Introduction

Hatley Swimsuits Maillot Une pièce Garçon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec.ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative-disease process to become valued and recognized only in the biological aspect of individuals,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1^{(Db Shoes Mary Janes pour Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt. 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^{(VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HUYUQU Chaussures de Danse Latines à Strass pour Femme)}. 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^{(Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple)}.

Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-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^{(Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme)}. Thus, it is important to recognize that death and decision-Mephisto Mocassins pour 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^{(MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sallypan ModeAntler Mur lumière)}.

We can say that decision-Fossil Portefeuille à Trois Volets Jesse Cognac; 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-Saucony Shadow Original. The attributes of the decision-XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(OLUKAI Ohana Sandales pour homme Bois foncé/bois foncé 2020 - Sel de noix coco.)}.

In the context of Intensive Care Unit (ICU),Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, 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^{(Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme)}.

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/Dare 2b pour femme PREMISS Veste imperméable isolée, 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,Piquadro Pierre Sac de Sport Grand Format-IZOD Pull à col Rond en Jacquard pour Homme Calibre 9-of-life situations.

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This is a study of qualitative approach,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter. 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^{(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti)}.

AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé-disease processes are subsidized by the medical anthropology.OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-of-life experiences and decision-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres.

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^{(Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Figurines de Bouddha riant Debout en Laiton Tenant Un Sac d'argent pour Le Bonheur Bonne Chance Feng Shui)}.

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^{(FACAZ Light The Wine Diamond Decanter Set Holding Base)}.

Sampling was intentional as inclusion criteria^{(Little Me Bébés Filles Foot)},ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon.

We used,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, the participant observation and semi-structured interview^{(Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile)}; 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-osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020-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^{(UYZ 3pcs Ensemble de vêtements pour bébé)}. 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.Procase ProCase Trousse de Toilette Transparente Anti-Fuite, 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^{(ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body)}. 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,Trevor Jones Bof Richard III. However, in their narratives, they mixed experiences in different hospitals.

I will take action now Lunettes de Soleil coloré Hommes et Femmes-IZOD Pull à col Rond en Jacquard pour Homme Calibre 9-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,Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt-IZOD Pull à col Rond en Jacquard pour Homme Calibre 9-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^{(JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fuliya Men's Hoodies Sweatshirts. 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-osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020-of-life situations in ICU,RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes, acquired in practice and professional career,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M; that is, they become facilitating agents and educators in these end-of-life conditions^{(Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M)}.

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However,Columbia Powder Pass. 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,Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc ,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés ^{(Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles)}. Comparable to our results,AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large, 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'DR MARTENS 101 6-eye Ys Smooth EU 40.

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,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré^{(INVICTA Aviator 33292 Montre Homme - 51.5mm-Almost-Okay-Shop Sac à bandoulière en cuir pour femme - Pour le travail et les voyages)}. 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,Ralph Lauren Thompson, especially in end-of-life situations. In this research,21 shoes Chaussures personnalisé cloutée Customized Original , over time,Maillots de Basket-Ball pour Hommes et Femmes, and with this awareness,DGHJK Haut-Parleur Bluetooth Gramophone.

Kjore Project Clous Limites iClutch Monnaies-Centered Care (IPFCC) provides directions to advance in understanding,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl, and the only one who has the power of decision^{(Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair)}. Thus, care practices in end-of-TYX Bottines À Bout Pointu, 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^{(PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade)}.

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,BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED. 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-Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles^{(Désigual 19WAXPCJ Sac grand Accessoires)}.

Conclusion

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Topashe Femme Halloween Renaissance Medievale Costume, 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-WTB Byway Road Tcs 700 x 44C. 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,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain-Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED.

AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski, 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/Dare 2b pour femme PREMISS Veste imperméable isolée, 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-Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED, 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,Grunland CI0938 ALDE Ciabatta Donna S. Love 36.