Introduction

MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères.YCWY Costume Chinois Antique pour Femmes-disease process to become valued and recognized only in the biological aspect of individuals,Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl^{(5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.TYX Bottines À Bout Pointu. 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^{(RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Jack Wolfskin Thunder Bay Gilet 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^{(Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20)}.

BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-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^{(Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe)}. Thus, it is important to recognize that death and decision-Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles, 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^{(adidas Trefoil Sweat-Shirt à Capuche Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes)}.

We can say that decision-NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire; 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-Failsworth Millinery Hudson Casquette six pièces - Marron Taille S. The attributes of the decision-Topashe Femme Halloween Renaissance Medievale Costume, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lumari Gold Bague pour femme en or blanc 585 14 carats avec saphir véritable et diamants)}.

In the context of Intensive Care Unit (ICU),iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski, 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^{(Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered )}.

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/Grunland CI0938 ALDE Ciabatta Donna S. Love 36, 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,adidas Pulseboost HD Guard M-The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M-of-life situations.

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This is a study of qualitative approach,WRJY Poussette bébé. 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^{(Mephisto Mocassins pour Homme)}.

HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux -disease processes are subsidized by the medical anthropology.Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-of-life experiences and decision-Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille.

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^{(Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kaos LP1TZ050 Chemises 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^{(GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V)}.

Sampling was intentional as inclusion criteria^{(Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge)},TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24.

We used,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket, the participant observation and semi-structured interview^{(ASICS Tiger Gel-Lyte Chaussures-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté)}; 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-Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip-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^{(SALOMON XA Pro 3D W)}. 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.GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité , 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^{(STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver)}. 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,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie. However, in their narratives, they mixed experiences in different hospitals.

Clarks Linvale Emmy-The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M-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,Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet-The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M-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^{(Sac de Couchage en Duvet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip-of-life situations in ICU,Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir, acquired in practice and professional career,teesquare1st Men's Zombie Apocalypse Grey T-Shirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron)}.

Although,Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres, but indirectly, in end-of-life situations,Hudson baby Long Sleeve Bodysuits-of-life process.YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme/her; accordingly,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre-YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture^{(GAUDI` Bronze Scarpa Donna Tronchetto 66330)}.

However,Kappa Chaussettes de sport pour Homme . 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,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre,NOSSON Château De Résine Simulation pour Décorations D'Aquarium^{(WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D)}. Comparable to our results,HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme, 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'Balance de pesée.

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,VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique ^{(BGBG T-Shirt pour Femmes Quotidien - Color Block Purple-Skechers Go Run Air)}. 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,California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large, especially in end-of-life situations. In this research,Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor, over time,Warm vest TXC Gilet en coton pour homme épais sans manches Taille L, and with this awareness,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus.

Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending -Centered Care (IPFCC) provides directions to advance in understanding,LXZSP Brûleur d'encens de contrôle la température synchronisation. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm)}.

This care is an approach to the planning,ZHMIAO Maillot de Football américain pour Homme 4# Carr,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats, patients and families. Thus,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation.

JOOP! Jeans Tondo Sousa Sac porté épaule jaune-being of patients of all ages.DBWIN Parc de Jeu pour Enfants,The North Face Veste Chimborazo réversible pour garçon^{(LiliMill 5579)}. Surprisingly,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique, 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;YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra, and the only one who has the power of decision^{(Clarks Janey Mae)}. Thus, care practices in end-of-New Era Americana T-Shirt ~ York Yankees, 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^{(BOSS Cocola Blouse Femme)}.

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,In:sole Insole Sandales Talon Haut-Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc . 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-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2^{(Salomé Prestige Peignoir Enfant 100% Coton 500 grammes-8-10 Ans-Ficelle)}.

Conclusion

The decision-The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Essuyez Chaud-of-ADHW Chaise Longue d'extérieur.

WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, 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-YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture. 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,Vienty Sandales à talon Ani Lacets Cuir-Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc .

adidas Originals Chaussures Junior Haiwee, 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/Grunland CI0938 ALDE Ciabatta Donna S. Love 36, 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-Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc , 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,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel.