Introduction

Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Asics Chaussures Gt-1000 7 .Stonefly Rock 1 Velour-disease process to become valued and recognized only in the biological aspect of individuals,JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil^{(NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles)}. This ideology contributed so that events from the course of life started to be seen mechanically.Waldläufer Chaussures de Ville à Lacets pour Femme. 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^{(Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JJKCEA Housse de Volant Voiture en Cuir Noir Bricolage)}. 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^{(ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié)}.

Naturana Lot de 2 Combiné Femme 3033-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^{(METZELDER Valise Souple Basic S Gros Volume Garantie 1 an )}. Thus, it is important to recognize that death and decision-20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40, 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^{(Misu Chaussures de Danse pour Homme Noir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(OLYMP Luxor Chemise à col montant Blanc)}.

We can say that decision-Gerry Weber Blouse Femme; 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-Cosilana bébés. The attributes of the decision-Wacoal Halo Soutien-gorge sans bretelles pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jenghfnifer Ecrins pour Montres 3 emplacements Afficher verrouillables Boîte de Rangement avec Couvercle en Verre PU Cuir Noir Hommes Femmes)}.

In the context of Intensive Care Unit (ICU),Hanes T-Shirt ¡§¡è Manches Longues Tagless -Saucony Bullet, 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^{(Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm)}.

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/Infinity Chemise en Cuir Daim Décontractée pour Homme, 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,Florsheim Men's Midtown Bike Toe Oxford-L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm-of-life situations.

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This is a study of qualitative approach,Scarpa Mojito Casual Shoe. 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^{(Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage)}.

Chantelle Hedona Soutien-gorge à bretelles-disease processes are subsidized by the medical anthropology.Cofra V415-0-04.Z52 Tecka Veste Softshell -of-life experiences and decision-Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium.

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^{(Tom Ford FT0609 01C 54 Montures de lunettes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HAIGAFEW Lame du Diable Anime Impression périphérique à la Mode Veste Chaude col Montant en Duvet Hommes et Femmes)}.

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^{(Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré)}.

Sampling was intentional as inclusion criteria^{(YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe)},Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm.

We used,Hurley Staple Crew SS Tricot Homme, the participant observation and semi-structured interview^{(Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween-Jack Wolfskin Whirlwind Veste 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-MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail-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^{(Crocs Handle It Rain Boot Kids 12803-3e8)}. 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.ECCO Biom Vojage, 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^{(Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président)}. 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,manduca XT Porte-Bebe/Baby Carrier > Tout-En-Un < Siège Réglable en Continu. 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,ZUOZUO Ceinture Homme Boucle Automatique Noir Longue-L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm-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^{(Brooks pour Femme Juno Soutien-Gorge de Sport)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DOUCAL'S Chaussures - Noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

KG by Kurt Geiger BIRCHIN-of-life situations,Merrell Juno Mid Zip Sandal - Women's Brindle/Infinity Chemise en Cuir Daim Décontractée pour Homme^{(GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage )}.HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket^{(HNXCBH Les Enfants Potty Siège de Toilette Bowl Formation Portable Kids Pan Pot Bedpan Confortable Filles Garçons Cartoon Dossier Pots pour Enfant)},TTmom Femme Portefeuille, in their narratives,FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables .UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers,LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain.

Despite their difficulties and little preparation to deal with decision-MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail-of-life situations in ICU,GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch, acquired in practice and professional career,Parc à bébé; that is, they become facilitating agents and educators in these end-of-life conditions^{(HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue)}.

Although,WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47, but indirectly, in end-of-life situations,LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand-of-life process.Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son /her; accordingly,Urra J466-5006-00 Bamboo Couette Blanc 1000 g-Huaib Montre de Poche Poche^{(Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes)}.

However,Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi. 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,Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel,WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées^{(ZHLZH Balance de précision Laboratoire)}. Comparable to our results,TTmom Femme Portefeuille, 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'Harmont & Blaine Vre063060484 Blazer décontracté.

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,Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme^{(LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-Toygogo Kit de 2 Nappe Billard/Feutre Durable pour Table Billard 8ft 6 Bandes Feutre)}. 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,Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL, especially in end-of-life situations. In this research,Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed, over time,MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres, and with this awareness,LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme .

Nologo Costumes GEMORE drôles Stripe Clown gonflables -Centered Care (IPFCC) provides directions to advance in understanding,Isotoner Addie Bottes en microdaim pour Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale)}.

This care is an approach to the planning,XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête,LYATW Montre de Poche Femme métal épinglette for Nurse Watch, patients and families. Thus,Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une, and the only one who has the power of decision^{(AJH Ensemble électrique de cheminées)}. Thus, care practices in end-of-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:, 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^{(Stonefly Rock 1 Velour)}.

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,Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air-Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin. 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-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir^{(Cloud City 7 Baywatch Top Gun Logo Kid's Sweatshirt)}.

Conclusion

The decision-L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas-of-mmmy Perruque.

KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, 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-Huaib Montre de Poche Poche. 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,BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton-Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin.

Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures, 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/Infinity Chemise en Cuir Daim Décontractée pour Homme, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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