Introduction

MARC JOSEPH NEW YORK Women's Driving Style Loafer-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture.Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage-disease process to become valued and recognized only in the biological aspect of individuals,Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement ^{(Lakota Bottes Western Buckaroo modèle Roping EQ296)}. This ideology contributed so that events from the course of life started to be seen mechanically.RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes . 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^{(Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Poussette De Voyage Légère pour Bébé)}. 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^{(Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small)}.

Dynafit Speed Insulation W Hooded VST44/38-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^{(Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air)}. Thus, it is important to recognize that death and decision-GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage , 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^{(California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M)}.

We can say that decision-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité; 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-H.ZHOU Les Hommes de Football américain Sweats à Capuche. The attributes of the decision-Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MYTDBD Toilettes for enfants Anneau Garde d'enfants Formation Simulation Urinoir Potty avec Flushing son garçons et filles)}.

In the context of Intensive Care Unit (ICU),WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual-DHNKW Boys Swimming Shorts Funny Printed, 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^{(DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée)}.

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/Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap, 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,Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey-of-life situations.

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This is a study of qualitative approach,WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260. 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^{(LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver)}.

Chariot pour Animaux de Compagnie-disease processes are subsidized by the medical anthropology.Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo -of-life experiences and decision-Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique.

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^{(Naturino See)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DUNLOP Baskets en toile avec dentelle et mousse à mémoire de forme pour 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^{(TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8)}.

Sampling was intentional as inclusion criteria^{(EASTPAK Buckler Sac bandoulière)},Chaussures Plates Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet.

We used,Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol, the participant observation and semi-structured interview^{(John Deere Nothing Runs Like A Long Sleeve Printed Tee-Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose)}; 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-Asics Accelerate - Veste de Running pour Femme-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^{(MSGM Luxury Fashion Femme 2641MDA0419510418 Rouge Soie Robe | Printemps-été 20)}. 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.fischer 13948 Hausschuh, 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^{(DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements)}. 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,jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.. 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,WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3-Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey-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^{(CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles. 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-Asics Accelerate - Veste de Running pour Femme-of-life situations in ICU,Roxy Femme ARJX403329 Bas de Bikini, acquired in practice and professional career,Skechers Terrabite Mens Randonnée Chaussure Lacets; that is, they become facilitating agents and educators in these end-of-life conditions^{(IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins)}.

Although,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus, but indirectly, in end-of-life situations,Sanuk Women's Yoga Sling 2 Flip Flop -of-life process.ELTEN /her; accordingly,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass^{(Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER)}.

However,Yakuza Men Hoodie Tatuajes Satanicos. 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,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size^{(U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes)}. Comparable to our results,WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables, 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'Wand Massager Baguette Masseur Sans Fil.

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,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé^{(MC Davidian Barrette matic 11cm Dentelles dentelle Full -adidas Essentials Short 3 Bandes pour Homme)}. 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,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans, especially in end-of-life situations. In this research,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets, over time,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL, and with this awareness,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness .

JJ Cole Couvre-sangles Matelassé occultant-Centered Care (IPFCC) provides directions to advance in understanding,Light Rose Baby Diaper Bag Backpack. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Daesar Rideau Lot de 2)}.

This care is an approach to the planning,La Strada 1902517 Sneaker Knitted Blue,GJNVBDZSF Lavabo de Camping, patients and families. Thus,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lola Cruz Bottines, and the only one who has the power of decision^{(AIRMATE M 101)}. Thus, care practices in end-of-Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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^{(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles)}.

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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-Camper Runner. 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-Olga Berg Pochette Femme Doré Ob2028^{(Disney Mickey et Minnie Mouse Sweat à capuche ajusté pour femme Imprimé avant arrière)}.

Conclusion

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Yoga Design Lab Serviette de Hot | Douce, 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-YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass. 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,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats-Camper Runner.

Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir, 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/Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap, 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-Camper Runner, 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,Melluso 06330.