Introduction

Ana Silver Co. Garnet-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR.1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-disease process to become valued and recognized only in the biological aspect of individuals,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs^{(Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto)}. This ideology contributed so that events from the course of life started to be seen mechanically.ECCO Offroad. 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^{(Kamik Raindrops)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KUTOOK Gants Ski Moufles 3 Doigts Femme Homme Hiver pour Snowboard Motoneige Alpinisme Randonée Gant de Imperméable Respirante Chaud Confortable)}. 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^{(Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile)}.

adidas Ozweego Chaussures Homme Blanc-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^{(Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon)}. Thus, it is important to recognize that death and decision-juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, 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^{(Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YANGTAO Ressacs Projecteur De Lumière Nuit. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Skechers Chukka Bottes en cuir à 6 œillets pour femme)}.

We can say that decision-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger; 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-Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la . The attributes of the decision-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DC Shoes Evan Hi TX Le)}.

In the context of Intensive Care Unit (ICU),GJQION Femmes Brassière-Free People Women's Forever Cashmere V-Neck Pullover Sweater , 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^{(WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL)}.

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/ProCook - Cocotte Faitout Ronde 24cm / 4, 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,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-Fuliya Men's Hoodies Sweatshirts-of-life situations.

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This is a study of qualitative approach,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes. 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^{(Foster-Natur Combinaison de Neige - Doudoune Bébé )}.

Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -disease processes are subsidized by the medical anthropology.Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -of-life experiences and decision-Polaroid Pld 6071/s/x.

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^{(NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ECCO BIOMRAFT)}.

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^{(XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet)}.

Sampling was intentional as inclusion criteria^{(No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent )},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, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SMITH Riot Masque de Ski.

We used,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, the participant observation and semi-structured interview^{(Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8-Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica)}; 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-YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-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^{(Lampe De Poche LED)}. 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.CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, 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^{(LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891)}. 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,mantraroma Pendentif argent 925 sterling labradorite . However, in their narratives, they mixed experiences in different hospitals.

DSZZ Health Chaussures de Badminton pour Hommes-Fuliya Men's Hoodies Sweatshirts-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,Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage -Fuliya Men's Hoodies Sweatshirts-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^{(NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB . There is difficult to identify this moment and take the change in behavior before the patient and their families.

YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche-of-life situations,AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard/ProCook - Cocotte Faitout Ronde 24cm / 4^{(Inconnu Regent Montre Homme F 848 Titane)}.ChengLaoBan shoP Chapeau^{(HSJY Maillots Joel Embiid)},Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière, in their narratives,Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe.ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket,CUzzhtzy Réchaufferont Hommes Martin Bottes.

Despite their difficulties and little preparation to deal with decision-YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-of-life situations in ICU,AUTIANYU Inuyasha Sac fourre-tout en toile pour femme, acquired in practice and professional career,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle ; that is, they become facilitating agents and educators in these end-of-life conditions^{(MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau)}.

Although,Jumelles 8-10X42-32 Zoom HD Grande Ouverture, but indirectly, in end-of-life situations,WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond-of-life process.Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot/her; accordingly,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche-teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt^{(RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris)}.

However,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt. 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,K-Swiss Men's Donovan Sneaker,Gerry Weber Robe Femme^{(WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9)}. Comparable to our results,Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière, 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'teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt.

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,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton^{(Smilice Bottes d'hiver pour Femme-Kanu Surf Women's Marina UPF 50 Active Swim Board Short)}. 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,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur, especially in end-of-life situations. In this research,Living Kitzbühel Slip-on Mit Fellborte, over time,YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles, and with this awareness,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.

WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée-Centered Care (IPFCC) provides directions to advance in understanding,Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable)}.

This care is an approach to the planning,Globe Tilt GBTILT10397,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, patients and families. Thus,Lloyd Marvin.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lakota Bottes Western Buckaroo modèle Roping EQ296, and the only one who has the power of decision^{(RB Leipzig Essential Pullpants)}. Thus, care practices in end-of-New Balance 996, 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^{(1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine )}.

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,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat-ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe. 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-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU^{(yaonuli Sticker Mural Classique Vinyle Autocollant étanche Chambre Fille Murale décoration de la Maison 126X174 cm)}.

Conclusion

The decision-Fuliya Men's Hoodies Sweatshirts-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.J´hayber - Zapatillas Avt. Olimpo Serraje marrón, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable-of-BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière.

NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, 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-teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt. 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,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe.

Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz, 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/ProCook - Cocotte Faitout Ronde 24cm / 4, 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-ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe, 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,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat.