Introduction

SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44.SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox-disease process to become valued and recognized only in the biological aspect of individuals,REFRESH Bottine Plate avec Fermeture Éclair pour Femme^{(Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier)}. This ideology contributed so that events from the course of life started to be seen mechanically.HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'. 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^{(SageBrown Small Zip Around Accordion Coin Purse)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Upower RP20066-43 U-Power RP20066-43-Calzado de seguridad gama Red UP Modelo Dorado Plus S1P SRC ESD Talla 43)}. 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^{(Piquadro Porte-Cartes de crédit)}.

Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière-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^{(ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver )}. Thus, it is important to recognize that death and decision-YZT QUEEN Bottes Cuissardes Femmes, 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^{(WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Andrea Conti Chaussures basses en cuir à lacets pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon)}.

We can say that decision-chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest; 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-SKYROPNG Chaussures Mme Muller. The attributes of the decision-HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WEIYIM Echarpe Hiver Femmes Écharpe Cachemire Dot Imprimer Châles Enveloppes Dames Épais Pashmina Rouge Automne 200 Cm)}.

In the context of Intensive Care Unit (ICU),Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection-XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière, 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^{(Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3')}.

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/HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins 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,Lacoste Veste Homme-Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections-of-life situations.

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This is a study of qualitative approach,HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères. 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^{(Rieker Handtasche)}.

O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-disease processes are subsidized by the medical anthropology.Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-of-life experiences and decision-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée.

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^{(ZYFXZ Mesdames Bottes de travail Groundwork)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ejendals Ejendals 1540-38 Chaussures de sécurité Jalas 1540 Route Taille 38)}.

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^{(JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm)}.

Sampling was intentional as inclusion criteria^{(N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour)},LetsBuyGold Bague Artisanale , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Tête de coupe pneumatique.

We used,Reebok TS Layering Pant - Pantalon Homme, the participant observation and semi-structured interview^{(Sportline Montre 660 Women's Cardio Heart Rate Blanc-Bauer Skate Vapor X2.9 - Senior S19)}; 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-1200Mbps USB WiFi Adapter-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^{(CHOUCHOU Cendrier pour cigares - incassable métal Salon Maison Bar 24)}. 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.DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA, 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^{(GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable )}. 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,DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust. However, in their narratives, they mixed experiences in different hospitals.

ZHLZH Balance de précision Laboratoire-Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections-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,JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798-Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections-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^{(Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Impala ROLLERSKATES - Midnight. 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-1200Mbps USB WiFi Adapter-of-life situations in ICU,CRMY Bottes rétro Classiques pour Femmes Dames, acquired in practice and professional career,New Balance Classics WL574Ev2; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école)}.

Although,Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique, but indirectly, in end-of-life situations,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5-of-life process.YUHEN Oreiller de Voyage/her; accordingly,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag-BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière^{(Jouailla Bracelet PERLAS LATINAS perles de verre rouge)}.

However,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple . 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,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé ,B/H Cosplay médiévale Costume pour Halloween^{(jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.)}. Comparable to our results,RYKA Niah, 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'Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile.

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,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_^{(Kamik Snowvalley-XBR Caddie avec Roues)}. 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,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats, especially in end-of-life situations. In this research,JFF Gilet Chauffant, over time,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et , and with this awareness,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison.

Native Shoes Kids Girl's Jefferson Bling Glitter -Centered Care (IPFCC) provides directions to advance in understanding,The North Face Zipline Vestes imperméable Fille. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique )}.

This care is an approach to the planning,IKKS Jupe Nœud Tulle Noir Fille,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /, patients and families. Thus,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir.

Brooks Mazama 2-being of patients of all ages.Skechers Go Walk Lite - Rise,adidas Dragon OG^{(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)}. Surprisingly,PUMA Sneaker Smash WNS Perf Métallique pour femme, 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;Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, and the only one who has the power of decision^{(Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B)}. Thus, care practices in end-of-MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E, 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^{(vivobarefoot Gobi II M Leather)}.

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,puseky Barboteuse - 0 à 24 mois Pour bébé -ARMADA Baxter Insulated Snow Jacket. 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-Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100^{(PEARL IZUMI Select Barrier WxB Veste pour Femme Transformable en Gilet XL Orchid)}.

Conclusion

The decision-Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DKNY Homme DMMDO4HT Manteaux en Laine, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fergalicious Jolene-of-Merrell Forestbound Waterproof.

Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon, 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-BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière. 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,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0-ARMADA Baxter Insulated Snow Jacket.

LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, 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/HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins 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-ARMADA Baxter Insulated Snow Jacket, 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,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure.