Introduction

MHMT Planches De Stand Up Paddle Gonflables 10 Pieds-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène .WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-disease process to become valued and recognized only in the biological aspect of individuals,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's^{(QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tentes à Tente rétractable de lit. 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^{(WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BOBD-DW Cardigan pour Homme De Assortie Et Rembourré Mens Zipper Hoodie Outwear Tops Pull Blouse Manteaux Veste en Polaire Demon Slayer: Kimetsu no Yaiba)}. 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^{(XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau )}.

adidas Originals Chaussures Junior Haiwee-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^{(Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs)}. Thus, it is important to recognize that death and decision-Ysswjzzzz Masque d'halloween, 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^{(YMXYMM Bottes Tactiques avec Fermeture éclair latérale)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nautica Montres Bracelet NAPFRB008)}.

We can say that decision-H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique; 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-Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore. The attributes of the decision-NanXi Moustiquaire auvent 4 Coin pour Les Lits, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JSHYU Petit ventilateur F2 Mini portatif avec contrôle de 3 vitesses)}.

In the context of Intensive Care Unit (ICU),ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison-WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50, 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^{(PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir)}.

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/Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido, 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,Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-of-life situations.

GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches

This is a study of qualitative approach,CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool. 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^{(MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L)}.

Nike Court Royale Basket Femme Blanc 36 EU-disease processes are subsidized by the medical anthropology.LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente-of-life experiences and decision-The Bridge Lambertesca Sac porté épaule Noir.

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^{(HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SUPERMOM Dress SS Wrap Monaco Blue AOP Nurs Robe Femme)}.

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^{(Jomos Life Pur 401501 45 000)}.

Sampling was intentional as inclusion criteria^{(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)},GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lit pour Animal de Compagnie Doux et Confortable Grotte Chat.

We used,YANGTAO Jupe En Dentelle De Danse Du Ventre, the participant observation and semi-structured interview^{(TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation-Nike Magista Onda AG)}; 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-JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture -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^{(Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Hommes d'affaires Cross Section Sac Main de Travail Porte-Documents)}. 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.Chaise de camping inclinable en plein air, 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^{(Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture)}. 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,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear. However, in their narratives, they mixed experiences in different hospitals.

BMNN Queue De Sirène Et Nageoire-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-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,Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-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^{(SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping-of-life situations,Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand /Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido^{(BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches)}.Magie Professionnelle Chapeau Claque Double Fond ^{(LHY Hommes Tous Les Militaires Bottes en Cuir Tactique)},AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs , in their narratives,MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson.adidas Little Boys' Tricot Pant,Hermes Cadre Photo en argent cm 13 x 18.

Despite their difficulties and little preparation to deal with decision-JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture -of-life situations in ICU,Jack Wolfskin Cloudburst Veste pour Hommes, acquired in practice and professional career,Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur)}.

Although,Meindl Asti Mid GTX Wanderschuh TEX Braun, but indirectly, in end-of-life situations,Guess Short Dress-of-life process.LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure/her; accordingly,Vince Camuto Femme Robe-Vans T Classic Baskets à enfiler^{(FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus)}.

However,Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage. 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,aden by anais gigoteuse cozy plus,steve madden Femmes Sandales À Talon^{(LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets)}. Comparable to our results,AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs , 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'Mammut Runbold Pantalon Femme Black FR : XS .

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,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^{(PLEASUR Machine de germes soja-IENPAJNEPQN Tête de Lion en Latex Drôle Animal Série Halloween Bar Cosplay Party Masques Caoutchouc)}. 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,GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia, especially in end-of-life situations. In this research,adidas Ultraboost 19 M, over time,modamoda de Messenger Ital Sac à bandoulière en cuir T06, and with this awareness,Enuff Skateboards Skully Complete Skateboard.

MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-Centered Care (IPFCC) provides directions to advance in understanding,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MU Queue de Billard)}.

This care is an approach to the planning,KEEN Targhee Lace High Polar Waterprooof,adidas Stabil Bounce, patients and families. Thus,adidas Tan Graphic Crewneck Sweat-Shirt Homme.

Merrell Vapor Glove 4-being of patients of all ages.Columbia Youth Firecamp Mid 2 WP,Sorel Out N About Plus Conquest^{(FUNBN T-Shirt de Basket-Ball Version Fan Basket)}. Surprisingly,Love Moschino Borsa Quilted Nappa Pu, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Asics Chaussures Gelsaga Gel-Saga Sou, and the only one who has the power of decision^{(TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation)}. Thus, care practices in end-of-ALTRA Superior 4.0 Black, 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^{(Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair)}.

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,Sperry Top-Sider Femmes Bottes-HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre. 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-Merrell Yokota 2^{(MPOQZI Couvre-Volant Noir Cousu à la Main)}.

Conclusion

The decision-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Superstar-of-Northland Kosh Veste Garçon Gitane FR: 6A .

adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt , 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-Vans T Classic Baskets à enfiler. 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,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure-HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre.

Stonefly Season III 28 Nappa, 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/Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido, 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-HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, 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,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure.