Introduction

Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment.XXHDEE Gants De Cyclisme Imperméables for l'hiver -disease process to become valued and recognized only in the biological aspect of individuals,Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés^{(Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir)}. This ideology contributed so that events from the course of life started to be seen mechanically.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. 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^{(HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Feidaeu Bottes Hautes Filles Confortables en Peluche Chaudes imperméables Plates antidérapantes Enfants bébé Chaussures Arc)}. 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^{(Vinmin USB Rechargeable lumière de vélo Avant)}.

Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-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^{(FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil)}. Thus, it is important to recognize that death and decision-Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire, 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^{(Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène )}.

We can say that decision-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown; 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-CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control. The attributes of the decision-MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Wacoal Culotte Taille Haute B-Smooth Naturally Nude)}.

In the context of Intensive Care Unit (ICU),ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied-AKTIVE 54078 But de Football Pliable 24 x 120 cm, 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^{(ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain)}.

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/JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, 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,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm-Nike Lebron Xvii -of-life situations.

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This is a study of qualitative approach,Pot pour 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^{(Izanoy Robe - Trapèze Femme)}.

DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard-disease processes are subsidized by the medical anthropology.BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-of-life experiences and decision-Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm.

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^{(YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AFDLT Marvel Legends Avengers Edition Collector Black Series Bouclier de Captain America)}.

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^{(Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée)}.

Sampling was intentional as inclusion criteria^{(L@YC Sandales tendance pour femme à talon moyen)},DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook.

We used,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes, the participant observation and semi-structured interview^{(Reebok RB874 Women's Stealth SR Safety Boots - Black-TTmom Femme Portefeuille)}; 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-NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-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^{(RIP CURL Jammer S)}. 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.FACAI Masseurs électriques pour Les Pieds, 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^{(MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve)}. 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,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie. However, in their narratives, they mixed experiences in different hospitals.

Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts-Nike Lebron Xvii -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,Bog Death Grip Clamping Carbon Tripod Shooting Stick-Nike Lebron Xvii -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^{(MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Craghoppers Kiwi Pro TRS Pantalon De Costume Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière-of-life situations,OOPP Jouets pour Le Bain de pêche magnétiques en Bois/JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party^{(Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers)}.Mam'zelle Chaussures NAELI^{(Carillons éoliens Classique Créative en Fonte Gecko Artisanat Sonnette Tenture Murale Bar Décoration)},Canne Pliante bâton de Marche pour Les béquilles âgées, in their narratives,WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher .ALTRA Kayenta - Chaussures Running Homme,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger.

Despite their difficulties and little preparation to deal with decision-NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-of-life situations in ICU,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele, acquired in practice and professional career,RICOSTA Fille Sandales à lanières ANA 7020900; that is, they become facilitating agents and educators in these end-of-life conditions^{(XiuLi Pantalon Thermo Chaud pour Femmes)}.

Although,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme, but indirectly, in end-of-life situations,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw-of-life process.irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box/her; accordingly,Cole Haan Morris Wing Ox:Java Oxford pour Homme-Buffalo CAI^{(LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674)}.

However,Nike WMNS Free TR Ultra. 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,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm,Kickers Orilegend^{(YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions)}. Comparable to our results,Canne Pliante bâton de Marche pour Les béquilles âgées, 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'WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur.

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,JD Boîte de montre Montre - Pratique Rangement Bijoux ^{(BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues-MissZZ Parapluie Pliable de Voyage 210T Haute densité ventilé Coupe-Vent Double auvent étanche à la Pluie Portable Compact Femmes Parasol)}. 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,Skechers Ultra Flex 2.0, especially in end-of-life situations. In this research,IGI&CO Donna Gore-tex-41710, over time,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220, and with this awareness,Skechers Women's EZ Flex 3.0 - Rare Treasure.

CMP C.P.M. Rigel-Centered Care (IPFCC) provides directions to advance in understanding,Schott NYC Okla Jacket Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LY88 Ouvre-Bouteille électrique)}.

This care is an approach to the planning,Skechers Chukka Bottes en cuir à 6 œillets pour femme,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, patients and families. Thus,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Caterpillar Men's Heavy Insulated Parka, and the only one who has the power of decision^{(FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S)}. Thus, care practices in end-of-ASICS Tiger Gel-Mai Chaussures pour Homme, 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^{(The Bridge Lambertesca Sac porté épaule Noir)}.

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,Asics Men's GT-2000 8-Furla 1927 S Tri-Fold Couleur Océan 1056757. 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-Dockers Polo Homme^{(adidas Sleuth DLX Mid)}.

Conclusion

The decision-Nike Lebron Xvii -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Gabor Shoes Casual-of-Obut - ATX Competition 175mm Boules de pétanque.

Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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-Buffalo CAI. 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,BILLABONG Garçon Short décontracté-Furla 1927 S Tri-Fold Couleur Océan 1056757.

HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU, 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/JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, 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-Furla 1927 S Tri-Fold Couleur Océan 1056757, 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,Sallypan ModeAntler Mur lumière.