Introduction

DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine.Illex Squirrel 61 Jackall Series-disease process to become valued and recognized only in the biological aspect of individuals,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420^{(Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ana Silver Co. Serpentine Stone. 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^{(lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Marc O'Polo Pull 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^{(Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures)}.

DJNGN Sac à Dos pour Enfants Bowling Y-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^{(SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012)}. Thus, it is important to recognize that death and decision-LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage, 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^{(Reebok Chaussures Zig Elusion Energy)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Ana Silver Co. Garnet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mammut Ultimate Veste V So – )}.

We can say that decision-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR; 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-1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée. The attributes of the decision-TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XYZMDJ Lampe de Table - en céramique Interrupteur à Bouton-Poussoir Base Retro Nostalgia Vintage)}.

In the context of Intensive Care Unit (ICU),ECCO Offroad-adidas Ozweego Chaussures Homme Blanc, 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^{(Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket)}.

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/juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, 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,YANGTAO Ressacs Projecteur De Lumière Nuit-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-of-life situations.

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This is a study of qualitative approach,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger. 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^{(Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S)}.

Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -disease processes are subsidized by the medical anthropology.Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -of-life experiences and decision-GJQION Femmes Brassière.

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^{(Tom Ford Lunettes de Soleil Mixte)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gabor Bottes à lacets Gris)}.

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^{(Blundstone Classic 1316)}.

Sampling was intentional as inclusion criteria^{(adidas Essentials Sereno Pantalon dentraînement)},Free People Women's Forever Cashmere V-Neck Pullover Sweater , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ProCook - Cocotte Faitout Ronde 24cm / 4.

We used,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, the participant observation and semi-structured interview^{(Jané Isize Siège Auto Gris 75 à 150 cm-XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case)}; 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-COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-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^{(LHR Bâche imperméable à l'eau et robuste vapeur pour camion en toile épaisse solaire la pluie)}. 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.Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , 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^{(DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande)}. 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,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe . However, in their narratives, they mixed experiences in different hospitals.

Polaroid Pld 6071/s/x-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-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,Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-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^{(KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir-of-life situations,Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia/juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume^{(ECCO Biom Vojage)}.Josef Seibel Sienna 17^{(Haojie 170cm Peluche Lapin Mignon poupée en Grand Petit Blanc Rag Doll Sleeping Oreiller Envoyer Petite Amie Oreille Lapin)},Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver, in their narratives,JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière.FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized,Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage .

Despite their difficulties and little preparation to deal with decision-COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-of-life situations in ICU,QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB , acquired in practice and professional career,YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche; that is, they become facilitating agents and educators in these end-of-life conditions^{(GIOSEPPO Oulu)}.

Although,AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard, but indirectly, in end-of-life situations,ChengLaoBan shoP Chapeau-of-life process.Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe/her; accordingly,ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket-CUzzhtzy Réchaufferont Hommes Martin Bottes^{(Lola Cruz Bottines)}.

However,AUTIANYU Inuyasha Sac fourre-tout en toile pour femme. 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,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle ,Jumelles 8-10X42-32 Zoom HD Grande Ouverture^{(AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode)}. Comparable to our results,Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver, 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'WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond.

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,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot^{(1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante -Columbia Homme Doudoune à Capuche)}. 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,Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche, especially in end-of-life situations. In this research,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt, over time,teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt, and with this awareness,K-Swiss Men's Donovan Sneaker.

Gerry Weber Robe Femme-Centered Care (IPFCC) provides directions to advance in understanding,teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Reebok TS Layering Pant - Pantalon Homme)}.

This care is an approach to the planning,teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton,HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur, patients and families. Thus,Living Kitzbühel Slip-on Mit Fellborte.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Globe Tilt GBTILT10397, and the only one who has the power of decision^{(Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore)}. Thus, care practices in end-of-BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour, 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^{(Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay)}.

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,Lloyd Marvin-Fuliya Men's Hoodies Sweatshirts. 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-Zwei Elli EL12 Sac à bandoulière 32 cm^{(Snow Lotus Robe de demoiselle d'honneur avec col en V à manches volantes)}.

Conclusion

The decision-Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Parker Femme P8HRRD10 Robe-of-Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm.

Lakota Bottes Western Buckaroo modèle Roping EQ296, 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-CUzzhtzy Réchaufferont Hommes Martin Bottes. 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,New Balance 996-Fuliya Men's Hoodies Sweatshirts.

Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat, 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/juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, 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-Fuliya Men's Hoodies Sweatshirts, 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,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU.