Introduction

FSA SL-K Carbon Tige de Selle Mixte-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard.Cult – Bottes de sécurité # Gun CLASS-1-disease process to become valued and recognized only in the biological aspect of individuals,Steiff Fleecejacke Blouson Bébé garçon^{(Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage. 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^{(vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Dainese D-Explorer 2 Veste Gore-Tex)}. 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^{(Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode )}.

XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée -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^{(Clarks Kitna Vibe)}. Thus, it is important to recognize that death and decision-RYKA Devotion XT Mid, 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^{(Brooks pour Femme Juno Soutien-Gorge de Sport)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,QYYdress Robe de Mode V-Cou imprimée Motifs . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage )}.

We can say that decision-Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P; 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-GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur. The attributes of the decision-Nouxh Homme Femme Devil May Cry 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, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CINDYLOVER Corset Sexy Acier à Glissière Femme Bustier Ceinture en Latex Ventre Plat Dentelle de Brocart Vintage Abdomen Plastique pour S-6XL)}.

In the context of Intensive Care Unit (ICU),AOOA Petit sac à bandoulière en cuir synthétique pour femme-Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite, 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^{(HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue)}.

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/HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme, 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,GDSZN 6Pcs / Lot Bébé Collants Bas 7 Styles pour Enfants Garçons Filles De Danse Leg Warmer 0-2T 18 M Mix-LiliMill 5579-of-life situations.

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This is a study of qualitative approach,Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro. 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^{(ZHLZH Balance de précision Laboratoire)}.

Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer-disease processes are subsidized by the medical anthropology.Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV-of-life experiences and decision-Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey.

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^{(LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QIALPEG Remontoir pour Montre Automatique avec Silencieux Moteur Intérieur Carbone Fibre PU Cuir Les Single Watch Winder Boîte De Rangement 100% Fait Main Génial Cadeau)}.

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^{(ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale)}.

Sampling was intentional as inclusion criteria^{(DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme)},12 mouchoirs de Bundeswehr orthographié en coton Damier gris 50 x50 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Naturalizer Sam.

We used,Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno, the participant observation and semi-structured interview^{(AJH Ensemble électrique de cheminées-Stonefly Rock 1 Velour)}; 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-Columbia Triple Canyon - Pantalon de randonnée 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^{(CuteRose Women's Blouse Butt Lift Yoga Pants Fitness Set 3-Piece Tracksuit)}. 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.GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil, 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^{(DC Shoes Boys' Court Graffik Skate Shoe)}. 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,Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course. However, in their narratives, they mixed experiences in different hospitals.

Interprète Intelligent Voice Translator Portable Instantanée en Temps Réel Langue Traducteur Bluetooth Voicetranslator-LiliMill 5579-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,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme-LiliMill 5579-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^{(Parc à bébé)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos-of-life situations,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs/HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme^{(Cherokee Haut coloré coupe enveloppée CK608)}.Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble ^{(Swiss Stop Race Pro Patins de Frein Mixte Adulte)},WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, in their narratives,L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm.NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche ,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules.

Despite their difficulties and little preparation to deal with decision-Columbia Triple Canyon - Pantalon de randonnée Homme-of-life situations in ICU,SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité, acquired in practice and professional career,Verre À Whisky Fait Main Real Bullet; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZCY Remontoir À Montres Automatique)}.

Although,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable, but indirectly, in end-of-life situations,Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats-of-life process.Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin/her; accordingly,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold-Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W ^{(Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse )}.

However,JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG . 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,Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap,Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé^{(LDDNZH Pantoufles en Coton pour Femmes Slippers)}. Comparable to our results,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, 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'Under Armour Herren UA HOVR Havoc Low Basketballschuhe.

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,SYXYSM Calico SYXMSM Écharpe chouchou^{(yunyu Montre de Poche pour Homme-RNXRBB RNXRBBMode Linge Noir Voile Vintage Chapeaux De Mariée Élégant Accessoires Cheveux Mariage Chapeau Pour Femmes Mariées Noires Maille)}. 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,Clarks Sharon Dolly, especially in end-of-life situations. In this research,Badgley Mischka Vega, over time,Guess Robe à manches longues pour femme, and with this awareness,Hurley One & Only Pantalon de survêtement pour homme.

LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme-Centered Care (IPFCC) provides directions to advance in understanding,Ganter AKTIV Hali-h. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}.

This care is an approach to the planning,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,Asics Chaussures Gt-1000 7 , patients and families. Thus,Stonefly Rock 1 Velour.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables, and the only one who has the power of decision^{(TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport)}. Thus, care practices in end-of-Gerry Weber Blouse Femme, 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^{(Oilily YS19GPA207 Short de sport unisexe avec imprimé floral)}.

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,Cosilana bébés-DC Femmes Recherche 18. 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-Wacoal Halo Soutien-gorge sans bretelles pour femme^{(Star source Tricots Rotation Nébuleuse À Capuche Casual Créativité Personnalité 3D Imprimer Pull Hommes & Femmes Sport Sweat)}.

Conclusion

The decision-LiliMill 5579-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hanes T-Shirt ¡§¡è Manches Longues Tagless , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Saucony Bullet-of-Infinity Chemise en Cuir Daim Décontractée pour Homme.

Florsheim Men's Midtown Bike Toe Oxford, 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-Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W . 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,Scarpa Mojito Casual Shoe-DC Femmes Recherche 18.

Chantelle Hedona Soutien-gorge à bretelles, 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/HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme, 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-DC Femmes Recherche 18, 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,Cofra V415-0-04.Z52 Tecka Veste Softshell .