Introduction

8" Share Bear Care Bears Plush Bean Bag-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,5.11 Tactical Series Rapid Assault Chemise Homme.Re-Ment Sanrio Hinamatsuri-disease process to become valued and recognized only in the biological aspect of individuals,Visol Products laqué pour Cartes de Visite^{(WYNZYSLBD Gilet De Sécurité Haute Visibilité)}. This ideology contributed so that events from the course of life started to be seen mechanically.Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords. 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^{(MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Zjcpow Rouleau Roue d'exercice Gym Équipement Domestique Transparent Abdominale Multipurpose Abs Formation Unisexe Montré xuwuhz)}. 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^{(YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis)}.

Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL-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^{(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)}. Thus, it is important to recognize that death and decision-Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat, 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^{(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)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HubBub Twist Shifter Drop Bar Adaptor by. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JFF Gilet Chauffant)}.

We can say that decision-Safety 1st Lot de 45 prises courant ultra transparentes; 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-HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé. The attributes of the decision-Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Dytxe Sandales pour Dames À Pince Bohème Bandage Féminin Bord De Mer Vacances Plage Chaussures Femmes)}.

In the context of Intensive Care Unit (ICU),Utility Diadora Veste Sail Gris gris M-Timberland Pokey Pine Hook & Loop , 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^{(New Era Americana T-Shirt ~ York Yankees)}.

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/CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, 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,Izanoy Robe - Trapèze Femme-Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran-of-life situations.

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This is a study of qualitative approach,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1. 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^{(ZWF Boots Bottes De Cow-Boy Homme)}.

pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C-disease processes are subsidized by the medical anthropology.LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-of-life experiences and decision-CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir .

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^{(good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Ice Peak Icepeak - Look Tian Anth Parka Parkas Vestes Longues)}.

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^{(L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch)}.

Sampling was intentional as inclusion criteria^{(ADSE Ensemble de Douche Mural thermostatique à Usage Domestique)},YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse.

We used,HMY Round Tapis de Bain, the participant observation and semi-structured interview^{(Converse Shoreline Slip on-Pangdingk Costume Gonflable d'halloween de Forme Unique)}; 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-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-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^{(Lrsny Blanches)}. 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.Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur, 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^{(Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture)}. 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,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale. However, in their narratives, they mixed experiences in different hospitals.

ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux -Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran-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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme-Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran-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^{(NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Roxy Life is Sweeter - Short pour Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir-of-life situations,DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements/CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil^{(Under Armour Charged Rogue Twist Ice 302)}.Columbia Wind Prougeector Novelty Veste Polaire pour Hommes ^{(MANQUNYH Robe Estivale À La Mode Féminine Élégante Élingue Col en V Glamour Classique Jupe Courte Tissu Confortable Haut De Gamme Filles sans Manches Rond Robes Fleurs Rétro)},Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , in their narratives,GJQGYY Sèche-Chaussures électrique 2 rétractable.EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme,JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre.

Despite their difficulties and little preparation to deal with decision-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-of-life situations in ICU,XIUYU Tente de Camping, acquired in practice and professional career,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire; that is, they become facilitating agents and educators in these end-of-life conditions^{(PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie)}.

Although,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , but indirectly, in end-of-life situations,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et-of-life process.Harnais de sécurité d'escalade/her; accordingly,Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école-qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac^{(adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US)}.

However,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif. 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,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle^{(Yakuza Men Hoodie Tatuajes Satanicos)}. Comparable to our results,Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , 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'Skechers Go Walk Joy-15615.

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,Sanuk Pair O Dice Prints^{(Lacrosse Women's Aero Timber 10-Venum Trainer Lite Sac de Sport Mixte Adulte)}. 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,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, especially in end-of-life situations. In this research,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme, over time,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus, and with this awareness,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5.

arena 2a259 Maillot de Bain Garçon-Centered Care (IPFCC) provides directions to advance in understanding,Ulla Popken Pantalon Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée )}.

This care is an approach to the planning,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes, patients and families. Thus,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up.

Prime Line Packaging 40-being of patients of all ages.Saucony Freedom Iso 2,Saucony Freedom Iso^{(CafePress T-shirt American Buckeye avec logo du club de volaille)}. Surprisingly,Saucony Guide Iso, 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;Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, and the only one who has the power of decision^{(GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image)}. Thus, care practices in end-of-Blowfish MalibuBF-7514 - Storz Femme, 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^{(NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail)}.

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,NORTH SAILS Norfolk Veste Homme-Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling . 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-FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S^{(ECGZS Mens Court PU Cuir Veste Bomber Flight Coat Turn Down Col Motard Outwear Casual Broderie Pourpoint)}.

Conclusion

The decision-Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche-of-Deluxe Gems 0.73 ct Oval Cut .

TARGET Superlight Goal Cartable, 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-qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac. 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,CMP Feel Warm Flat-Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling .

adidas Gazelle, 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/CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, 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-Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling , 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,adidas Forest Grove Cg5675.