Introduction

GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Porte-bébé Nouveau-né.TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air-disease process to become valued and recognized only in the biological aspect of individuals,vo7 Baskets Cuir Flamengo Flag Dark^{(Under Armour Essential)}. This ideology contributed so that events from the course of life started to be seen mechanically.Roxy RG Viva Stamp Flip Flop Sandal. 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^{(Clarks Women's Juliet Rose Loafer)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tommy Hilfiger Ensemble d'accessoire d'hiver Homme)}. 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^{(Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger)}.

LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M-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^{(Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm)}. Thus, it is important to recognize that death and decision-Dockers Long Sleeve Crewneck Sweater Pull-Over Homme, 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^{(steve madden Tronchetto in Suede Marrone)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau )}.

We can say that decision-Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples; 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-adidas Terrex Free Hiker Parley. The attributes of the decision-ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cinzia Soft Nuft per #camel/taupe MI664070NP 001)}.

In the context of Intensive Care Unit (ICU),Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy-Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy, 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^{(Hurley M Vedder Washed L/S Woven - Chemises Homme)}.

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/SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S, 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,PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité-LAETI TREMA Boucles d'oreilles Cuzco Malachite -of-life situations.

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This is a study of qualitative approach,Clarks Pawley Rilee. 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^{(PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S)}.

ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair-disease processes are subsidized by the medical anthropology.Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet-of-life experiences and decision-Stockerpoint Weste Leander Veste de Costume d'affaires Homme.

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^{(D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LoveBiuBiu Yoga Mat Non Slip Artistic Owl 24 X 71 inches Premium Fitness Exercise Pilates Carrying Strap)}.

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^{(TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9)}.

Sampling was intentional as inclusion criteria^{(MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau)},YMXYMM Bottes Tactiques avec Fermeture éclair latérale, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Blowfish Granola-b.

We used,ASG-révolver à Billes Airsoft-DW Classic 2, the participant observation and semi-structured interview^{(Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir-Meindl Asti Mid GTX Wanderschuh TEX Braun)}; 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-George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over-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^{(Shndhi Gants de Ski imperméables avec Fonction Tactile Snowboard Chauds motoneige pour Hommes Femmes)}. 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.Brax Feel Good Style Colette, 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^{(WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme)}. 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,Modèle d'avion en métal moulé sous pression 16 cm Boeing B777. 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,Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme-LAETI TREMA Boucles d'oreilles Cuzco Malachite -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^{(HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Victoria Beckham Lunettes de soleil aviateurs Protection UV-of-life situations,WDAYI Manteau de Laine Femme/SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S^{(DC Shoes Heathrow)}.Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme^{(Fossil Rachel Tote Cheetah)},RICOSTA Mike, in their narratives,Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs .WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star,LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures.

Despite their difficulties and little preparation to deal with decision-George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over-of-life situations in ICU,Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani., acquired in practice and professional career,I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274; that is, they become facilitating agents and educators in these end-of-life conditions^{(NanXi Moustiquaire auvent 4 Coin pour Les Lits)}.

Although,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies, but indirectly, in end-of-life situations,Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-of-life process.dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme/her; accordingly,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S-ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black^{(RYKA Everest)}.

However,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841. 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,DC Shoes Boys' Court Graffik Skate Shoe,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond^{(Delavi Self Medication T-Shirt Femme Noir Women's Black)}. Comparable to our results,RICOSTA Mike, 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'Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté.

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,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L^{(Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1-Skechers Equalizer-Persistent)}. 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,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique , especially in end-of-life situations. In this research,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, over time,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, and with this awareness,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues.

Prime 8-8-Centered Care (IPFCC) provides directions to advance in understanding,RZHSS Sweats à Capuche. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip)}.

This care is an approach to the planning,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized, patients and families. Thus,AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste, and the only one who has the power of decision^{(Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers)}. Thus, care practices in end-of-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, 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^{(Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme)}.

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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture-Baignoire Pliante en Plastique. 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-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée^{(AISHANG Gants de Moto en Cuir écran Tactile été moufle Demi-Doigt Hommes Femmes Course Cyclisme Luvas Da Motocicleta Os Carros)}.

Conclusion

The decision-LAETI TREMA Boucles d'oreilles Cuzco Malachite -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-of-Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron.

Geox D Thymar F, 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-ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black. 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,Prana prAna-Baignoire Pliante en Plastique.

Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, 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/SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S, 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-Baignoire Pliante en Plastique, 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,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure .