Introduction

SageBrown Small Zip Around Accordion Coin Purse-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg.LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-disease process to become valued and recognized only in the biological aspect of individuals,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46^{(SILOLA Figurine Statuette Sculptures Bouddha)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Terrex Eastrail. 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^{(LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Waldhausen Reithose Micro Sport Silikon Herren)}. 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^{(Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce)}.

Clarks Sandales Step Cali Sand pour Femmes-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^{(Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy)}. Thus, it is important to recognize that death and decision-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants , 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^{(GURU-SHOP Guru-Boutique)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme)}.

We can say that decision-DZWYM Chaussure De Securité Homme Légères; 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-adidas JB A AAC Ft Pt Pantalon Fille. The attributes of the decision-Hoonmis Robe de soirée Enfant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(EL POTRO 2359 - Sac porté épaule en cuir flottant pour femme)}.

In the context of Intensive Care Unit (ICU),Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat , 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^{(QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique)}.

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/PUMA Style Rider Ride on, 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,LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur-YZT QUEEN Bottes Cuissardes Femmes-of-life situations.

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This is a study of qualitative approach,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales. 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^{(Asics Gt-3000 5)}.

Moulinets de pêche-disease processes are subsidized by the medical anthropology.Porte-Serviettes Chauffant Intelligent-of-life experiences and decision-Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered .

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^{(ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SUIWO Pliantes Tables de Table Portable Camping en Plein air Ultra léger Transport Pratique Pêche Montagne Escalade Festival d'été Feu d'artifice)}.

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^{(Brax Pantalon Femme)}.

Sampling was intentional as inclusion criteria^{(The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga)},GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .

We used,IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes, the participant observation and semi-structured interview^{(QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes-YONGQUAN Barrière en métal Blanc)}; 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-LGLE Pyjama en satin à manches longues pour homme-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^{(YANGTAO Nubuck Sandales Plates)}. 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.Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit, 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^{(CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen)}. 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,LILONGXI Tapis. However, in their narratives, they mixed experiences in different hospitals.

SYue Miroir de Maquillage Mural-YZT QUEEN Bottes Cuissardes Femmes-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,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /-YZT QUEEN Bottes Cuissardes Femmes-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^{(Nologo Costumes GEMORE drôles Stripe Clown gonflables )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Brooks Mazama 2-of-life situations,Skechers Go Walk Lite - Rise/PUMA Style Rider Ride on^{(W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa)}.adidas Dragon OG^{(Borges & Scott B&S Premium Doyle - Chapeau Fedora 100% Feutre de Laine Pliable pour partir en Voyage Résistant à l'eau Unisexe)},Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique, in their narratives,PUMA Sneaker Smash WNS Perf Métallique pour femme.Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E.

Despite their difficulties and little preparation to deal with decision-LGLE Pyjama en satin à manches longues pour homme-of-life situations in ICU,puseky Barboteuse - 0 à 24 mois Pour bébé , acquired in practice and professional career,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100; that is, they become facilitating agents and educators in these end-of-life conditions^{(Interprète Intelligent Voice Translator Portable Instantanée en Temps Réel Langue Traducteur Bluetooth Voicetranslator)}.

Although,DKNY Homme DMMDO4HT Manteaux en Laine, but indirectly, in end-of-life situations,Fergalicious Jolene-of-life process.Merrell Forestbound Waterproof/her; accordingly,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon-AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0^{(MARC JOSEPH NEW YORK Women's Driving Style Loafer)}.

However,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads. 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,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure,überleben Coppa leggera in Legno Con moschettone Backpacking^{(Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau)}. Comparable to our results,Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique, 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'Kipling 100 Pens Organiseur de Sac à Main.

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,Lacrosse Women's Aero Timber 10^{(Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques-YGBH Cyclisme Jersey Hommes Costume Summer Shorts Courroie Respirable 4D Gel Coussin MTB Short Sleeve Bicycle Jacket Sweatshirt Vêtements Mouvement Tops Shirt)}. 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,YQ QY Chaussons Description du produitpointureTableau des Tailles , especially in end-of-life situations. In this research,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, over time,EXTON 246 Sneakers Man, and with this awareness,LLNB Zip Veste À Capuche.

CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir -Centered Care (IPFCC) provides directions to advance in understanding,Lora di Collier Indi Celebrate. court. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Hush Puppies H18800)}.

This care is an approach to the planning,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper, patients and families. Thus,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches .

Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes-being of patients of all ages.LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux^{(ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12)}. Surprisingly,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , 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;Tamaris Femme Chaussures à Lacets, and the only one who has the power of decision^{(RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard)}. Thus, care practices in end-of-HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, 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^{(AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer )}.

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,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme. 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-Joules Golightly Imperméable Femme^{(NASDIZL  Housse de Volant Voiture en Cuir Cousue à la Main)}.

Conclusion

The decision-YZT QUEEN Bottes Cuissardes Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MZSG LED Loft Vintage Applique-of-SXHNNYJ Garniture de poignée Porte extérieure Voiture.

CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23, 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-AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0. 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,PUMA Roma Anniversario-HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme.

Reqins ILAN Lycra - Training Lacet Noir, 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/PUMA Style Rider Ride on, 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-HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme, 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,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre.