Introduction

WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme.Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile -disease process to become valued and recognized only in the biological aspect of individuals,Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme^{(MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tamaris 1-1-25012-23. 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^{(Kyman Sac Cadre vélo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau)}. 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^{(Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité)}.

DC Femmes Recherche 18-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^{(Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953)}. Thus, it is important to recognize that death and decision-GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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^{(LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable )}.

We can say that decision-ISABELLE BLANCHE P030T001 Chino Femme; 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-Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet. The attributes of the decision-Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(COCNI Intérieur Nordique Chambre Eclairage- Lampe de Chevet Lumière Maison Style Applique Simple Arrière-Plan Moderne Creative Living Room Mur décoratif Lampes vestiaire)}.

In the context of Intensive Care Unit (ICU),MWOOOK Escarpins Femmes Talons Aiguilles-Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne, 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^{(Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage)}.

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/LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower, 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,LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable-Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-of-life situations.

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This is a study of qualitative approach,Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45. 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^{(XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes)}.

Dare 2b Cloud Burst Veste pour Fille-disease processes are subsidized by the medical anthropology.Seachoice Ultimate Outrigger Kit by SEACHOICE-of-life experiences and decision-Primadonna 0461810 Deauville Body à Armatures.

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^{(Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Under Armour Hustle 5.0 Sac à dos Unisexe Taille unique)}.

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^{(AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode)}.

Sampling was intentional as inclusion criteria^{(LHY Cadeau de Noël pour Fille)},FSA SL-K Carbon Tige de Selle Mixte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard.

We used,Cult – Bottes de sécurité # Gun CLASS-1, the participant observation and semi-structured interview^{(MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton-BOSS Pince à Cravate 50403093-001)}; 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-Steiff Fleecejacke Blouson Bébé garçon-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^{(Dpsyszd Sac de Toile Rétro Femme en Coton à bandoulière)}. 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.UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage, 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^{(Clic-products Lunettes Clic Classic®)}. 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,XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée . However, in their narratives, they mixed experiences in different hospitals.

RYKA Devotion XT Mid-Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-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,Essuyez Chaud-Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-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^{(L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ADHW Chaise Longue d'extérieur. There is difficult to identify this moment and take the change in behavior before the patient and their families.

WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap-of-life situations,Vienty Sandales à talon Ani Lacets Cuir/LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower^{(Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm)}.adidas Originals Chaussures Junior Haiwee^{(LiangDa Cadre Photo Empreinte Nouveau-né Bébé Handprint et l'empreinte Kit bébé Bois for Les garçons Nouveau-nés Filles Cadeau pour Nouveaux Parents)},Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor, in their narratives,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel.Fournitures de salle bain Piscine gonflable Baignoire,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme .

Despite their difficulties and little preparation to deal with decision-Steiff Fleecejacke Blouson Bébé garçon-of-life situations in ICU,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, acquired in practice and professional career,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides; that is, they become facilitating agents and educators in these end-of-life conditions^{(Palladium Pampa Hi M Bottines pour femme - Vert foncé.)}.

Although,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen, but indirectly, in end-of-life situations,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches-of-life process.Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement/her; accordingly,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm-YCCC Doudoune Garcon 12 Ans Hiver^{(Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver)}.

However,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite. 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,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes ,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière^{(Fila Womens Fanny Pack)}. Comparable to our results,Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor, 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'Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor.

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,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme^{(The North Face Veste Chimborazo réversible pour garçon-FFSM Utilitaire panier Chariot étanche bande réfléchissante pliable chariot à achats sur 2 roues avec sac amovible Stair Climber)}. 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,Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise, especially in end-of-life situations. In this research,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos, over time,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs, and with this awareness,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble .

L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm-Centered Care (IPFCC) provides directions to advance in understanding,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs )}.

This care is an approach to the planning,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules,SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité, patients and families. Thus,Verre À Whisky Fait Main Real Bullet.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W , and the only one who has the power of decision^{(Wyre Valley Bottes en Caoutchouc Homme)}. Thus, care practices in end-of-JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG , 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^{(Teva Tira)}.

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,Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap-Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie. 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-Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé^{(GOLDEN MANGO Support Vélo D'intérieur Formateurs)}.

Conclusion

The decision-Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Under Armour Herren UA HOVR Havoc Low Basketballschuhe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SYXYSM Calico SYXMSM Écharpe chouchou-of-Clarks Sharon Dolly.

Badgley Mischka Vega, 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-YCCC Doudoune Garcon 12 Ans Hiver. 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,Guess Robe à manches longues pour femme-Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie.

Hurley One & Only Pantalon de survêtement pour homme, 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/LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower, 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-Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie, 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,LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme.