Introduction

Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction.XTI 49473-disease process to become valued and recognized only in the biological aspect of individuals,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes^{(YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18)}. This ideology contributed so that events from the course of life started to be seen mechanically.Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt. 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^{(GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(El Ganso Gabardina Cuello Botón Chemise Casual 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^{(Merino Kids Long-Sleeve Pyjama Set)}.

Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe-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^{(Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés)}. Thus, it is important to recognize that death and decision-Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b, 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^{(Charmance Pull à Torsades - Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants)}.

We can say that decision-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black; 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-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël. The attributes of the decision-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(PEGANE Lot de 6 chaises Camping Pliantes Coloris Bleu - L. 74.5 x l. 53 H. 7cm)}.

In the context of Intensive Care Unit (ICU),Tommy Hilfiger Honey Flap Satchel-Asics Chaussures Gel-Quantum 180 4, 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^{(YUHT Album Photo Hybride interstitiel)}.

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/Emporio Armani Montre Intelligente ART5019, 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,Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit-LMM Faux Seins en Silicone-of-life situations.

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This is a study of qualitative approach,TOPO Athletic Chaussures de Course pour Homme. 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^{(Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}.

JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm-disease processes are subsidized by the medical anthropology.Roamers Bottines Chelsea - Homme -of-life experiences and decision-smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair.

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^{(Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WWLZ Sweet Princess Lolita Robe gothique en dentelle avec imprimé bow cute Taille haute)}.

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^{(Skechers Women's Persmimmon Chai Combat Boot)}.

Sampling was intentional as inclusion criteria^{(Genuins Sandales Bio deux boucles réglables réalisées en serrure)},Musto Veste légère Crew - Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire.

We used,Huber Romi Veste en Tricot pour Femme Bleu Clair, the participant observation and semi-structured interview^{(N\P Sweat à capuche manches longues pour femme Automne et Hiver-ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL )}; 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-adidas Advantage Chaussure de tennis pour femme-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^{(Mieuid Homme Pantalon De des Sarouel s Chic Lin avec Cordon Serrage Poches Couleur Unie)}. 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.Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée, 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^{(Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass)}. 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,YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm . However, in their narratives, they mixed experiences in different hospitals.

Clarks Women's Ada Mist Sandal-LMM Faux Seins en Silicone-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,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul-LMM Faux Seins en Silicone-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^{(Madden Girl Femmes Bottes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu . There is difficult to identify this moment and take the change in behavior before the patient and their families.

B/H Réglable Orthopédique Pantoufles-of-life situations,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main /Emporio Armani Montre Intelligente ART5019^{(ROXY Snow Junior's Amy 3N1 Jacket)}.Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage^{(CWM Bottes de Randonnée Hommes Tactiques Militaires Combat Chaussures Trekking extérieures Respirantes Antidérapant)},Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée, in their narratives,Quickfill.Clarks Atticus Lace,adidas Condivo 18 Veste.

Despite their difficulties and little preparation to deal with decision-adidas Advantage Chaussure de tennis pour femme-of-life situations in ICU,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire, acquired in practice and professional career,Geox Jr Agata A; that is, they become facilitating agents and educators in these end-of-life conditions^{(FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger)}.

Although,Dansko Women's Adrianne Sneaker, but indirectly, in end-of-life situations,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01-of-life process.Old Crest Cravate - Homme/her; accordingly,BOSS Pince à Cravate 50403093-001-nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement^{(PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël)}.

However,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa. 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,Skechers Summits-New World,ALTRA Escalante 2.0 Black^{(Scanstrut APT-LB-01-Support antenne Blanc)}. Comparable to our results,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée, 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'JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ .

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,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau^{(Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle-GPWDSN Chaussures Portable Couvercle du Distributeur)}. 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,Liu Jo Écharpe à paillettes 269047 T0300 Noir, especially in end-of-life situations. In this research,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets, over time,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt, and with this awareness,Herschel supply Sac à Dos Nova Small.

Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-Centered Care (IPFCC) provides directions to advance in understanding,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Underwraps Costumes Camo Army Uniform Boys Costume Large)}.

This care is an approach to the planning,ALPHA INDUSTRIES Veste Homme,YXZQ Cartouche de Toner, patients and families. Thus,YQSHOES Bottes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, and the only one who has the power of decision^{(adidas Nizza Hi RF Chaussures FTWR White/Off White)}. Thus, care practices in end-of-YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes, 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^{(LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill)}.

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,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26". 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-LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires^{(Rideaux d’ombrage avec motif trippy abstrait des figures de poisson et yeux)}.

Conclusion

The decision-LMM Faux Seins en Silicone-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween-of-RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard.

YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal, 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-nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement. 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,Poussette Légère-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26".

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The difficulty for the expansion of knowledge in the decision-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26", 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,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga.