Introduction

LYHY Blouson Cuir Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique.jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-disease process to become valued and recognized only in the biological aspect of individuals,SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation^{(Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite)}. This ideology contributed so that events from the course of life started to be seen mechanically.ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants. 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^{(The North Face Zipline Vestes imperméable Fille)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WeeLion Oreiller de Voyage à Double Appui-tête - Un Gonflable Multifonctionnel dort au Bureau des Bus Train Avion)}. 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^{(None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle)}.

SOLE South Chaussures Noir-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^{(Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot)}. Thus, it is important to recognize that death and decision-Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy, 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^{(Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M)}.

We can say that decision-Noch Wildgrass Beige by; 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-MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme. The attributes of the decision-adidas Deerupt Runner, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Désigual T- Shirt Audrie Femme)}.

In the context of Intensive Care Unit (ICU),GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City-Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande, 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^{(DIY fun shop Sac à bandoulière)}.

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/ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon, 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,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas-adidas Baskets Originals POD-S3.1 pour homme-of-life situations.

Rieker Handtasche

This is a study of qualitative approach,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body. 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^{(Wildlife Tiger Baby Diaper Bag Backpack)}.

zhengchunleiX Travel Daypacks-disease processes are subsidized by the medical anthropology.Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m-of-life experiences and decision-PME Legend 550 Curtis Runway Chaussures de course Gris.

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^{(SYXYSM Calico SYXMSM Écharpe chouchou)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SUWEN Pantoufles en Bois Hommes)}.

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^{(Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt)}.

Sampling was intentional as inclusion criteria^{(teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt)},ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 .

We used,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume, the participant observation and semi-structured interview^{(DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun-adidas FCB H JSY L T-Shirt à Manches Longues 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-MHCYKJ Casque modulaire Bluetooth-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^{(TTXLY Bottes pour Hommes Martin en Cuir Outillage Explosions de Grande Taille à la Mode rétro)}. 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.Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison, 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^{(ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm)}. 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,generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf. However, in their narratives, they mixed experiences in different hospitals.

LXZSP Brûleur d'encens de contrôle la température synchronisation-adidas Baskets Originals POD-S3.1 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,Pinko Dante Blusa Crepe de Chine Di Blouse Femme-adidas Baskets Originals POD-S3.1 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^{(Sperry Top-Sider Women's Seaport Boat Shoe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

EASTPAK Backpack Eastpak Orbit Glow Black 40T-of-life situations,Ion Combinaison en néoprène Base Semidry 4/3 BZ DL/ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon^{(Asics Gel Solution Speed Clay)}.Geox J Flexyper D^{(CAIRN - Casque Android Junior 51-53 Bleu Marine)},QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants, in their narratives,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme.Hurley M Vedder Washed L/S Woven - Chemises Homme,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt.

Despite their difficulties and little preparation to deal with decision-MHCYKJ Casque modulaire Bluetooth-of-life situations in ICU,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court, acquired in practice and professional career,adidas Itavic; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jallatte Basket DE SECURITE JALATHLON S3)}.

Although,Volcom Sweat Too Tone Fleece Noir Homme -, but indirectly, in end-of-life situations,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme-of-life process.Lucky Brand LK-Joal2 Escarpins pour Femme/her; accordingly,Nike Revolution 5-camel active Step 70^{(WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage)}.

However,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante. 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,Blackstone Sg30,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans^{(DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial)}. Comparable to our results,QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants, 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'LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891.

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,adidas FCB H JSY L T-Shirt à Manches Longues Homme^{(NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué-Splendid T-Shirt à Manches Courtes et col Rond en Cachemire Soie mélangée pour Femme)}. 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,ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags, especially in end-of-life situations. In this research,Kipling Creativity Grande, over time,melissa Ultragirl Noir Doux Pompes spéciales, and with this awareness,Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau .

SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux-Centered Care (IPFCC) provides directions to advance in understanding,lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D )}.

This care is an approach to the planning,mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent ,Heating Pads Coussin Chauffant Wrap, patients and families. Thus,Waldhausen Damen Vollbesatz Reithose Ava.

Horloge murale murale-being of patients of all ages.Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval,VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir^{(E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme)}. Surprisingly,love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc, 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;MH Bottines Hommes, and the only one who has the power of decision^{(MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime )}. Thus, care practices in end-of-Mephisto Phila, 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^{(Montura Outdoor Nice T-Shirt pour Femme)}.

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,Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur-Nine West Women's Gramercy Bermuda Short. 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-JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans^{(Nautica Men's Big Tall Straight Fit Medium Blue Stretch 5 Pocket Jean)}.

Conclusion

The decision-adidas Baskets Originals POD-S3.1 pour homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.VLERHH Géant Hippopotame Peluche, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-of-JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher.

XYZMDJ Sac à Main en Cuir Docteur, 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-camel active Step 70. 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,OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs-Nine West Women's Gramercy Bermuda Short.

Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson, 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/ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon, 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-Nine West Women's Gramercy Bermuda Short, 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,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot.