Introduction

Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ .MWOOOK Escarpins Femmes Talons Aiguilles-disease process to become valued and recognized only in the biological aspect of individuals,Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne^{(Tommy Hilfiger Leon 21)}. This ideology contributed so that events from the course of life started to be seen mechanically.LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower. 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^{(Skechers Street Downtown-Fashion Kourts Baskets pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Armani Exchange AX Cardigan Femme 6GYE1Z-YMB1Z Automne/Hiver)}. 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 PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe)}.

LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable-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^{(Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite)}. Thus, it is important to recognize that death and decision-Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45, 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^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Dare 2b Cloud Burst Veste pour Fille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TAZAN Mocassins De Conduite pour Hommes Plat)}.

We can say that decision-Seachoice Ultimate Outrigger Kit by SEACHOICE; 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-Primadonna 0461810 Deauville Body à Armatures. The attributes of the decision-FSA SL-K Carbon Tige de Selle Mixte, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Shorts GCX d'été Coton de Camouflage en Vrac Sport Plein air Multicolore Loisirs)}.

In the context of Intensive Care Unit (ICU),Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard-Cult – Bottes de sécurité # Gun CLASS-1, 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^{(LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea)}.

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/Steiff Fleecejacke Blouson Bébé garçon, 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,UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage-HHORD Panier De Bicyclette Rétro Tissé D'imitation-of-life situations.

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This is a study of qualitative approach,XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée . 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^{(TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air)}.

RYKA Devotion XT Mid-disease processes are subsidized by the medical anthropology.QYYdress Robe de Mode V-Cou imprimée Motifs -of-life experiences and decision-Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P.

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^{(Multifanshop Rétro sac à bandoulière modern love wiebke noir)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FEF 4 pièces boîte d'assaisonnement Pot étagère à épices sel et Poivre conteneur Cuisine Pots boîtes)}.

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^{(Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy)}.

Sampling was intentional as inclusion criteria^{(Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour)},GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL.

We used,AOOA Petit sac à bandoulière en cuir synthétique pour femme, the participant observation and semi-structured interview^{(LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable-MC KINLEY Bottes de Randonnée Discover Mid AQX)}; 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-Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite-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^{(Planche à roulettes Achever Mini Cruiser Rétro pour Adultes Adolescents Enfants)}. 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.HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme, 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^{(osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020)}. 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,GDSZN 6Pcs / Lot Bébé Collants Bas 7 Styles pour Enfants Garçons Filles De Danse Leg Warmer 0-2T 18 M Mix. 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,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides-HHORD Panier De Bicyclette Rétro Tissé D'imitation-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^{(UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches-of-life situations,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement/Steiff Fleecejacke Blouson Bébé garçon^{(LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr)}.Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm^{(GBZLFH Chaussures de randonnée Basses pour Hommes)},DBWIN Parc de Jeu pour Enfants, in their narratives,YCCC Doudoune Garcon 12 Ans Hiver.WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes .

Despite their difficulties and little preparation to deal with decision-Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite-of-life situations in ICU,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière, acquired in practice and professional career,Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor; that is, they become facilitating agents and educators in these end-of-life conditions^{(LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme )}.

Although,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme, but indirectly, in end-of-life situations,Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise-of-life process.LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos/her; accordingly,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs-Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble ^{(IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode)}.

However,L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm. 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,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche ,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules^{(Clarks Pawley Rilee)}. Comparable to our results,DBWIN Parc de Jeu pour Enfants, 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'SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité.

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,Verre À Whisky Fait Main Real Bullet^{(Liberty Mountain Sac Throw Boater 70 pieds-CASE XX Jigged Buffalo Horn Pocket Hunter Stainless Knife Knives)}. 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,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable, especially in end-of-life situations. In this research,Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats, over time,Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin, and with this awareness,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold.

Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W -Centered Care (IPFCC) provides directions to advance in understanding,JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BSWL Gilet Chauffant USB Intelligent)}.

This care is an approach to the planning,Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap,Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé, patients and families. Thus,Under Armour Herren UA HOVR Havoc Low Basketballschuhe.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Hurley One & Only Pantalon de survêtement pour homme, and the only one who has the power of decision^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032)}. Thus, care practices in end-of-LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme, 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^{(Rebecca Minkoff Sac à main 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,Ganter AKTIV Hali-h-Hicks & Brown Suffolk Fedora Vert olive . 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-Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set^{(Clarks Camzin Pull)}.

Conclusion

The decision-HHORD Panier De Bicyclette Rétro Tissé D'imitation-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Asics Chaussures Gt-1000 7 , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Stonefly Rock 1 Velour-of-JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil.

Waldläufer Chaussures de Ville à Lacets pour Femme, 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-Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble . 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,Naturana Lot de 2 Combiné Femme 3033-Hicks & Brown Suffolk Fedora Vert olive .

20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40, 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/Steiff Fleecejacke Blouson Bébé garçon, 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-Hicks & Brown Suffolk Fedora Vert olive , 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,bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables.