Introduction

LXZSP Brûleur d'encens de contrôle la température synchronisation-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZHMIAO Maillot de Football américain pour Homme 4# Carr.AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats-disease process to become valued and recognized only in the biological aspect of individuals,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation^{(KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne)}. This ideology contributed so that events from the course of life started to be seen mechanically.JOOP! Jeans Tondo Sousa Sac porté épaule jaune. 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^{(Trespass Qikpac Female Jacket Vestes coupe-pluie Femme )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Dragon Ball Z Super Saiyan Lampe De Table Décoratif Éclairage Anime DIY Action Figure Enfants LED Lumière Jouet)}. 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^{(Geox J Kalispera Girl Baskets Mode Filles Gris Montantes)}.

DBWIN Parc de Jeu pour Enfants-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^{(ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe)}. Thus, it is important to recognize that death and decision-The North Face Veste Chimborazo réversible pour garçon, 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^{(Daniel Wellington Montre)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Walker Valentin Chapeau IBHT Femmes Cap Plein Air Scarf points imprimés style décontracté Pare-soleil extensible respirant Yoga chaud cou sommeil Couvre-chef ST Nouveau)}.

We can say that decision-YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra; 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-New Era Americana T-Shirt ~ York Yankees. The attributes of the decision-In:sole Insole Sandales Talon Haut, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Timberland Allington)}.

In the context of Intensive Care Unit (ICU),MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2-weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, 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^{(ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So)}.

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/Essuyez Chaud, 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,ADHW Chaise Longue d'extérieur-kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S-of-life situations.

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This is a study of qualitative approach,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap. 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^{(WZR Femme's Synthétique Sandales Slipper Pantoufles)}.

Vienty Sandales à talon Ani Lacets Cuir-disease processes are subsidized by the medical anthropology.adidas Originals Chaussures Junior Haiwee-of-life experiences and decision-AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel.

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^{(Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Yxxc Porte-encens Exquis brûleur cône dencens à Reflux en céramique)}.

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^{(luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S)}.

Sampling was intentional as inclusion criteria^{(Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 )},Fournitures de salle bain Piscine gonflable Baignoire, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme .

We used,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, the participant observation and semi-structured interview^{(Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement -Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme)}; 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-QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides-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^{(TUDUDU Nouveautés Couleur Or Franc-Maçon Verre Cabochon Porte-Clés Charme Hommes Femmes Maçon Pendentif)}. 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.DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen, 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^{(IZOD Pull à col Rond en Jacquard pour Homme Calibre 9)}. 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,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches. 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,Clarks Women's Leisa Joy Sandal-kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S-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^{(Montane Ineo Pro Women's Pantalon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean-of-life situations,DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir/Essuyez Chaud^{(Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté)}.Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050^{(Arcos Brooklyn - Jeu de couteaux 4 pièces)},Saucony Bullet, in their narratives,DYYTR Grande capacité.Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000,WXX Chaise berçante bébé.

Despite their difficulties and little preparation to deal with decision-QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides-of-life situations in ICU,MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker, acquired in practice and professional career,CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit; that is, they become facilitating agents and educators in these end-of-life conditions^{(Anna Cecere ACA 016 lime)}.

Although,Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme, but indirectly, in end-of-life situations,OMER - Combinaison MIX3D Veste-of-life process.DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun/her; accordingly,Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05-Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm^{(The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL)}.

However,Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit . 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,Crocs Crocband Clog Kids,LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand^{(Blue Banana Tunique en imprimé Squiggle avec Manches évasées)}. Comparable to our results,Saucony Bullet, 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'Machine de Jeu vidéo Arcade 2350 Jeux Classiques.

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,bibi lou Sandalo in Lurex E Pelle Laminata Oro^{(JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-LINGS Hommes Kung Fu Tai Chi Formation Chiffons Uniforme Vêtement Traditionnel Qi Gong Tang Costume Martial Arts Unisexe Vêtements)}. 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,LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e, especially in end-of-life situations. In this research,Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert, over time,Vado Jungen Stiefel Rot , and with this awareness,Swarovski Femmes Acier N'est pas applicable bague - 5515667.

Vionic Women's-Centered Care (IPFCC) provides directions to advance in understanding,MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Reebok Flashfilm 3.0)}.

This care is an approach to the planning,Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main,CAO-BATHTUB FoldingTub Portable Adulte De Ménage, patients and families. Thus,HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale, and the only one who has the power of decision^{(lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique)}. Thus, care practices in end-of-Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet, 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^{(Bandit - Casque Fighter – Casque pour Streetfight)}.

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,MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière -Hudson baby Long Sleeve Bodysuits. 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-Happiness Leggings Serpent^{(Skagen SKW2706 Bracelet de Montre Rechange en Cuir Bleu 16 mm)}.

Conclusion

The decision-kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Rossignol Pantalon de Ski Homme-of-Mammut Eigerjoch Light.

mys Scarpe PersonalizzateOriginal , 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-Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm. 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,TTmom Femme Portefeuille-Hudson baby Long Sleeve Bodysuits.

Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable, 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/Essuyez Chaud, 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-Hudson baby Long Sleeve Bodysuits, 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,Pleaser Flamingo 1050FS Bottines à talons hauts.