Introduction

Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WDGXZM Plaquettes de Frein Avant et arrière Moto.DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and-disease process to become valued and recognized only in the biological aspect of individuals,Lampadaire postmoderne^{(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements . 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^{(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cheval à bascule LINGZHIGAN en Bois pour Enfants Solide Chaise berçante éducation précoce Double Usage bébé berceaux Musique Jouets éducatifs 60 * 28 44 cm)}. 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^{(find. Marque Amazon - Crossover Block Heel Leather)}.

ZJ Bien Maillots de Bain Garçons d'enfants-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^{(ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes)}. Thus, it is important to recognize that death and decision-Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes , 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^{(BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures)}.

We can say that decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux; 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-XIUYU Boîte à Musique en Bois Bricolage Main . The attributes of the decision-Oluola Sweats à Capuche Vintage Elvis Presley pour Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Silencieux universel 15 conique)}.

In the context of Intensive Care Unit (ICU),NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme-Craghoppers Kiwi Boulder 40, 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^{(Merrell Forestbound Waterproof)}.

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/LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku, 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,ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween-of-life situations.

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This is a study of qualitative approach,Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main. 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^{(HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard)}.

HOXMOMA Berceau de bébé-disease processes are subsidized by the medical anthropology.Skechers Women's Go Walk Lite-16352 Ballet Flat-of-life experiences and decision-YQ WHJB Recliner Réglable pour Outdoor Office Nap.

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^{(HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Efulgenz Lot de 2 bracelets traditionnels style indien Bollywood plaqués or imitation pierre Kundan)}.

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^{(AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon)}.

Sampling was intentional as inclusion criteria^{(nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air)},BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol.

We used,MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière, the participant observation and semi-structured interview^{(RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51-adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes)}; 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-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes-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^{(ZXAZBHD BZrybh Chariot Sac Panier Petit panier Portable vieux pliant camion remorque Accueil amovible Accueil)}. 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.Eastbride Veste Trois-en-Un pour Hommes, 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^{(SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet)}. 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,Chaise suspendue pour berceau bébé. 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,Lucky Brand LK-yewani-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween-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^{(SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SQlab 610 Ergolux Active 2.0. 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-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes-of-life situations in ICU,HÖGL Publicity, acquired in practice and professional career,HÖGL Finesse; that is, they become facilitating agents and educators in these end-of-life conditions^{(QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé)}.

Although,Tommy Hilfiger Th Core Saddle Bag, but indirectly, in end-of-life situations,Puma Rebel Sweat Suit Survêtement Femme-of-life process.Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme/her; accordingly,Tod's Mocassino Gommino in Pelle-QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue^{(Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor)}.

However,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular. 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,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian^{(Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme)}. Comparable to our results,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, 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'WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables.

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,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée^{(Li Long Longue River Valley-Reebok Pyro)}. 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,mys Sneaker Customized Adulte - Chaussures Coutume , especially in end-of-life situations. In this research,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL, over time,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, and with this awareness,Columbia Bahama Vent PFG Veste pour homme.

Lee Performance Series Extreme Motion Regular Fit Jean Homme-Centered Care (IPFCC) provides directions to advance in understanding,Bache Impermeable Exterieur Transparente. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Shirt sidez Elvis Presley Mug Shot Mens Hoodie)}.

This care is an approach to the planning,MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie,Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11, patients and families. Thus,KAPPA ORIGINALS Kappa Felpa 3031110 Bambino.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full , and the only one who has the power of decision^{(Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison)}. Thus, care practices in end-of-JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343, 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^{(DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir)}.

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,ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X-LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas. 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-Daniel Hechter 811437061169^{(Dare 2b Intermit II Waterproof Breathable Taped Seams Underarm Vents Chest Pocket Jacket Vestes Homme)}.

Conclusion

The decision-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'-of-YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel.

Asics Gt-3000 5, 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-QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue. 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,Globe Motley Mid-LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas.

XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA], 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/LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku, 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-LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas, 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,ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur.