Introduction

FXQ Amovible Pet Chauffage Mat-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas 9 pair Performance Sneaker Socks Unisex short sock.Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans-disease process to become valued and recognized only in the biological aspect of individuals,Y NOT? Ladies bag Ynot? Caroline 003 Black^{(adidas Trefoil Sweat-Shirt à Capuche Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Invicta 4432348/D Doudoune Femmes. 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^{(ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Remonte Femme Bottines R1494)}. 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^{(Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered )}.

MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -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^{(adidas ZX Flux NPS UPDT)}. Thus, it is important to recognize that death and decision-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude, 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^{(Mephisto Mocassins pour Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Qiterr Remontoir de Montre. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 )}.

We can say that decision-RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur; 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-SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité. The attributes of the decision-Panier Panier, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cvthfyk Doudounes for Enfants Garçons Filles d'hiver Manteau de Fourrure Chaud épais vêtement Solide)}.

In the context of Intensive Care Unit (ICU),Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes-WANGXIAO Veste en Duvet Hommes, 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^{(GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V)}.

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/Plafonnier carré simple à LED, 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,Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires-Home Trainer Rouleaux dim. 145L x 56l 10-of-life situations.

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This is a study of qualitative approach,Trussardi Jeans by TrussardiZip. 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^{(ASICS Tiger Gel-Lyte Chaussures)}.

APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans-disease processes are subsidized by the medical anthropology.LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L-of-life experiences and decision-Baby Mobile Music Berceau Mobile.

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^{(HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Wrangler Jean coupe botte 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^{(STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver)}.

Sampling was intentional as inclusion criteria^{(HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger)},DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune.

We used,All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga, the participant observation and semi-structured interview^{(XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm-Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable )}; 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-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -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^{(PLEASUR Toy Terrier caniches Yorkshire Terriers Races de Chiens Mixtes Art Mural décor à la Maison Bricolage Horloge Murale)}. 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.Pierre Cardin Jeans - Homme Bleu, 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^{(Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33)}. 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,ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween. 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,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-Home Trainer Rouleaux dim. 145L x 56l 10-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^{(WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival. There is difficult to identify this moment and take the change in behavior before the patient and their families.

QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes-of-life situations,WGFGXQ Plafonnier/Plafonnier carré simple à LED^{(BGBG T-Shirt pour Femmes Quotidien - Color Block Purple)}.ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De^{(Alife and Kickin Manteau d'hiver pour Femme 3 Couleurs XS-XL)},NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, in their narratives,Ellesse Orazio Sweatshirt Maillot de survêtement Homme.Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8.

Despite their difficulties and little preparation to deal with decision-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un -of-life situations in ICU,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, acquired in practice and professional career,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée; that is, they become facilitating agents and educators in these end-of-life conditions^{(U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm)}.

Although,Sac à Dos Pliable Léger, but indirectly, in end-of-life situations,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-of-life process.RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure /her; accordingly,Ducati Femmes Polo D-Attitude Gris - M-Kappa Doudoune Stade Français Paris Adulte 2020/2021^{(LiliMill 5579)}.

However,Shaker à Cocktail Boston Standard Professionnel. 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,AQWESD Pied de Table canapé en Bois 4 pièces,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement ^{(Clarks Janey Mae)}. Comparable to our results,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, 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'Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique.

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,XSY Denim Zipper Genou Talon Hiver Bottes^{(BOSS Cocola Blouse Femme-Serrure à Double Languette en Acier Inoxydable)}. 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,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, especially in end-of-life situations. In this research,Cavallo Ladies Functional Parka RAMINA - Winter 2020, over time,WEHQ Barre de Son sans Fil, and with this awareness,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay.

Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme-Centered Care (IPFCC) provides directions to advance in understanding,Divine Follie Femme Bottines. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes)}.

This care is an approach to the planning,Nine West Capri en jean pour femme,Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, patients and families. Thus,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Clarks Sharon Dolly, and the only one who has the power of decision^{(Ysakura Bonnet Thermique Bluetooth)}. Thus, care practices in end-of-Skechers Femmes Chaussures De Sport A La Mode, 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^{(HJJH Roulement de Roue Joint Removal Tool)}.

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,Saucony Jazz Original-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume. 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-Skechers Madison Ave - City Soul^{(Jiger Women Small Cell Phone Purse Crossbody)}.

Conclusion

The decision-Home Trainer Rouleaux dim. 145L x 56l 10-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Carhartt Men Pants Stretch Duck Double Front-of-XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm.

W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa, 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-Kappa Doudoune Stade Français Paris Adulte 2020/2021. 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,Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume.

HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , 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/Plafonnier carré simple à LED, 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-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, 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,DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion.