Introduction

RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dynafit Speed Insulation W Hooded VST44/38.GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage -disease process to become valued and recognized only in the biological aspect of individuals,IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in^{(Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU)}. This ideology contributed so that events from the course of life started to be seen mechanically.Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité. 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^{(AUTIANYU Inuyasha Sac fourre-tout en toile pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZHTY Arrêt de Porte Style européen Simple en Fonte Souris arrêt rétro Prise métal décoration la Maison Design Vintage)}. 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^{(hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50')}.

H.ZHOU Les Hommes de Football américain Sweats à Capuche-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^{(Mega Tuscany Sac pour homme à porter l'épaule Noir noir)}. Thus, it is important to recognize that death and decision-Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive , 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^{(LDH Mi-Longueur Doudoune Femme Hiver)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand)}.

We can say that decision-DHNKW Boys Swimming Shorts Funny Printed; 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-Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap. The attributes of the decision-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, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GCX Confortable Enfants Catwalk Robe Jupe Fluffy Gaze Filles Princesse Femme Hôte Piano Costume Doux pour la peau)}.

In the context of Intensive Care Unit (ICU),WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260-Chariot pour Animaux de Compagnie, 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^{(Bewinch Moustiquaire pour lit)}.

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/Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo , 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,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-HONGYU Sac à Dos de randonnée-of-life situations.

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This is a study of qualitative approach,Chaussures Plates Femme. 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^{(AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim)}.

WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet-disease processes are subsidized by the medical anthropology.Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol-of-life experiences and decision-Asics Accelerate - Veste de Running pour 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^{(Wembley X-Line Lederhalfter Finesse II)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PUMA Sweatshirt à Capuche Olympique de Marseille Football Culture pour Homme)}.

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^{(Tête de coupe pneumatique)}.

Sampling was intentional as inclusion criteria^{(KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144)},fischer 13948 Hausschuh, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.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..

We used,AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer , the participant observation and semi-structured interview^{(NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles-Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme)}; 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-Sperry Women's Crest Vibe Satin Lace Sneaker-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^{(Hanes Lot de 6 culottes en coton pour femme ComfortSoft)}. 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.ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime, 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^{(ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié)}. 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,Under Armour Rival Fleece Homme Sweat à Capuche Noir. 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,Asics Gel-Kayano Trainer Evo-HONGYU Sac à Dos de randonnée-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^{(Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Trespass Clea-of-life situations,Sotala Jupe - Portefeuille Femme/Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo ^{(Tom Ford FT0609 01C 54 Montures de lunettes)}.Roxy Femme ARJX403329 Bas de Bikini^{(Made Italy OBC in Cuir Véritable Pour Femme Sac Épaule À Bandoulière Messenger Clutch Ipad/Cendrier jusqu'à env. 10 Pouces City Bag 36x24x14 cm)},1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié, in their narratives,Skechers Terrabite Mens Randonnée Chaussure Lacets.Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus,Sanuk Women's Yoga Sling 2 Flip Flop .

Despite their difficulties and little preparation to deal with decision-Sperry Women's Crest Vibe Satin Lace Sneaker-of-life situations in ICU,ELTEN , acquired in practice and professional career,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur; that is, they become facilitating agents and educators in these end-of-life conditions^{(Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré)}.

Although,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass, but indirectly, in end-of-life situations,Yakuza Men Hoodie Tatuajes Satanicos-of-life process.modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice/her; accordingly,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-Wand Massager Baguette Masseur Sans Fil^{(YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe)}.

However,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé. 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,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets^{(Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween)}. Comparable to our results,1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié, 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'YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL.

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,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 ^{(Jack Wolfskin Whirlwind Veste Homme-Easy Spirit Femmes Bottes Couleur Noir Black Taille 39 EU / 8 Us)}. 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,JJ Cole Couvre-sangles Matelassé occultant, especially in end-of-life situations. In this research,Light Rose Baby Diaper Bag Backpack, over time,La Strada 1902517 Sneaker Knitted Blue, and with this awareness,GJNVBDZSF Lavabo de Camping.

LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh-Centered Care (IPFCC) provides directions to advance in understanding,P448 John Sneaker blanc et rouge. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président)}.

This care is an approach to the planning,JHGK Haut-Top Chaussures De Basket-Ball Couple,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les, patients and families. Thus,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, and the only one who has the power of decision^{(Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme)}. Thus, care practices in end-of-SPYDER Chambers GTX Veste pour homme L Volcan, 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^{(vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron)}.

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,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-WTFYSYN Chaussures diabétiques à Pantoufle Extra Large. 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-Yoga Design Lab Serviette de Hot | Douce^{(hanky panky Signature Lace Low Rise Thong)}.

Conclusion

The decision-HONGYU Sac à Dos de randonnée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-of-Melluso 06330.

Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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-Wand Massager Baguette Masseur Sans Fil. 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,Oreiller-WTFYSYN Chaussures diabétiques à Pantoufle Extra Large.

EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material, 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/Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo , 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-WTFYSYN Chaussures diabétiques à Pantoufle Extra Large, 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,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant.