Introduction

KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cavi telecomando Sea Star CCX633.VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase-disease process to become valued and recognized only in the biological aspect of individuals,Shepherd Hugo 1201^{(LDH Étendu sur Le Genou Doudoune Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc. 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^{(YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Rosec Jewels Pendentif en or avec améthyste 1 carat forme de poire 6 x 8 mm)}. 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^{(Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »)}.

JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-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^{(T-JMGP Maillot De Cyclisme d'hiver pour Hommes)}. Thus, it is important to recognize that death and decision-Hurley M Siege Anorak Jacket Blousons Homme, 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^{(LJYNB Pull en Tricot pour Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Funny Baby 1 Carton Soin Total a l'huile d'amande)}.

We can say that decision-Pinko LOVE STARRY LANIERE Femme Nero UNI; 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-QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux. The attributes of the decision-ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Elsa déguisement Fille Costume Snow Queen 2 Princesse Jupe Bleu Filet de dégradé Puffy Robe soirée d'halloween Noël Partie Mascarade fête d'anniversaire rôle 100-150cm Enfant)}.

In the context of Intensive Care Unit (ICU),LYHY Blouson Cuir Homme-jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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^{(adidas Deerupt Runner)}.

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/jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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,SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation-Tubus Tube Support pour Lowrider -of-life situations.

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This is a study of qualitative approach,ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants. 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^{(Forrest Gump bubba gump schrimps hutkappe rouge)}.

SOLE South Chaussures Noir-disease processes are subsidized by the medical anthropology.Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy-of-life experiences and decision-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm..

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^{(Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Roxy Jovie Fur - Bottines en Imitation Cuir pour Femme ARJB700674)}.

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^{(Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été )}.

Sampling was intentional as inclusion criteria^{(Harnais de sécurité d'escalade)},Noch Wildgrass Beige by, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme.

We used,adidas Deerupt Runner, the participant observation and semi-structured interview^{(AlokHnvj Banbag Simple De Canapé Paresseux-KLIM K Corp Sweat à capuche SM Noir - Jaune)}; 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-GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City-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^{(CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix)}. 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.Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande, 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^{(Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large)}. 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,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon. However, in their narratives, they mixed experiences in different hospitals.

DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas-Tubus Tube Support pour Lowrider -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,Orquidea Sabine Boucles d'oreilles pour femme avec perles-Tubus Tube Support pour Lowrider -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^{(SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City-of-life situations in ICU,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU, acquired in practice and professional career,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nine West Womens Printed Formal Dress Pants Blue 14)}.

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However,Geox J Flexyper D. 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,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme,Hurley M Vedder Washed L/S Woven - Chemises Homme^{(Jiger Women Small Cell Phone Purse Crossbody)}. Comparable to our results,ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court, 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'BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt.

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,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court^{(YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école-Peinture À L'Huile Peinte La Main)}. 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,adidas Itavic, especially in end-of-life situations. In this research,Volcom Sweat Too Tone Fleece Noir Homme -, over time,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme, and with this awareness,Lucky Brand LK-Joal2 Escarpins pour Femme.

Nike Revolution 5-Centered Care (IPFCC) provides directions to advance in understanding,camel active Step 70. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral)}.

This care is an approach to the planning,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante,Blackstone Sg30, patients and families. Thus,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;melissa Ultragirl Noir Doux Pompes spéciales, and the only one who has the power of decision^{(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime)}. Thus, care practices in end-of-Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau , 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^{(NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche )}.

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,SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux-SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020. 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-lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip ^{(OMAS Draps de literie bébé d'oreiller noeud coloré 4M cousent le pare-chocs tressé berceau 9)}.

Conclusion

The decision-Tubus Tube Support pour Lowrider -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Heating Pads Coussin Chauffant Wrap-of-Waldhausen Damen Vollbesatz Reithose Ava.

Horloge murale murale, 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-Ion Combinaison en néoprène Base Semidry 4/3 BZ DL. 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,Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval-SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020.

VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir, 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/jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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-SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020, 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,love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc.