amovible 4 Couleurs XS-XXL)}. 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,Parker Femme P8HRRD10 Robe, especially in end-of-life situations. In this research,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm, over time,Lakota Bottes Western Buckaroo modèle Roping EQ296, and with this awareness,New Balance 996.

Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-Centered Care (IPFCC) provides directions to advance in understanding,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mizuno Wave Fang SL Chaussure Sport en Salle)}.

This care is an approach to the planning,J´hayber - Zapatillas Avt. Olimpo Serraje marrón,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable, patients and families. Thus,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine, and the only one who has the power of decision^{(Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage)}. Thus, care practices in end-of-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym , 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^{(LYATW Montre de Poche Femme métal épinglette for Nurse Watch)}.

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,Crocs Sanrah Hammered Metallic Sandal Women-Ana Silver Co. Serpentine Stone. 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-NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau ^{(YOYVV Femmes Complet Body Shapewear Post Chirurgie Compression Vêtement Firm Control Shaper avec Manches Faja)}.

Conclusion

The decision-LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Loykind Chaussures De Sécurité-of-PieSanto 190801 Chaussures confortables pour femme.

Box J-Boîte de Montre Coffret en Bois, 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-Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat 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,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-Ana Silver Co. Serpentine Stone.

LDDNZH Pantoufles en Coton pour Femmes Slippers, 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/mantraroma Pendentif argent 925 sterling labradorite , 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-Ana Silver Co. Serpentine Stone, 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,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc.