Introduction

UMOOIN Basketball Team 3D Housse de Couette-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage .YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines -disease process to become valued and recognized only in the biological aspect of individuals,Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour^{(DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun)}. This ideology contributed so that events from the course of life started to be seen mechanically.Gabor Femme Bottines. 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^{(adidas FCB H JSY L T-Shirt à Manches Longues Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LFFCC Kid Bike Taille 12")}. 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^{(ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm)}.

ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-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^{(VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille)}. Thus, it is important to recognize that death and decision-YPDM Pyjamas, 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^{(Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Naturalizer Kari Mocassins pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LXDDP Écran Tactile Navigation Voiture Android 9.0 10)}.

We can say that decision-WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets; 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-XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons . The attributes of the decision-DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LANZHEN-RY Durable Cuir Marron Petits Sling Sac Purse Hommes Multifonctionnel Loisirs Shopping Bag Voyage d'affaires Porte-Monnaie)}.

In the context of Intensive Care Unit (ICU),Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme-HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage , 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^{(luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag )}.

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/JX-PEP Été Imprimer col Rond Manches Courtes, 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,ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes -RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S-of-life situations.

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This is a study of qualitative approach,Pleaser Delight 1018. 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^{(Sperry Top-Sider Women's Seaport Boat Shoe)}.

Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm -disease processes are subsidized by the medical anthropology.Under Armour W HOVR Phantom Nc 3020976-6-of-life experiences and decision-ARIAT Skyline Mid H2o.

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^{(Asics Gel Solution Speed Clay)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CX TECH Jeux de Bricolage en Bois Pratiques Jouets assemblés Graffiti Quatre Un Voitures pour Enfants Éducatifs éducatifs 3 Ans et Plus)}.

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^{(Jallatte Basket DE SECURITE JALATHLON S3)}.

Sampling was intentional as inclusion criteria^{(WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage)},ARIAT Quickdraw Venttek, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Danielle Nicole Little Mermaid Ursula Crossbody.

We used,YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme , the participant observation and semi-structured interview^{(DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial-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)}; 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-Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104-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^{(steve madden Steven Madden)}. 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.XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture, 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^{(Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D )}. 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,SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U. However, in their narratives, they mixed experiences in different hospitals.

Ouzoub 24 Pouces Moniteur for bébé babymonitor-RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S-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,Timberland Jayne Bottes de confort pour femme 15 cm-RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S-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^{(Brass Monkeys Haut Thermique - Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite-of-life situations,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL/JX-PEP Été Imprimer col Rond Manches Courtes^{(2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue)}.Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route ^{(Unbekannt Carom Super-ARAMITH Jeu de Billes sans connu 61)},Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement, in their narratives,dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir.DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging,Chiba pour Homme Lake Tahoe Gants.

Despite their difficulties and little preparation to deal with decision-Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104-of-life situations in ICU,SPORTUBE Series 1 Platinum Deluxe Étui à snowboard, acquired in practice and professional career,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45; that is, they become facilitating agents and educators in these end-of-life conditions^{(Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47)}.

Although,Nike M NKCT Jacket Stadium Veste Homme, but indirectly, in end-of-life situations,Kipling Kassandra S-of-life process.Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie/her; accordingly,Prana Summit Tall Pantalon pour Femme-OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants^{(Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne)}.

However,Piquadro Porte-Cartes de crédit. 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,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge,zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit^{(Saucony Shadow Original)}. Comparable to our results,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement, 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'FRWANG Hommes Chaussures Cuir Brogue Lacets.

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,CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite^{(7lljjq7 T Rex Fruit Hat-Dinosaurs-GIOCA Joue igb100-b – Patin)}. 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,Glqwe Sac à Dos étanche pour Ordinateur Portable, especially in end-of-life situations. In this research,Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage, over time,H.yina Table à Langer pour Fille Petits espaces, and with this awareness,Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier.

Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant-Centered Care (IPFCC) provides directions to advance in understanding,Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et)}.

This care is an approach to the planning,huatongxin The Original Founding Fathers Men's Hoodie Sweatshirt,Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having, patients and families. Thus,Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme, and the only one who has the power of decision^{(WDAYI Manteau de Laine Femme)}. Thus, care practices in end-of-OLYMP Luxor Chemise à col montant Blanc, 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^{(SUREH Nid de bébé Bassinet pour lit portable en coton biologique)}.

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,TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu-Salamander Vasco. 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-TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo^{(Wrangler Texas Stretch - Jeans Coupe droite Homme)}.

Conclusion

The decision-RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini -of-O'NEILL Femme Blouse.

Asics Women's Low Cut Performance Short - Coupe Basse pour Femme, 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-OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants. 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,MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support-Salamander Vasco.

Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales, 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/JX-PEP Été Imprimer col Rond Manches Courtes, 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-Salamander Vasco, 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,LMWB Moustiquaire de Lit Pliable.