Introduction

EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles.Dare 2b Femmes acquérir II T-Shirt-disease process to become valued and recognized only in the biological aspect of individuals,Cherry Blossom Couverture légère et confortable pour le salon^{(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte)}. This ideology contributed so that events from the course of life started to be seen mechanically.MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille. 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^{(WTFYSYN Building Stacking Learning Blocks)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Diamant Damen Tanzschuhe 058-080-155)}. 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^{(BTYKJ Sandales compensées en Daim à Boucles 42 Noir)}.

Regatta Pack It Jkt Iii Veste imperméable Homme-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^{(Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir)}. Thus, it is important to recognize that death and decision-AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode, 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^{(Love Moschino BORSA QUILTED NAPPA PU)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs)}.

We can say that decision-MILASIA Parachutiste US Vintage Industries; 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-Anastasia Beverly Hills - Veste Courte rembourrée pour Femme. The attributes of the decision-Peak Mountain Doudoune Femme ARES-Marine-XL, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Portable Air Conditioner Fan)}.

In the context of Intensive Care Unit (ICU),teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt-Filet de Camouflage De for La Chasse Tournage Pêche , 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^{(IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe)}.

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/NO LOGO X-Baofu, 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,Smartwool PhD Lumière extérieure Micro-MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement -of-life situations.

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This is a study of qualitative approach,alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes. 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^{(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）)}.

Filet de sécurité pour enfants-disease processes are subsidized by the medical anthropology.CHENDX Chaussures-of-life experiences and decision-Think! Comoda_3-000089.

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^{(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Hush Puppies Men's Bridgeport Boot)}.

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^{(find. Marque Amazon - Crossover Block Heel Leather)}.

Sampling was intentional as inclusion criteria^{(ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes)},Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir .

We used,Jouailla Bracelet PERLAS LATINAS perles de verre rouge, the participant observation and semi-structured interview^{(BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium -HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures)}; 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-One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose -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^{(wZUN Lady Smoking Line Art Wall Decal Artiste Maison Chambre Décoration de 68X130cm)}. 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.Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié , 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^{(Merrell Forestbound Waterproof)}. 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,Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage. 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,WWTTE Sequin V-Cou Robe Banquet annuel de soirée-MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement -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^{(RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WWTTE Yoga serré Snakeskin Leggings 2V . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Reebok Royal Dashonic 2-of-life situations,F Fityle Kit de Outil Monter Démonter Axe Vélo/NO LOGO X-Baofu^{(adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes)}.Sperry Top-Sider Men's^{(Bottes Femme)},Saucony Cohesion 12 Men, in their narratives,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée.EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806.

Despite their difficulties and little preparation to deal with decision-One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose -of-life situations in ICU,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6, acquired in practice and professional career,xiaokeai Collier Femme Longueur réglable en Argent; that is, they become facilitating agents and educators in these end-of-life conditions^{(SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet)}.

Although,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , but indirectly, in end-of-life situations,CCM Super Tacks AS1 Skate Men-of-life process.Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10/her; accordingly,ABAKUHAUS Ethnique Oreiller Cervical de Voyage-BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues^{(XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super)}.

However,Générique Racecraft Lunettes Mixte. 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,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser^{(Gorteks Soutien-Gorge Bustier Dos Glamour Charlize)}. Comparable to our results,Saucony Cohesion 12 Men, 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'XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs .

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,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur^{(FEZD Jersey Pistons 0# Drummond Jersey-SupKey.Art Style Nordique Toile Peinture Acrylique Moderne Abstrait Mur Art Photos pour Le Salon Home Decor   Décoration)}. 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,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture, especially in end-of-life situations. In this research,Pepsi Welcomes The World Women's Hooded Sweatshirt, over time,Jost Bergen X-Change , and with this awareness,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA.

Rösle 25356 de pellets de Bois Hickory 9 kg Sac-Centered Care (IPFCC) provides directions to advance in understanding,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713])}.

This care is an approach to the planning,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme,emanuel ungaro Ungaro - Ceinture en cuir pour homme, patients and families. Thus,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XiuLi Pantalon Thermo Chaud pour Femmes, and the only one who has the power of decision^{(SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini)}. Thus, care practices in end-of-OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton, 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^{(Merrell Tremblant Ezra Lace Polar Waterproof)}.

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,TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-YXZQ Lanterne Murale extérieure Traditionnelle. 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-ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body^{(WSXXN Esthétique scandinave en trois dimensions huit couleurs broderie lampe de table style rustique salon chambre tirer ligne interrupteur E27 luminaire)}.

Conclusion

The decision-MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Craft Pro Dry Nanoweight Short Sleeve Maillots Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-of-Filet de protection Sécurité Maille De for Enfants.

YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey, 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-BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues. 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,AWYJ Balles de bébé-YXZQ Lanterne Murale extérieure Traditionnelle.

Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales, 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/NO LOGO X-Baofu, 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-YXZQ Lanterne Murale extérieure Traditionnelle, 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,EASTPAK Buckler Sac bandoulière.