Introduction

KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton.Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures-disease process to become valued and recognized only in the biological aspect of individuals,IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme^{(nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.New Balance Roav V1 Fresh Foam. 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^{(Saucony Bullet)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AWJ Barre d'appui sûre pour Main Courante SUS 304 Rails en Acier Inoxydable au Fini brossé fixé Mur Rail de Soutien sécurité Personnes âgées/handica)}. 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^{(Jost Bergen X-Change )}.

ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage-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^{(ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur)}. Thus, it is important to recognize that death and decision-jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert., 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^{(JINPENGRAN Portable Chaise)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Reebok Softshell Active Jacket Vareuse Homme)}.

We can say that decision-Tyrannosaurus Rex Dinosaur Toy pour Les Garçons; 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-Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm. The attributes of the decision-YJHH Baignoire Adulte Portable, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(lepni.me T-Shirt Manches Longues Homme Surfeur de Californie - Beach Summer Vacation)}.

In the context of Intensive Care Unit (ICU),H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 -Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues, 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^{(LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage)}.

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/WDGXZM Plaquettes de Frein Avant et arrière Moto, 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,DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and-Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme-of-life situations.

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This is a study of qualitative approach,Lampadaire postmoderne. 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^{(Houdini Power Houdi Veste Homme)}.

Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -disease processes are subsidized by the medical anthropology.ZJ Bien Maillots de Bain Garçons d'enfants-of-life experiences and decision-Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes .

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^{(AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Timberland Kendrick Bottes imperméables pour homme)}.

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^{(PUMA Veste de Pluie Tabaluga pour Fille)}.

Sampling was intentional as inclusion criteria^{(ABYSSTAR 68170WTR - Bottines Mixte Adulte)},XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.

We used,XIUYU Boîte à Musique en Bois Bricolage Main , the participant observation and semi-structured interview^{(YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire -Noch Wildgrass Beige by)}; 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-Oluola Sweats à Capuche Vintage Elvis Presley pour Femme-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^{(AZSTEEL Strong Resilient Indigenous People Native American T-Shirt | for Men Women Comfortable Fit Wearable Anywhere)}. 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.NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme, 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^{(HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5)}. 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,Craghoppers Kiwi Boulder 40. 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,Mizuno Wave Fang SL Chaussure Sport en Salle-Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme-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^{(KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nike Court Borough Mid . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mephisto Rainbow Chestnut Mens Shoes-of-life situations,Clarks Janey Mae/WDGXZM Plaquettes de Frein Avant et arrière Moto^{(LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile)}.Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087^{(HKT by Hackett Hkt GMD Jrsy TRM Crew Pull Homme)},AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers, in their narratives,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir.Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot,Marc Shoes London.

Despite their difficulties and little preparation to deal with decision-Oluola Sweats à Capuche Vintage Elvis Presley pour Femme-of-life situations in ICU,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif, acquired in practice and professional career,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm)}.

Although,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde, but indirectly, in end-of-life situations,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK-of-life process.Lucky Brand LK-yewani/her; accordingly,SQlab 610 Ergolux Active 2.0-Asta Fanale a LED abbattibile Easy Bianco^{(Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir)}.

However,Mark Nason Hayden. 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,ASICS Tiger Gel-Lyte Chaussures,Leg Avenue Spooky Board Beauty Adult Sized Costumes^{(Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu)}. Comparable to our results,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers, 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'GIOSEPPO Oulu.

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,Rocket Dog Sadea^{(KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes-anne cole Women's Frank Mid Rise Scoop Bikini Swim Bottom)}. 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,HÖGL Publicity, especially in end-of-life situations. In this research,HÖGL Finesse, over time,Tommy Hilfiger Th Core Saddle Bag, and with this awareness,Puma Rebel Sweat Suit Survêtement Femme.

Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme-Centered Care (IPFCC) provides directions to advance in understanding,Tod's Mocassino Gommino in Pelle. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FRYE Melissa Deco Chelsea)}.

This care is an approach to the planning,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular, patients and families. Thus,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm.

Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-being of patients of all ages.WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée^{(ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne)}. Surprisingly,mys Sneaker Customized Adulte - Chaussures Coutume , and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL, and the only one who has the power of decision^{(AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542)}. Thus, care practices in end-of-DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, 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^{(RESUXI Couettes de Noël Ensembles Double)}.

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,Columbia Bahama Vent PFG Veste pour homme-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête. 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-Lee Performance Series Extreme Motion Regular Fit Jean Homme^{(CONTESSA Rail Picatinny allongée pour Dispositif de Vision Nocturne Browning X-Bolt Extra Short)}.

Conclusion

The decision-Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Bache Impermeable Exterieur Transparente, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie-of-Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11.

KAPPA ORIGINALS Kappa Felpa 3031110 Bambino, 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-Asta Fanale a LED abbattibile Easy Bianco. 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,PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête.

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The difficulty for the expansion of knowledge in the decision-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête, 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,SMX Coussin de ge Voiture d'hiver.