Introduction

LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nologo Costumes GEMORE drôles Stripe Clown gonflables .Isotoner Addie Bottes en microdaim pour Femme-disease process to become valued and recognized only in the biological aspect of individuals,XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête^{(YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020)}. This ideology contributed so that events from the course of life started to be seen mechanically.LYATW Montre de Poche Femme métal épinglette for Nurse Watch. 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^{(Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Joyara Bague Femme 14 ct Or Jaune Diamants 0.9 Noir Éternité Chevron)}. 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^{(fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants)}.

Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert-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^{(Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /)}. Thus, it is important to recognize that death and decision-57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard, 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^{(YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Buffalo CAI)}.

We can say that decision-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween; 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-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual. The attributes of the decision-AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Twinset Milano Twin Set - Amphibier Noir CA8PKY AI1819)}.

In the context of Intensive Care Unit (ICU),Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:-Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air, 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^{(qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris)}.

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/AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir, 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,YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-KG by Kurt Geiger BIRCHIN-of-life situations.

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This is a study of qualitative approach,LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas. 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^{(JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG )}.

mmmy Perruque-disease processes are subsidized by the medical anthropology.KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144-of-life experiences and decision-BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton.

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^{(Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Men's shoes Chaussures de Travail Sécurité Légères pour Hommes Et Femmes)}.

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^{(ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear)}.

Sampling was intentional as inclusion criteria^{(Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc)},Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme.

We used,New Balance Roav V1 Fresh Foam, the participant observation and semi-structured interview^{(FRYE Robin Feather Criss Sandale plate pour femme-RICOSTA Fille Sandales à lanières ANA 7020900)}; 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-ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage-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^{(LEIGAGA Pendentif 108 Chapelet 8mm Perles Bracelet Naturel Pierre De Cristal Rose 7 Chakra Yoga pour Les Femmes Méditation)}. 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.jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert., 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^{(Guess Marciano 0BG3149370Z Doudoune pour Femme)}. 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,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages. 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,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers-KG by Kurt Geiger BIRCHIN-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^{(EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia Drainmaker 3D'. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage-of-life situations in ICU,Panama Jack Tania, acquired in practice and professional career,Naf Robe Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Skechers Bounder)}.

Although,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc, but indirectly, in end-of-life situations,Columbia Garçon Veste Isolée-of-life process.Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell/her; accordingly,Converse Chuck Taylor All Star Core Lea Hi-Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF^{(Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera)}.

However,Columbia Wayfinder Outdry'. 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,Hush Puppies Men's Advice Pt Derby Oxford,Mizuno Wave Fang SL Chaussure Sport en Salle^{(Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique)}. Comparable to our results,Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux, 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'Nike Court Borough Mid .

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,Mephisto Rainbow Chestnut Mens Shoes^{(Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-ZCR Freeline Skate Drift Adulte extérieur dérivantes Skateboards)}. 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,Clarks Janey Mae, especially in end-of-life situations. In this research,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087, over time,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir, and with this awareness,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot.

Marc Shoes London-Centered Care (IPFCC) provides directions to advance in understanding,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Converse Chuck Taylor All Star Homme Vintage Leather Hi)}.

This care is an approach to the planning,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde, patients and families. Thus,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ASICS Tiger Gel-Lyte Chaussures, and the only one who has the power of decision^{(Pandora Femme Argent Boutons d'oreilles - 290721CZ)}. Thus, care practices in end-of-Leg Avenue Spooky Board Beauty Adult Sized Costumes, 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^{(American Tourister Soundbox Spinner Extensible)}.

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,GIOSEPPO Oulu-Parc à bébé. 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-Rocket Dog Sadea^{(H K Mandel Pantalon Homme Chino en Tissu Bleu foncé avec Plis Microfibre Coupe Extra Large des Jambes Modèle Boogie)}.

Conclusion

The decision-KG by Kurt Geiger BIRCHIN-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HÖGL Publicity, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HÖGL Finesse-of-Tommy Hilfiger Th Core Saddle Bag.

Puma Rebel Sweat Suit Survêtement Femme, 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-Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF. 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,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme-Parc à bébé.

Tod's Mocassino Gommino in Pelle, 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/AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir, 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-Parc à bébé, 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,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue.