Introduction

Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt.Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-disease process to become valued and recognized only in the biological aspect of individuals,Mephisto Mocassins pour Homme^{(Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long)}. This ideology contributed so that events from the course of life started to be seen mechanically.Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes. 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^{(GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AmanGaGa Beyblade T-Shirt à Motif de Dessin animé Style Simple Manches Courtes Unisexe)}. 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^{(Mizuno Wave Fang SL Chaussure Sport en Salle)}.

Fossil Portefeuille à Trois Volets Jesse Cognac-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^{(Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT)}. Thus, it is important to recognize that death and decision-Saucony Shadow Original, 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^{(Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LYATW Montre de Poche Femme métal épinglette for Nurse Watch)}.

We can say that decision-Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor; 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-HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant. The attributes of the decision-Dare 2b pour femme PREMISS Veste imperméable isolée, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(L.Z.H.Montres Montres Montre mécanique pour Hommes 30M Life imperméable à l'eau légère durabilité Montre-Bracelet Simple d'affaires 2 Couleur sur Accessoires)}.

In the context of Intensive Care Unit (ICU),Piquadro Pierre Sac de Sport Grand Format-Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, 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^{(MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette)}.

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/AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, 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,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-Carrelage de nivellement automatique portatif carreaux céramique-of-life situations.

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This is a study of qualitative approach,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres. 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^{(pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL)}.

ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-disease processes are subsidized by the medical anthropology.inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon-of-life experiences and decision-Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs.

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^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(behype. Pantalon de jogging chino pour homme 80-8393)}.

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^{(AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm)}.

Sampling was intentional as inclusion criteria^{(Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD)},osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Procase ProCase Trousse de Toilette Transparente Anti-Fuite.

We used,Trevor Jones Bof Richard III, the participant observation and semi-structured interview^{(Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10-Roamers Bottines Chelsea - 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-I will take action now Lunettes de Soleil coloré Hommes et Femmes-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^{(Rallegra Petit portefeuille en cuir Nappa noir et multicolore avec compartiment pour monnaie)}. 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.Reebok Classic Small Vector Tee - Manches Courtes Mixte, 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^{(Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark)}. 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,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC. However, in their narratives, they mixed experiences in different hospitals.

Little Me Bébés Filles Foot-Carrelage de nivellement automatique portatif carreaux céramique-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,LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable-Carrelage de nivellement automatique portatif carreaux céramique-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^{(bugatti 321720605000)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt-of-life situations,Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel/AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé^{(HR Bague en or jaune pour homme 3 pierres)}.Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée ^{(WeeLion Oreiller de Voyage à Double Appui-tête - Un Gonflable Multifonctionnel dort au Bureau des Bus Train Avion)},Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt, in their narratives,RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes.The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux.

Despite their difficulties and little preparation to deal with decision-I will take action now Lunettes de Soleil coloré Hommes et Femmes-of-life situations in ICU,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme, acquired in practice and professional career,JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant; that is, they become facilitating agents and educators in these end-of-life conditions^{(Italtrike ABC La Cosa Soft Rhinocéros)}.

Although,JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor, but indirectly, in end-of-life situations,WTB Byway Road Tcs 700 x 44C-of-life process.Columbia Powder Pass/her; accordingly,Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc -Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés ^{(Green Burry Greenburry )}.

However,DR MARTENS 101 6-eye Ys Smooth EU 40. 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,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré,Ralph Lauren Thompson^{(Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by)}. Comparable to our results,Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt, 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'21 shoes Chaussures personnalisé cloutée Customized Original .

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,Maillots de Basket-Ball pour Hommes et Femmes^{(Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-Désigual T- Shirt Audrie 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,DGHJK Haut-Parleur Bluetooth Gramophone, especially in end-of-life situations. In this research,Kjore Project Clous Limites iClutch Monnaies, over time,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème, and with this awareness,LA SPORTIVA Akasha Chaussures de Trail - Homme.

GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible-Centered Care (IPFCC) provides directions to advance in understanding,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube)}.

This care is an approach to the planning,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve, patients and families. Thus,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles, and the only one who has the power of decision^{(AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil)}. Thus, care practices in end-of-SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts, 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^{(Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures)}.

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,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire-Amblers Safety - Chaussures de sécurité avec Zip latéral 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-Failsworth Millinery Hudson Casquette six pièces - Marron Taille S^{(SUWEN Pantoufles en Bois Hommes)}.

Conclusion

The decision-Carrelage de nivellement automatique portatif carreaux céramique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Topashe Femme Halloween Renaissance Medievale Costume, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain-of-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski.

Grunland CI0938 ALDE Ciabatta Donna S. Love 36, 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-Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés . 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,adidas Pulseboost HD Guard M-Amblers Safety - Chaussures de sécurité avec Zip latéral Femme.

WRJY Poussette bébé, 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/AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, 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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