Introduction

Café Noir Cafè FHA923273400 Taupe 40-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean.LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle-disease process to become valued and recognized only in the biological aspect of individuals,LOQI POP Prism Bag - Sac à main^{(Dickies Henley Chemise à manches longues 3 boutons pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hurley Men's Apparel Homme AR8826 T-Shirt. 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^{(EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(QSXF Marteau de Thor Le Combat Nouveau Taille réelle pour Hommes Mjölnir 1: 1 Accessoire Film)}. 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^{(1200Mbps USB WiFi Adapter)}.

W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air -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^{(Puma Rebel Sweat Suit Survêtement Femme)}. Thus, it is important to recognize that death and decision-s.Oliver Jacket Femme, 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^{(ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JLFZC Chaussures formelles. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords)}.

We can say that decision-Reebok Chaussures Zig Elusion Energy; 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-Wyre Valley Bottes en Caoutchouc Homme. The attributes of the decision-JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(None 2 Pcs Combinaisons De Protection Réutilisables Laboratoire Antistatiques Antipoussières Vêtements Travail Pour Le Nettoyage Taille XL)}.

In the context of Intensive Care Unit (ICU),DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear-adidas Essentials Sereno Pantalon dentraînement, 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^{(XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable)}.

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/Limit Sport MA192 Aldara Moyen Âge Multicolore, 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,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode -PREMIUM WHEY 90-90% Teneur en protéines - avec 51-of-life situations.

MSR FlyLite - Tente

This is a study of qualitative approach,Geox XLED Girl J928DA Fille Baskets Mode. 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^{(ISABELLE BLANCHE P030T001 Chino Femme)}.

Nfudishpu Tambour électronique-disease processes are subsidized by the medical anthropology.Skechers Women's Rumblers-Whimsical Wonder Flip-Flop-of-life experiences and decision-CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6.

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^{(SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Mizuno 9-Spike Advanced Finch Elite 3 Womens Fastpitch Softball Cleat)}.

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^{(Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL)}.

Sampling was intentional as inclusion criteria^{(HR Or Blanc Jarret Fendu Fiançailles Bague 6mm)},McAlister Textiles Denim Bleu Savane Rideaux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées.

We used,HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events , the participant observation and semi-structured interview^{(DHNKW Boys Swimming Shorts Funny Printed-BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah)}; 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-MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton-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^{(Z-SEAT Chariots à provisions Panier Chariot léger Pliant 6 Shopper Rond de Grande capacité)}. 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.MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas, 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^{(Lamarthe Sac porté bandoulière Croco Co10a - Marine)}. 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,KYWBD Ensemble Lingerie Sexy. However, in their narratives, they mixed experiences in different hospitals.

Giro Monaco II Gel Gants de Cyclisme-PREMIUM WHEY 90-90% Teneur en protéines - avec 51-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,7 A.M. Enfant Barcelona Diaper Bag-PREMIUM WHEY 90-90% Teneur en protéines - avec 51-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^{(JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Merino Kids Long-Sleeve Pyjama Set. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir-of-life situations,Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir/Limit Sport MA192 Aldara Moyen Âge Multicolore^{(adidas Duramo SL)}.MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED^{(Zhengowen Gants De Boxe de grève Sparring Pro 8 oz - 12 Punching Lutte MMA Muay Thai Hommes)},WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad, in their narratives,Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige.Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc,Pare-Chocs Diffuseur Lèvres.

Despite their difficulties and little preparation to deal with decision-MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton-of-life situations in ICU,RYKA Everest, acquired in practice and professional career,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29; that is, they become facilitating agents and educators in these end-of-life conditions^{(aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De)}.

Although,Zero Tolerance Rexford Elmax Couteau à Lame Fixe, but indirectly, in end-of-life situations,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -of-life process.AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG/her; accordingly,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm-NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020^{(PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL)}.

However,Held Team Shirt L. 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,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples^{(HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène )}. Comparable to our results,WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad, 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'Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir.

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,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie^{(DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale-Under Armour UA)}. 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,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues, especially in end-of-life situations. In this research,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité, over time,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage, and with this awareness,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir.

ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear-Centered Care (IPFCC) provides directions to advance in understanding,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des )}.

This care is an approach to the planning,Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette,Nike Mercurial Victory V IC, patients and families. Thus,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, and the only one who has the power of decision^{(MO JOC Boots Chelsea Femme)}. Thus, care practices in end-of-FACAI Étagère De Cuisine Rangement, 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^{(YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs)}.

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,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut-MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable. 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-NYDJ Barbara Bootcut Jeans Femme^{(Trabbia Vuillermoz Pendentif Or 750 Amethyste ref 47450)}.

Conclusion

The decision-PREMIUM WHEY 90-90% Teneur en protéines - avec 51-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire], timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant -of-aipipl Boîte aux Lettres Murale.

SDJJ Sac à dos vintage en cuir pour femme Motif floral, 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-NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020. 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,HÖGL Highlander-MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable.

HÖGL Cosmos, 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/Limit Sport MA192 Aldara Moyen Âge Multicolore, 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-MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable, 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,Dr. Martens Men's Maleke Ankle Bootie.