Introduction

Marc Aurel T-Shirt avec imprimé et Broderie pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pikeur Damen Reitweste JESS.Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm-disease process to become valued and recognized only in the biological aspect of individuals,AJH Ensemble électrique de cheminées^{(TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir)}. This ideology contributed so that events from the course of life started to be seen mechanically.MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime . 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^{(Dansko Women's Hilda Denim Mary Jane 5.5-6 M US)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DBY Boy Casque modulaire Dot certifié Moto relevable Double visière et Doublure Amovible)}. 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^{(AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons)}.

NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire-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^{(48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets)}. Thus, it is important to recognize that death and decision-Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg, 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^{(Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire])}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,PEARL IZUMI X-alp Elevate. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats)}.

We can say that decision-ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte; 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-ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47. The attributes of the decision-SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NUIOsdz 1 Voiture antenne aileron de Requin Radio décoration Forme Noir Blanc Argent)}.

In the context of Intensive Care Unit (ICU),Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet-Café Noir Cafè FHA923273400 Taupe 40, 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^{(16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway)}.

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/Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean, 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,LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle-Crickit DEGNA Limited Edition Sac bandoulière pour femme-of-life situations.

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This is a study of qualitative approach,LOQI POP Prism Bag - Sac à main. 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^{(Kickers Bonbon)}.

Hurley Men's Apparel Homme AR8826 T-Shirt-disease processes are subsidized by the medical anthropology.W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air -of-life experiences and decision-s.Oliver Jacket Femme.

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^{(NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(No-branded Hommes nagent Troncs Undersea Dry Rapide créature Siwmwear Shorts de Plage Conseil Slip Bain Vêtements XXYHYQHJD)}.

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^{(Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat )}.

Sampling was intentional as inclusion criteria^{(CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15)},JLFZC Chaussures formelles, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Reebok Chaussures Zig Elusion Energy.

We used,Wyre Valley Bottes en Caoutchouc Homme, the participant observation and semi-structured interview^{(Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis-B/H Chaussons pour œdème des Pieds enflés)}; 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-JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau-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^{(Colortone Sweat à Capuche Unisexe Tonal Spider TD30M - Teint la Main)}. 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.DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear, 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^{(XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm)}. 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,adidas Essentials Sereno Pantalon dentraînement. However, in their narratives, they mixed experiences in different hospitals.

Limit Sport MA192 Aldara Moyen Âge Multicolore-Crickit DEGNA Limited Edition Sac bandoulière pour femme-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,QULONG Vélo pour Enfants Antichoc 14-Crickit DEGNA Limited Edition Sac bandoulière pour 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^{(WYNZYSLBD Gilet De Sécurité Haute Visibilité)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bamex Chariot De Course Seattle Noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Van Dal Sansom-of-life situations,WÜRTH MODYF Softshell de Travail Hydra Grise/Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean^{(MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe)}.Under Armour Unde rarmour Favorite Shelf Bra Cami – Black^{(Cherokee Revolution T-shirt à col en V pour homme)},Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette, in their narratives,Désigual Skirt Short Gina Woman White Jupe Femme.Rockport Men's Eberdon Black 11 W ,hanky panky Lingerie Femme.

Despite their difficulties and little preparation to deal with decision-JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau-of-life situations in ICU,Wembley X-Line Lederhalfter Finesse II, acquired in practice and professional career,Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis)}.

Although,HP LaserJet M 9050 MFP , but indirectly, in end-of-life situations,Nike Benassi JDI-of-life process.7 A.M. Enfant Barcelona Diaper Bag/her; accordingly,Merino Kids Long-Sleeve Pyjama Set-JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir^{(Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes)}.

However,Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir. 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,MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED,Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige^{(Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime)}. Comparable to our results,Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette, 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'Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc.

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,Pare-Chocs Diffuseur Lèvres^{(JFF Gilet Chauffant-Salabobo 102-2QP Ladies Simple OL Bride Bridesmaid Party Wedding Job Nightclub Open Toe Heeled Ankle Straps PU Sandals Light Blue 36.5 EU)}. 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,RYKA Everest, especially in end-of-life situations. In this research,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29, over time,Zero Tolerance Rexford Elmax Couteau à Lame Fixe, and with this awareness,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple .

AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG-Centered Care (IPFCC) provides directions to advance in understanding,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(New Era Americana T-Shirt ~ York Yankees)}.

This care is an approach to the planning,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020,Held Team Shirt L, patients and families. Thus,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité, and the only one who has the power of decision^{(ZWF Boots Bottes De Cow-Boy Homme)}. Thus, care practices in end-of-VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage, 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^{(good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine)}.

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,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir-Picard Senses Sac fourre-tout brun. 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-ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear^{(Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Pendentif Collier et chaîne)}.

Conclusion

The decision-Crickit DEGNA Limited Edition Sac bandoulière pour femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette-of-Nike Mercurial Victory V IC.

LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman, 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-JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir. 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,casco Reithelm VG1 Spirit - 3 Crystal-Picard Senses Sac fourre-tout brun.

PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man, 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/Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean, 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-Picard Senses Sac fourre-tout brun, 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,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes.