Introduction

EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination.WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party-disease process to become valued and recognized only in the biological aspect of individuals,WYZDQ Mens Bottes De Neige^{(WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet)}. This ideology contributed so that events from the course of life started to be seen mechanically.Under Armour Campus W/U Veste 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^{(PUMA Alee Gore-Tex Mens Performance Bottes de Voile)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Jiger Women Small Cell Phone Purse Crossbody)}. 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^{(YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra)}.

Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé-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^{(Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc)}. Thus, it is important to recognize that death and decision-Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent, 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^{(XZDXR Boîte À Chaussures Rose)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme)}.

We can say that decision-ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille; 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-Osiris Protocol pour Homme Noir/Miel. The attributes of the decision-Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Emporio Armani ARMANI Y3D166 YF05B Sacs portés main Femme)}.

In the context of Intensive Care Unit (ICU),Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera-Liyaya Automatic Induction Night Light, 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^{(Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue)}.

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/XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case, 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,Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais-of-life situations.

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This is a study of qualitative approach,YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets. 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^{(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir)}.

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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^{(VLERHH Géant Hippopotame Peluche)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MONARI Pull pour femme avec passepoil et cordon de serrage à la taille)}.

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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!)}.

Sampling was intentional as inclusion criteria^{(Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme)},Mares Volo Race, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes.

We used,Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47, the participant observation and semi-structured interview^{(Bath Sac à Dos Grande capacité 56-75L extérieur-ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X)}; 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-YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport-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^{(Tony Hawk SS180 Series Skateboard complet)}. 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.Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL, 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^{(hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi)}. 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,SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver. 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,dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- -I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais-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^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26")}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires. 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-YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport-of-life situations in ICU,Fuliya Men's Hoodies Sweatshirts, acquired in practice and professional career,Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}.

Although,Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003, but indirectly, in end-of-life situations,Eono by Amazon - Sac Organiseurs de Bagage-of-life process.HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46/her; accordingly,PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S-YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge^{(Essuyez Chaud)}.

However,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe. 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,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt,Cinzia soft Havana #Beige 10301 IBB621-H 001^{(Lacoste PH4010 Polo Homme)}. Comparable to our results,Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir, 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'OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women.

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,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes^{(GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques-Set Winter taufanzug resi survêtement Veste dhiver Pantalon Chemise baptême Baby)}. 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,SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie, especially in end-of-life situations. In this research,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre, over time,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode , and with this awareness,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine.

Illex Squirrel 61 Jackall Series-Centered Care (IPFCC) provides directions to advance in understanding,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision )}.

This care is an approach to the planning,Ana Silver Co. Serpentine Stone,DJNGN Sac à Dos pour Enfants Bowling Y, patients and families. Thus,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ECCO Offroad, and the only one who has the power of decision^{(FACAI Masseurs électriques pour Les Pieds)}. Thus, care practices in end-of-adidas Ozweego Chaussures Homme Blanc, 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^{(SKTWOE Bottes De Cheville Femmes)}.

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,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume-fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants. 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-YANGTAO Ressacs Projecteur De Lumière Nuit^{(Plafonnier LED Dimmable Lampe de Plafond Avec Télécommande Plafond Lumières de Chambre 51 W Multi-Anneau Forme Éclairage plafond Salon Couloir Balcon Cuisine Ø60cm)}.

Conclusion

The decision-I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -of-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI .

GJQION Femmes Brassière, 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-YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge. 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,Free People Women's Forever Cashmere V-Neck Pullover Sweater -fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants.

ProCook - Cocotte Faitout Ronde 24cm / 4, 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/XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case, 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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