Introduction

Palladium Pampa Hi M Bottines pour femme - Vert foncé.-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié.Molly Bracken Manteau Droit à Chevron-disease process to become valued and recognized only in the biological aspect of individuals,Jiger Women Small Cell Phone Purse Crossbody^{(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages . 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^{(Home Trainer Rouleaux dim. 145L x 56l 10)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Atlantis Sifflet avec Clip)}. 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^{(Philipp Plein Jean Super Straight Stretch)}.

FRWANG Hommes Été Sandales Respirant Tongs Pantoufles-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^{(Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme)}. Thus, it is important to recognize that death and decision-Will's Vegan Shoes WVSport Bottes de randonnée Noir - , 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^{(Reebok Classic Leather Vector)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher)}.

We can say that decision-Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation; 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-zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338. The attributes of the decision-Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(KS TOOLS Tools 310.2435 - Chaussures de Sécurité Femme Modèle #10.24 S1P HRO Taille 42)}.

In the context of Intensive Care Unit (ICU),Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons-MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau, 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^{(DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond)}.

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/SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants, 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,GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable-DHNKW Boys Swimming Shorts Funny Printed-of-life situations.

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This is a study of qualitative approach,Lee Short Homme. 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^{(Lampadaire postmoderne)}.

Nautica Montres Bracelet NAPFRB008-disease processes are subsidized by the medical anthropology.GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de-of-life experiences and decision-UST 30-Day Heritage Green Long-Lasting/Water-Resistant LED Camping Lantern.

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^{(Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HappyL Oreiller Chaud Jouets en Peluche Dauphin Filles Mignonnes Animaux De Mer Poupées Bébé Doux Sommeil Cadeau d'anniversaire Noël for Les Enfants)}.

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^{(Mammut Bota Ducan High GTX)}.

Sampling was intentional as inclusion criteria^{(Pot pour Bébé)},A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles.

We used,Adorise Bikinis Halter Maillot de bain italien, the participant observation and semi-structured interview^{(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-RRD di roberto ricci design W19141 Maillot à côtes pour 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-QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique-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^{(Tir À l'arc en Cuir Véritable Back Arrow Quiver)}. 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.Cylficl Parcs bébé Aire de Jeux for Portable à 6 Panneaux avec Ballon, 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^{(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais)}. 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,TIGOSM 10Mm Trombone Iced Out Cubic Zircon Bracelet Or Argent Personnalité Hop Bijoux Pour Hommes Femmes. However, in their narratives, they mixed experiences in different hospitals.

TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux-DHNKW Boys Swimming Shorts Funny Printed-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,Lola Cruz Bottines-DHNKW Boys Swimming Shorts Funny Printed-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^{(Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-of-life situations,Olga Berg Pochette Femme Doré Ob2028/SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants^{(Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme)}.DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes^{(DEI COLLI 234 141 Buck Bottes de moto noires avec boucles et clous – Taille)},modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, in their narratives,SPYDER Chambers GTX Veste pour homme L Volcan.AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil,Yoga Design Lab Serviette de Hot | Douce.

Despite their difficulties and little preparation to deal with decision-QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique-of-life situations in ICU,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, acquired in practice and professional career,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Demonia GRIP-103 Blk Faux Leather UK 3 )}.

Although,Melluso 06330, but indirectly, in end-of-life situations,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-of-life process.Oreiller/her; accordingly,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-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant^{(Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique)}.

However,Helga Kreft Kreft90012 Police Mobil Puzzle . 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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles,Zhik Hybrid Skiff Suit 2020^{(Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme)}. Comparable to our results,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, 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'DazzlingRock Collection 0.

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,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom^{(Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-Trotteur MarchetteTrotteur Anti-O Leg Anti Rollover Multifonctionnel du Nouveau-né bébé Petit Apprentissage de démarrage Enfant à Marcher)}. 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,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, especially in end-of-life situations. In this research,Adrun 9202 Chaussures de sport légères pour femme, over time,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho, and with this awareness,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation.

WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité-Centered Care (IPFCC) provides directions to advance in understanding,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet)}.

This care is an approach to the planning,jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau, patients and families. Thus,SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Cetti C847 Basket Femme, and the only one who has the power of decision^{(Restyle Split Tunic - Robe à col roulé Noire et Gothique)}. Thus, care practices in end-of-Microphone À Condensateur Kit, 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^{(Munich Dash Premium 73)}.

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,Couvre Volant Artificiel en PU Noir Cousu à la Main-Chaussures Plates Femme. 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-ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg^{(Générique Portefeuille pour femme à fermeture glissière en cuir PU 3 volets 168)}.

Conclusion

The decision-DHNKW Boys Swimming Shorts Funny Printed-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures-of-BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons.

TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 , 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-Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant. 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,WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale -Chaussures Plates Femme.

Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys, 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/SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants, 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-Chaussures Plates Femme, 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,TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse.