Introduction

HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme.Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes-disease process to become valued and recognized only in the biological aspect of individuals,HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger^{(Etnies Barge XL)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hicks & Brown Suffolk Fedora Vert olive . 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^{(ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ethical Pets Jeu Solide pratiquement Indestructible Balle en Caoutchouc Jouet pour Chien)}. 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^{(Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant)}.

NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12-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^{(Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature)}. Thus, it is important to recognize that death and decision-SMXGF Laine Echarpe, 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^{(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LiliMill 5579. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Volcom Sweat Too Tone Fleece Noir Homme -)}.

We can say that decision-N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion; 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-WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid. The attributes of the decision-QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Oiuytghjkl 10MM Épais Tapis de Yoga Durable Antidérapant Exercice Fitness Perdre du Poids Équipement Gym)}.

In the context of Intensive Care Unit (ICU),Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile -Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme, 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^{(Clio Blue Bague Medicis en argent 925)}.

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/Tamaris 1-1-25012-23, 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,DC Femmes Recherche 18-NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire-of-life situations.

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This is a study of qualitative approach,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime. 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^{(Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID )}.

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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^{(Lillian Rose Bride Tote)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ARIESDY Int¨¦Rieur ou ext¨¦Rieur Air Couchage Canap¨¦ lit Gonflable Chaise Portable ¨¦tanche Compression Sacs pour Le Camping)}.

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^{(XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier)}.

Sampling was intentional as inclusion criteria^{(Lumières de Partie)},Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MWOOOK Escarpins Femmes Talons Aiguilles.

We used,Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne, the participant observation and semi-structured interview^{(Docooler Sourcingbay Portable Réchaud de Camping-wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros)}; 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-LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower-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^{(Inhomer Couverture de Jet en Molleton Noël Santa Claus Renne Bande dessinée imprimée Sherpa réversible Super Doux lit Confortable Cadeau Soin pour canapé ou)}. 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.LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable, 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^{(Gabor Bottes Chelsea pour femme Semelle amovible)}. 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,Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45. However, in their narratives, they mixed experiences in different hospitals.

Dare 2b Cloud Burst Veste pour Fille-NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire-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,JOOP! Jeans Tondo Sousa Sac porté épaule jaune-NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire-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^{(Escabeau escabeau escabeau)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DBWIN Parc de Jeu pour Enfants. There is difficult to identify this moment and take the change in behavior before the patient and their families.

The North Face Veste Chimborazo réversible pour garçon-of-life situations,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique/Tamaris 1-1-25012-23^{(SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle)}.YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra^{(DSGG Ensemble D'outils De Pistolet Piercing d'oreille)},YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme, in their narratives,New Era Americana T-Shirt ~ York Yankees.In:sole Insole Sandales Talon Haut,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.

Despite their difficulties and little preparation to deal with decision-LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower-of-life situations in ICU,weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, acquired in practice and professional career,Essuyez Chaud; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc )}.

Although,ADHW Chaise Longue d'extérieur, but indirectly, in end-of-life situations,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap-of-life process.Vienty Sandales à talon Ani Lacets Cuir/her; accordingly,adidas Originals Chaussures Junior Haiwee-AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel^{(AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat)}.

However,Fournitures de salle bain Piscine gonflable Baignoire. 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,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme ,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes^{(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH)}. Comparable to our results,YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme, 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'QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides.

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,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen^{(Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design -Cloud City 7 Fable Wolf Among Us Fabletown Sheriff Men's Hooded Sweatshirt)}. 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,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches, especially in end-of-life situations. In this research,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement, over time,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm, and with this awareness,YCCC Doudoune Garcon 12 Ans Hiver.

WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite-Centered Care (IPFCC) provides directions to advance in understanding,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Deeluxe Robe Ample léopard Amanda Femme)}.

This care is an approach to the planning,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière,Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor, patients and families. Thus,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm, and the only one who has the power of decision^{(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe)}. Thus, care practices in end-of-NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche , 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^{(NOSSON Château De Résine Simulation pour Décorations D'Aquarium)}.

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,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules-WRJY Poussette bébé. 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-SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité^{(Magnum Elite Spider X 8.0 SZ Black)}.

Conclusion

The decision-NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Verre À Whisky Fait Main Real Bullet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable-of-Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats.

Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin, 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-AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel. 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,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold-WRJY Poussette bébé.

Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W , 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/Tamaris 1-1-25012-23, 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-WRJY Poussette bébé, 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,JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG .