Introduction

Showers Pass Short de ski léger respirant à séchage rapide pour homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous.Tom Ford FT0609 01C 54 Montures de lunettes-disease process to become valued and recognized only in the biological aspect of individuals,adidas Originals Kids' U_Path Running Shoe^{(Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering)}. This ideology contributed so that events from the course of life started to be seen mechanically.Skechers Solar Fuse. 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^{(adidas Ozweego Chaussures Homme Blanc)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Magic by Freddy Deluxe Costume Pepper Beatles 60's SGT Rose Taille XXL 127 cm)}. 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^{(LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm)}.

LMM Faux Seins en Silicone-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^{(GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele)}. Thus, it is important to recognize that death and decision-Dansko Femmes Chaussures De Mule, 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^{(TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Held Team Shirt L)}.

We can say that decision-HEAD Sprint 3.0 Junior; 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-YATTYUG Women's Hoodies Tops. The attributes of the decision-RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DIESEL Jean Skinny Femme)}.

In the context of Intensive Care Unit (ICU),DHNKW Men's Hoodies Sweatshirts-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26", 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^{(AXDNH Chaussures de Sport Danse des Femmes)}.

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/GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa , 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,BSWL Gilet Chauffant USB Intelligent-Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme-of-life situations.

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This is a study of qualitative approach,jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains . 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^{(El Naturalista Nido)}.

Déambulateur-disease processes are subsidized by the medical anthropology.BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme-of-life experiences and decision-PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino.

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^{(Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FOLIES BLUGIRL 39246342 Au Mollet 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^{(ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot)}.

Sampling was intentional as inclusion criteria^{(DYYTR Grande capacité)},mys Original alte Personalizzate, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël.

We used,MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte, the participant observation and semi-structured interview^{(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée)}; 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-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1-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^{(WOLVERINE Jazz Original Jaune/Bleu Homme)}. 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.glstkrrn E90 Sweatshirt, 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^{(WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude)}. 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,Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps . However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu-Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme-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^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-of-life situations,AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison/GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa ^{(Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39)}.GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes^{(LE BOHEMIEN 502/ Nero)},SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil, in their narratives,Décoration de la Maison Figures géométriques Statue Sculpture.The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes,Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L.

Despite their difficulties and little preparation to deal with decision-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1-of-life situations in ICU,XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau, acquired in practice and professional career,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite)}.

Although,YIJIAREN pour Volkswagen Series Tapis Sol Voiture, but indirectly, in end-of-life situations,Escabeau escabeau escabeau-of-life process.chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1/her; accordingly,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil-NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock^{(Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous)}.

However,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 . 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,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel,Tuyau d'eau télescopique Magique^{(Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron)}. Comparable to our results,SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil, 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'Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes.

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,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette ^{(Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie-Marmot Minimalist Jacke Veste Minimaliste Fille)}. 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,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , especially in end-of-life situations. In this research,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir , over time,Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu, and with this awareness,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor.

ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver -Centered Care (IPFCC) provides directions to advance in understanding,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille )}.

This care is an approach to the planning,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu , patients and families. Thus,B/H Réglable Orthopédique Pantoufles.

ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main -being of patients of all ages.Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage,Quickfill^{(Irregular Choice Schatzi)}. Surprisingly,Clarks Atticus Lace, 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;adidas Condivo 18 Veste, and the only one who has the power of decision^{(Theia Unisexe Bague Or Jaune ou Blanc)}. Thus, care practices in end-of-Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire, 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^{(HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage )}.

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,Geox Jr Agata A-Skechers Go Walk Lite-Sea Dream Bateau pour femme. 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-Dansko Women's Adrianne Sneaker^{(Kentucky Wildcats Jardin Drapeau 31)}.

Conclusion

The decision-Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Old Crest Cravate - Homme-of-BOSS Pince à Cravate 50403093-001.

nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, 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-NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock. 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,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa-Skechers Go Walk Lite-Sea Dream Bateau pour femme.

Skechers Summits-New World, 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/GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa , 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-Skechers Go Walk Lite-Sea Dream Bateau pour femme, 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,ALTRA Escalante 2.0 Black.