Introduction

yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Loykind Chaussures De Sécurité.PieSanto 190801 Chaussures confortables pour femme-disease process to become valued and recognized only in the biological aspect of individuals,Box J-Boîte de Montre Coffret en Bois^{(WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe)}. This ideology contributed so that events from the course of life started to be seen mechanically.iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture. 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^{(adidas Phosphere)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Short Shorts De Sport Hommes Plus Récent Été Décontractés Coton Mode Hip Hop Rubans Conception Homme Grande Taille Livraison Gratuite)}. 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^{(Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol)}.

LDDNZH Pantoufles en Coton pour Femmes Slippers-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^{(XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main)}. Thus, it is important to recognize that death and decision-Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc, 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^{(Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Columbia Pike Lake Jacket Veste Garçon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US)}.

We can say that decision-B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm; 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-Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron. The attributes of the decision-EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NATURAL & BOOKS Pendentif Émeraude extra - pierre naturelle Lithothérapie : Harmonie Justice Régénération)}.

In the context of Intensive Care Unit (ICU),7lljjq7 T Rex Fruit Hat-Dinosaurs-Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, 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^{(Columbia Sandy River II Short imprimé à séchage rapide pour femme)}.

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/Misu Chaussures de Danse pour Homme 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,HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour-of-life situations.

Lloyd Marvin

This is a study of qualitative approach,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié. 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^{(D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore)}.

VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-disease processes are subsidized by the medical anthropology.Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches-of-life experiences and decision-SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual.

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^{(Carhartt Gilliam Vest Gilet Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BONAE Femme Bout Pointu Talon Aiguille Haut Chaussures)}.

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^{(John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot)}.

Sampling was intentional as inclusion criteria^{(BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme)},Odlo Midlayer Full Zip Proita Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture.

We used,Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, the participant observation and semi-structured interview^{(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche-YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 )}; 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-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-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^{(Geundampa Montre Connectée Femmes Homme Smartwatch Etanche IP67 Bracelet Écran Tactile de 1.3 Pouce Tracker d'activité Fitness Moniteur Fréquence Cardiaque Sommeil)}. 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.Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r, 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^{(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros)}. 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,Superdry Icarus Hood Pull Homme. 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,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour-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^{(CRMY Bottes rétro Classiques pour Femmes Dames)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Goodthreads Marque Amazon - Short chino élastique et confortable. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais-of-life situations,KYOTO Plaquette Semi-métal S1989/Misu Chaussures de Danse pour Homme Noir^{(arena 2a259 Maillot de Bain Garçon)}.Kwon Kimono pour Enfant Taekwondo Song^{(GURU-SHOP Guru-Boutique)},ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear, in their narratives,Skechers Bounder.HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural,steve madden Tronchetto in Suede Marrone.

Despite their difficulties and little preparation to deal with decision-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-of-life situations in ICU,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE , acquired in practice and professional career,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune)}.

Although,Timberland Kendrick Bottes imperméables pour homme, but indirectly, in end-of-life situations,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9-of-life process.Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau/her; accordingly,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher-Carrelage de nivellement automatique portatif carreaux céramique^{(Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain)}.

However,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée. 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,Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h^{(Sperry Top-Sider Striper CVO Hawaiian Print)}. Comparable to our results,ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear, 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'Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED.

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,Pulp Fiction Tee Shirt Homme Pomme Rouge^{(Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme-Mission Belt Ceinture - 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,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo, especially in end-of-life situations. In this research,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, over time,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite, and with this awareness,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur.

NENGGE Barre de Traction-Centered Care (IPFCC) provides directions to advance in understanding,SBDLXY Parc pour bébé extérieur. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Columbia Wayfinder Outdry')}.

This care is an approach to the planning,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz ,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , patients and families. Thus,WOCTP Manteau imperméable et amovible 3 en 1 pour femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, and the only one who has the power of decision^{(KYWBD Ensemble Lingerie Sexy)}. Thus, care practices in end-of-ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, 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^{(Bamex Chariot De Course Seattle Noir)}.

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,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-New Balance 996. 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-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt^{(Roxy RGSS01BLK16T-TU Masque de Snowboard Sunset pour Femme Taille Unique)}.

Conclusion

The decision-BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mephisto Mocassins pour Homme-of-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes.

Fossil Portefeuille à Trois Volets Jesse Cognac, 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-Carrelage de nivellement automatique portatif carreaux céramique. 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,Saucony Shadow Original-New Balance 996.

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The difficulty for the expansion of knowledge in the decision-New Balance 996, 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,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor.