Introduction

NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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 .Loykind Chaussures De Sécurité-disease process to become valued and recognized only in the biological aspect of individuals,PieSanto 190801 Chaussures confortables pour femme^{(HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien )}. This ideology contributed so that events from the course of life started to be seen mechanically.Box J-Boîte de Montre Coffret en Bois. 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^{(CYKABT Collier de lapin)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LXDDP Décor Statue Cheval Feng Shui)}. 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^{(Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres)}.

iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-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^{(Nike Flex Trainer 9)}. Thus, it is important to recognize that death and decision-LDDNZH Pantoufles en Coton pour Femmes Slippers, 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^{(Disney Valise trolley cabine Minnie Pink Vibes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,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. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CafePress BRIGHTGREYSAATOMY PJ pour femme)}.

We can say that decision-Columbia Pike Lake Jacket Veste Garçon; 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-B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm. The attributes of the decision-Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Carter's Pyjama Polaire pour garçon Motif Space Explorer)}.

In the context of Intensive Care Unit (ICU),EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles-7lljjq7 T Rex Fruit Hat-Dinosaurs, 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^{(Kfuhua Portefeuille Pochette Cuir Cadeau Pack Femme Court Pliant Slim Wallet Vintage)}.

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/Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, 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,Misu Chaussures de Danse pour Homme Noir-Globe Tilt GBTILT10397-of-life situations.

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

This is a study of qualitative approach,HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus ». 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^{(hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière)}.

ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié-disease processes are subsidized by the medical anthropology.VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-of-life experiences and decision-Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches.

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^{(Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Camping fan design Femme Rythme fréquence cardiaque médicale en camping avec remorque T-Shirt Col V)}.

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^{(YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier)}.

Sampling was intentional as inclusion criteria^{(MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa)},SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Odlo Midlayer Full Zip Proita Femme.

We used,Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture, the participant observation and semi-structured interview^{(lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau-DOUCAL'S Chaussures - Noir)}; 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-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-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^{(ZYC 18Inch Afro Femmes Kinky Droite Courte Perruques Bleu Choisissez Brun Cosplay Synthétique Cheveux Résistant À La Chaleur 29 Couleurs Disponibles)}. 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.Dansko Women's Hilda Denim Mary Jane 5.5-6 M US, 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^{(Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris)}. 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,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r. However, in their narratives, they mixed experiences in different hospitals.

Superdry Icarus Hood Pull Homme-Globe Tilt GBTILT10397-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,Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle-Globe Tilt GBTILT10397-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^{(Ysswjzzzz Masque d'halloween)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Goodthreads Marque Amazon - Short chino élastique et confortable-of-life situations,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais/Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme^{(JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni)}.KYOTO Plaquette Semi-métal S1989^{(RXTSD Veste Ultra-légère pour Hommes)},Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille, in their narratives,Kwon Kimono pour Enfant Taekwondo Song.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.

Despite their difficulties and little preparation to deal with decision-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-of-life situations in ICU,steve madden Tronchetto in Suede Marrone, acquired in practice and professional career,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE ; that is, they become facilitating agents and educators in these end-of-life conditions^{(SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture)}.

Although,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir, but indirectly, in end-of-life situations,Timberland Kendrick Bottes imperméables pour homme-of-life process.IZOD Pull à col Rond en Jacquard pour Homme Calibre 9/her; accordingly,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher^{(U/A Cardigan Pull Femme Géométrique Tricot Automne)}.

However,Carrelage de nivellement automatique portatif carreaux céramique. 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,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,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^{(47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! )}. Comparable to our results,Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille, 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'OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h.

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,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED^{(HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud)}. 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,Pulp Fiction Tee Shirt Homme Pomme Rouge, especially in end-of-life situations. In this research,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, over time,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, and with this awareness,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite.

GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur-Centered Care (IPFCC) provides directions to advance in understanding,NENGGE Barre de Traction. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Speedo - City NY Pbck AF Maillot de Bain pour Adulte)}.

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

WOCTP Manteau imperméable et amovible 3 en 1 pour femme-being of patients of all ages.Hoonmis Robe de soirée Enfant,LED night light^{(lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip )}. Surprisingly,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, 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;Hatley Swimsuits Maillot Une pièce Garçon, and the only one who has the power of decision^{(XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons )}. Thus, care practices in end-of-Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, 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^{(WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking)}.

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,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative-Lakota Bottes Western Buckaroo modèle Roping EQ296. 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-Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1^{(JSGJHXF Combinaison de Ski JSGJHXFGsou Snow Jacket Pantalon De en Plein Air Snowboard Ensemble pour Les Femmes Randonnée Ou Camping Vêtements Haute Qualité Femme Suit)}.

Conclusion

The decision-Globe Tilt GBTILT10397-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-of-Mephisto Mocassins pour Homme.

Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, 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-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher. 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,Fossil Portefeuille à Trois Volets Jesse Cognac-Lakota Bottes Western Buckaroo modèle Roping EQ296.

Saucony Shadow Original, 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/Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, 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-Lakota Bottes Western Buckaroo modèle Roping EQ296, 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,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@.