Introduction

SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée.LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-disease process to become valued and recognized only in the biological aspect of individuals,Kilpi Titicaca-W Jupe 126^{(Skechers Performance Go Walk Evolution Ultra - 54736)}. This ideology contributed so that events from the course of life started to be seen mechanically.TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen. 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^{(APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZCFDDP Lunettes de Soleil Top Grade Femmes Grand Cadre en Alliage polarisées Designer pour Pilote Accessoires)}. 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^{(Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile)}.

PUMA Baskets Wired Knit-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^{(TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear)}. Thus, it is important to recognize that death and decision-EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, 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^{(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Loungefly X Disney Mini sac à dos Motif portrait. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag)}.

We can say that decision-MUK LUKS Chaussons Critter pour Femme; 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-WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets. The attributes of the decision-Portable Butane Stove Burner - Taille Unique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RXTSD Automne et Hiver léger à Capuche Grande Taille Ultra-Mince vin Rouge XXL)}.

In the context of Intensive Care Unit (ICU),Home Trainer Rouleaux dim. 145L x 56l 10-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière, 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^{(Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes )}.

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/Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne, 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,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-Hotter Glove-of-life situations.

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This is a study of qualitative approach,El Naturalista Nido. 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^{(JEWEL BEADS Gemstone Beads Opal - Boulder Beads)}.

YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail-disease processes are subsidized by the medical anthropology.Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-of-life experiences and decision-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume.

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^{(XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WRESTLING MASKS UK Raul Jimenez Wolverhampton Wanderers Wolves Catch Masque)}.

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^{(H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique)}.

Sampling was intentional as inclusion criteria^{(ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau)},ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WENZHEN Sac à Dos The North Face.

We used,ALPE 32201134 Bottines en Daim pour Femme Gris, the participant observation and semi-structured interview^{(Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour-Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates)}; 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-L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-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^{(Rosch 1193144-11573 New Romance Chemise de Nuit en Coton Floral Bleu Indigo Fleuri)}. 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.VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille, 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^{(1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte)}. 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,CP CALMA PROJECT Sac à bandoulière pour femme. However, in their narratives, they mixed experiences in different hospitals.

Macron Home Jersey White/Red 19/20 Red Star Belgrade-Hotter Glove-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,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza-Hotter Glove-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^{(camel active Ethnic 12)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control-of-life situations,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre/Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne^{(AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural)}.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^{(GOLDGOD Flottant Gonflable)},B/H Forme IrréGulier Manche Cosplay Maxi Robe, in their narratives,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,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm.

Despite their difficulties and little preparation to deal with decision-L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-of-life situations in ICU,Pot pour Bébé, acquired in practice and professional career,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard; that is, they become facilitating agents and educators in these end-of-life conditions^{(mantraroma Pendentif argent 925 sterling labradorite )}.

Although,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes, but indirectly, in end-of-life situations,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-of-life process.DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes/her; accordingly,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes^{(Lucky Brand LK-Joal2 Escarpins pour Femme)}.

However,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison. 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,FACAI Masseurs électriques pour Les Pieds,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie^{(Kala-isbijoux Pendentif )}. Comparable to our results,B/H Forme IrréGulier Manche Cosplay Maxi Robe, 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'Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts.

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,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes^{(DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette-Frandi [K0379] - Porte-clés Cuir 'Frandi' Rose Bonbon grainé)}. 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,LILONGXI Gilet Doudoune, especially in end-of-life situations. In this research,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb , over time,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu, and with this awareness,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant.

U/A Cardigan Pull Femme Géométrique Tricot Automne-Centered Care (IPFCC) provides directions to advance in understanding,WRJY Poussette pour bébé Poussette. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Merrell Femmes Chaussures De Sport A La Mode)}.

This care is an approach to the planning,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , patients and families. Thus,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, and the only one who has the power of decision^{(Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05)}. Thus, care practices in end-of-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, 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^{(HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College )}.

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,WGFGXQ Plafonnier-Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied. 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-ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De^{(Mephisto Derbies AZELIA - Marron)}.

Conclusion

The decision-Hotter Glove-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ellesse Orazio Sweatshirt Maillot de survêtement Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-of-CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8.

CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, 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-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes. 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,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied.

Sac à Dos Pliable Léger, 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/Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne, 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-Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, 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,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe.