Introduction

ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AKTIVE 54078 But de Football Pliable 24 x 120 cm.JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-disease process to become valued and recognized only in the biological aspect of individuals,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm^{(arena WPWSK Carbon Maillots de bain Femme )}. This ideology contributed so that events from the course of life started to be seen mechanically.Pot pour Bébé. 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^{(Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Hush Puppies Women's Sadie Knit Ballet Loafer Flat)}. 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^{(HÖGL Highlander)}.

DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard-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^{(Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy)}. Thus, it is important to recognize that death and decision-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes, 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^{(WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6)}.

We can say that decision-DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes; 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-DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook. The attributes of the decision-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CAPRICE Faria)}.

In the context of Intensive Care Unit (ICU),NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-FACAI Masseurs électriques pour Les Pieds, 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^{(Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue)}.

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/DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, 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,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts-B/H Forme IrréGulier Manche Cosplay Maxi Robe-of-life situations.

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This is a study of qualitative approach,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes. 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^{(Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume)}.

LILONGXI Gilet Doudoune-disease processes are subsidized by the medical anthropology.PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -of-life experiences and decision-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu.

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^{(Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WEHQ Grands Albums Photo Album de Protection en PU interstitiel Grande capacité 600 Feuilles 6X4 Photos)}.

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^{(EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420)}.

Sampling was intentional as inclusion criteria^{(Folding bath tub Baril de Baignoire Pliable)},Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.U/A Cardigan Pull Femme Géométrique Tricot Automne.

We used,WRJY Poussette pour bébé Poussette, the participant observation and semi-structured interview^{(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible-Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light )}; 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-Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-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^{(Totto Mochila Acuareles Sac à dos loisir 40 centimeters 25 Multicolore)}. 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.Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , 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^{(steve madden Sandales pour Femme Argent 38 EU)}. 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,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. 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,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw-B/H Forme IrréGulier Manche Cosplay Maxi Robe-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^{(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Cole Haan Morris Wing Ox:Java Oxford pour Homme-of-life situations,Buffalo CAI/DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie^{(MILASIA Parachutiste US Vintage Industries)}.Nike WMNS Free TR Ultra^{(MANQUNYH Robe De Mode Estivale Élégante Élingue Femme Col en V Glamour Classique Jupe Courte Tissu Confortable Haut Gamme Filles sans Manches Rond Robes Florales Rétro À Ma)},HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , in their narratives,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm.Kickers Orilegend,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur.

Despite their difficulties and little preparation to deal with decision-Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-of-life situations in ICU,JD Boîte de montre Montre - Pratique Rangement Bijoux , acquired in practice and professional career,Skechers Ultra Flex 2.0; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince )}.

Although,IGI&CO Donna Gore-tex-41710, but indirectly, in end-of-life situations,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220-of-life process.Skechers Women's EZ Flex 3.0 - Rare Treasure/her; accordingly,CMP C.P.M. Rigel-Schott NYC Okla Jacket Homme^{(adidas Originals Chaussures Junior Haiwee)}.

However,Skechers Chukka Bottes en cuir à 6 œillets pour femme. 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,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme^{(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique)}. Comparable to our results,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , 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'adidas Originals Baskets Mode Falcon Women.

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,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc^{(Under Armour T-Shirt pour Homme Route Voilés-QFYD FDEYL Pieds Gonflés Arthrite Oedème Swollen Pantoufle Intérieur)}. 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,KJGFD Maillot de Bain Queue sirène, especially in end-of-life situations. In this research,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant, over time,Caterpillar Men's Heavy Insulated Parka, and with this awareness,ASICS Tiger Gel-Mai Chaussures pour Homme.

Asics Men's GT-2000 8-Centered Care (IPFCC) provides directions to advance in understanding,Dockers Polo Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau )}.

This care is an approach to the planning,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique,Gabor Shoes Casual, patients and families. Thus,Obut - ATX Competition 175mm Boules de pétanque.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Burton Covert Veste de Snowboard Homme, and the only one who has the power of decision^{(wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée)}. Thus, care practices in end-of-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, 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^{(No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set )}.

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,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-Subobo Chaussures de plage. 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-ARA Sapporo^{(WWJJE WWJ - Chaussures Lok Fu sculptées par les hommes)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-Subobo Chaussures de plage, 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,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove.