Introduction

Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Magie Professionnelle Chapeau Claque Double Fond .MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson-disease process to become valued and recognized only in the biological aspect of individuals,adidas Little Boys' Tricot Pant^{(Panama Jack Tania)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hermes Cadre Photo en argent cm 13 x 18. 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^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Beck Pferde)}. 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^{(Helly Hansen Short)}.

Jack Wolfskin Cloudburst Veste pour Hommes-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^{(Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31)}. Thus, it is important to recognize that death and decision-Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta, 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^{(LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Meindl Asti Mid GTX Wanderschuh TEX Braun. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M)}.

We can say that decision-Guess Short Dress; 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-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure. The attributes of the decision-Vince Camuto Femme Robe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Marmot Trestles Elite Eco 20 - Sac de Couchage Homme)}.

In the context of Intensive Care Unit (ICU),Vans T Classic Baskets à enfiler-Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage, 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^{(Clarks Sandales Sillian2.0 Joy pour Femmes)}.

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/aden by anais gigoteuse cozy plus, 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,steve madden Femmes Sandales À Talon-Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux-of-life situations.

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This is a study of qualitative approach,Mammut Runbold Pantalon Femme Black FR : XS . 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^{(Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs)}.

Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière-disease processes are subsidized by the medical anthropology.GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia-of-life experiences and decision-adidas Ultraboost 19 M.

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^{(Josef Seibel Chance 39)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Premium Bling 925 Argent Sterling Allah Mini Pendentif or)}.

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^{(Napapijri Varco Short Homme)}.

Sampling was intentional as inclusion criteria^{(LetsBuyGold Bague Artisanale )},modamoda de Messenger Ital Sac à bandoulière en cuir T06, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Enuff Skateboards Skully Complete Skateboard.

We used,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique, the participant observation and semi-structured interview^{(Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams-Guess Robe à manches longues pour femme)}; 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-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation-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^{(Applique Celestial 1x60W - Bronze Boutica-Design klcelestial1)}. 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.KEEN Targhee Lace High Polar Waterprooof, 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^{(Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée)}. 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,adidas Stabil Bounce. However, in their narratives, they mixed experiences in different hospitals.

adidas Tan Graphic Crewneck Sweat-Shirt Homme-Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux-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,Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy-Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux-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^{(WILSON Youth Classic Relaxed Fit Baseball Pant)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 -of-life situations,Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android/aden by anais gigoteuse cozy plus^{(YJHH Baignoire Adulte Portable)}.TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende^{(YUFUFU Les vêtements Femmes d'été Taille Haute Jupe plissée Longues Jupes midi en Maille)},Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N, in their narratives,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable.Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable,XLTCK Lunettes de soleil en titane pur polarisées B.

Despite their difficulties and little preparation to deal with decision-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation-of-life situations in ICU,MH Bottes Militaires des Hommes, acquired in practice and professional career,WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Verre À Whisky Fait Main Real Bullet)}.

Although,NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M, but indirectly, in end-of-life situations,nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche-of-life process.FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat/her; accordingly,Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-Ital-Design Bottes Classiques pour Femme^{(Wacoal Bra Underwire Soutien-Gorge de Sport Femme)}.

However,Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage. 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,Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle,Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie^{(Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes)}. Comparable to our results,Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N, 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'Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1.

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,Splendid Lorne Ii Mule pour femme^{(ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim-New Balance Fresh Foam Velo1 Cleat - Balle Souple pour Femme)}. 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,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent, especially in end-of-life situations. In this research,Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse, over time,Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule, and with this awareness,FxsD Cigar Cabinet.

no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne-Centered Care (IPFCC) provides directions to advance in understanding,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Rideau de fenêtre hawaïen avec des arbres montagne)}.

This care is an approach to the planning,PICKME Hommes Femmes USB Chauffage Gilet,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou, patients and families. Thus,K-Swiss Legging taille moyenne 7/8 pour femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture, and the only one who has the power of decision^{(JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé )}. Thus, care practices in end-of-CAMELBAK Eddy Bouteilles, 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^{(Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble )}.

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,YPDM Peignoir-ZHTY Casiers à vin de Plafond. 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-Lumières de Partie^{(WANXX Sweat Imprimé Numérique 3D Pull À Capuche Grande Taille Gradient Sweat-Shirt Deux Tons Couple Hoodies)}.

Conclusion

The decision-Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SOCCX Pull pour femme avec structure en maille et logo-of-Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil .

PENGSHAO Plateau à Fromage en Bambou, 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-Ital-Design Bottes Classiques pour Femme. 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,AXDNH Chaussures de Danse Femme-ZHTY Casiers à vin de Plafond.

ADSE Horloge Murale à Pendule, 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/aden by anais gigoteuse cozy plus, 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-ZHTY Casiers à vin de Plafond, 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,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants.