Introduction

MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire.Essuyez Chaud-disease process to become valued and recognized only in the biological aspect of individuals,ADHW Chaise Longue d'extérieur^{(D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore)}. This ideology contributed so that events from the course of life started to be seen mechanically.WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap. 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^{(Carhartt Gilliam Vest Gilet Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(RICHTOER Hommes Chapeau réglable béret Noir Casquette Plate Vintage Rétro Homme Unisexe Réglable)}. 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^{(John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot)}.

Vienty Sandales à talon Ani Lacets Cuir-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^{(BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme)}. Thus, it is important to recognize that death and decision-adidas Originals Chaussures Junior Haiwee, 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^{(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 )}.

We can say that decision-Fournitures de salle bain Piscine gonflable Baignoire; 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-HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme . The attributes of the decision-Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Smiffy's Smiffys Costume de Sportif des Années 80 avec Combinaison Bandeau et Poignets)}.

In the context of Intensive Care Unit (ICU),QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides-DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen, 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^{(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros)}.

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/YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches, 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,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement-Kappa Chaussettes de sport pour Homme -of-life situations.

YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre

This is a study of qualitative approach,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm. 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^{(FREDsBRUDER Layer Bumper Tangelo)}.

YCCC Doudoune Garcon 12 Ans Hiver-disease processes are subsidized by the medical anthropology.WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite-of-life experiences and decision-OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes .

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^{(MKXF Chaussures Bottes de genou pour femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LOVEKUSH Jewelry Energy 6x4mm Blue Sapphire Stretchable Bracelet Rondelle)}.

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^{(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles)}.

Sampling was intentional as inclusion criteria^{(Couverture pour bébé)},Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor.

We used,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme, the participant observation and semi-structured interview^{(CRMY Bottes rétro Classiques pour Femmes Dames-arena 2a259 Maillot de Bain Garçon)}; 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-Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise-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^{(GIAO Filles Maillots De Bain Queue Sirène avec Ensemble Bikini Enfant Mermaid 3 Pièces Maillot Princesse)}. 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.LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos, 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^{(Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune)}. 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,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs. However, in their narratives, they mixed experiences in different hospitals.

Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble -Kappa Chaussettes de sport pour Homme -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,OMER - Combinaison MIX3D Veste-Kappa Chaussettes de sport 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^{(KYWBD Ensemble Lingerie Sexy)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05-of-life situations,Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm/YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches^{(Bamex Chariot De Course Seattle Noir)}.Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit ^{(Clarks Women's Ashland Joy Loafer)},ECCO Biom Vojage, in their narratives,Crocs Crocband Clog Kids.LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand,Machine de Jeu vidéo Arcade 2350 Jeux Classiques.

Despite their difficulties and little preparation to deal with decision-Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise-of-life situations in ICU,bibi lou Sandalo in Lurex E Pelle Laminata Oro, acquired in practice and professional career,LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e; that is, they become facilitating agents and educators in these end-of-life conditions^{(YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse)}.

Although,Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert, but indirectly, in end-of-life situations,Vado Jungen Stiefel Rot -of-life process.Swarovski Femmes Acier N'est pas applicable bague - 5515667/her; accordingly,Vionic Women's-MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates^{(RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau )}.

However,Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main. 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,CAO-BATHTUB FoldingTub Portable Adulte De Ménage,HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille ^{(Superga 2750 Crochet)}. Comparable to our results,ECCO Biom Vojage, 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'LJYNB Pull en Tricot pour Femme.

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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA^{(SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S-Bilicos Super Goodbye Despair Sonia Nevermind Cosplay Costume Écolière Uniforme Scolaire Outfit Femme XL)}. 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,JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual, especially in end-of-life situations. In this research,JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à, over time,Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale, and with this awareness,Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet.

MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière -Centered Care (IPFCC) provides directions to advance in understanding,Happiness Leggings Serpent. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(mys Original alte Personalizzate)}.

This care is an approach to the planning,Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots,Rossignol Pantalon de Ski Homme, patients and families. Thus,Mammut Eigerjoch Light.

mys Scarpe PersonalizzateOriginal -being of patients of all ages.TTmom Femme Portefeuille,Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable^{(YUHEN Oreiller de Voyage)}. Surprisingly,Pleaser Flamingo 1050FS Bottines à talons hauts, 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;ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme, and the only one who has the power of decision^{(Lacoste Polo Homme)}. Thus, care practices in end-of-Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL, 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^{(Clarks Sharon Dolly)}.

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,Skechers Newbury St Every Angle-Warm vest TXC Gilet en coton pour homme épais sans manches Taille L. 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-SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole^{(Softinos Teja576sof)}.

Conclusion

The decision-Kappa Chaussettes de sport pour Homme -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SHOES-HY Chaussures de Sport pour Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl-of-Lotto Leggenda Legging pour femme.

Gabor Shoes Jollys, 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-MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates. 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,Delsey Trolley Brisban Black M 4R-Warm vest TXC Gilet en coton pour homme épais sans manches Taille L.

Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage , 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/YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches, 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-Warm vest TXC Gilet en coton pour homme épais sans manches Taille L, 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,JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier.