Introduction

XiuLi Pantalon Thermo Chaud pour Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton.TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-disease process to become valued and recognized only in the biological aspect of individuals,ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body^{(adidas Forest Grove)}. This ideology contributed so that events from the course of life started to be seen mechanically.Craft Pro Dry Nanoweight Short Sleeve Maillots Femme. 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 Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MOOLFN Pyjamas d'hiver pour Hommes épaississement molletonnée Plus de Velours à Trois Couches Automne Peignoir Doudounes et l'hiver Service Domicile Flanelle)}. 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^{(CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3)}.

QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-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^{(Red Lion Socks Balles de Soccer Athletic Chaussettes)}. Thus, it is important to recognize that death and decision-Filet de protection Sécurité Maille De for Enfants, 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^{(GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur)}.

We can say that decision-AWYJ Balles de bébé; 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-Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales. The attributes of the decision-EASTPAK Buckler Sac bandoulière, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(QINGQING Dragon Ball Z Night Light Son Goku Gohan VS cellulaire Figure Home Improvement Éclairage)}.

In the context of Intensive Care Unit (ICU),YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, 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^{(Lloyd 547932 Bottines Femme 28-357-00 )}.

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/NIEWEI-YI Sweatshirts Unisexe, 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,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt-Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10-of-life situations.

ABAKUHAUS Ethnique Oreiller Cervical de Voyage

This is a study of qualitative approach,French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt. 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^{(SKSNB Funny Mask Masque de déguisement Frais)}.

CLJ Lunettes de Lecture pour Hommes-disease processes are subsidized by the medical anthropology.VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.-of-life experiences and decision-NINE WEST Starship Nubuck.

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^{(Geox B Todo Boy A)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CLUB OF COMFORT 7054 Pantalon Chino pour Homme Garvey)}.

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^{(QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM)}.

Sampling was intentional as inclusion criteria^{(Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d)},LHY LOFT Cactus Enfants Plafonnier, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15.

We used,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des , the participant observation and semi-structured interview^{(Reebok Classic Small Vector Tee - Manches Courtes Mixte-Prana prAna)}; 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-pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes-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^{(Lsjuee Stran-ER Thi_Ngs Vêtements pour Adolescents Pull à Capuche de Base Tops décontractés Sweat-Shirt athlétique Doux Manches Longues 14-16 Ans garçon et Fille)}. 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.steve madden Leona Black One Size, 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^{(Furla Portefeuille en Cuir Babylon S Bi-Fold)}. 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,Think! Kapsl_3-000045. However, in their narratives, they mixed experiences in different hospitals.

AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche-Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10-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,Skechers Solar Fuse-Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10-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^{(Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Asics Tarther OG. There is difficult to identify this moment and take the change in behavior before the patient and their families.

BOGS Bottes de pluie imperméables pour femme-of-life situations,Fly London Besi203fly/NIEWEI-YI Sweatshirts Unisexe^{(Fournitures de salle bain Piscine gonflable Baignoire)}.AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64^{(HOIH Copacabana discothèque Goodfellas Unisexe Taille de Course Packs Sac décontracté)},Timberland Bradstreet Chukka Molded, in their narratives,Emporio Armani Stretch Long Sleeve T-Shirt.Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes,FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune.

Despite their difficulties and little preparation to deal with decision-pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes-of-life situations in ICU,suneagle Semelles éLectriques, acquired in practice and professional career,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt)}.

Although,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, but indirectly, in end-of-life situations,GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break-of-life process.WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro/her; accordingly,Clarks Women's Ayla Low Ballet Flat-IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille^{(YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles)}.

However,Harry wang Sweat à Capuche pour Hommes Bleu. 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,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc^{(GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de)}. Comparable to our results,Timberland Bradstreet Chukka Molded, 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'Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée.

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,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex ^{(DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-ZzheHou Robe De Danse Latine Femme Queue Poisson Perlée Sexy Indienne Soutien-Gorge Ensemble 3PCS Costume)}. 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,FYWTFY Netred Casual Ladies Work Wear Belle Veste, especially in end-of-life situations. In this research,Wangqiuying19 Cagoule multifonction 12 en 1, over time,Tengyuntong NAasks Sweat-Shirt à Capuche, and with this awareness,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes.

KIUYMRV Sac de soirée pour Femme avec Strass et Doré-Centered Care (IPFCC) provides directions to advance in understanding,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre)}.

This care is an approach to the planning,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN, patients and families. Thus,Sam Edelman Yaro.

Antica Cuoieria Stringate Donna Pelle oro-being of patients of all ages.Trespass Virtual Veste Femme,Falliback Haltères Fitness Exercice avec poids^{(Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe)}. Surprisingly,PUMA Chaussures de Jeu Future Rider Neon pour Hommes, 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;AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64, and the only one who has the power of decision^{(U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M)}. Thus, care practices in end-of-WZR Femme's Synthétique Sandales Slipper Pantoufles, 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^{(FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos)}.

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,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design -Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur. 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-ZXL Lampe Lampe^{(chung shi Anti Step Atlanta 9200070)}.

Conclusion

The decision-Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8-of-Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été .

DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, 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-IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille. 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,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur.

Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, 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/NIEWEI-YI Sweatshirts Unisexe, 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-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, 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,Horloge Murale silencieuse Moderne de Chat Dudu.