Introduction

fischer 13948 Hausschuh-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair..AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer -disease process to become valued and recognized only in the biological aspect of individuals,Sperry Women's Crest Vibe Satin Lace Sneaker^{(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.ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime. 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^{(cjcaijun Sac Vintage Paquet de Cartes Fibre Carbone européen et américain RFID Anti-démagnétisation Titulaire la Carte en Cuir Porte-Monnaie bandoulière)}. 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)}.

Under Armour Rival Fleece Homme Sweat à Capuche 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-NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit, 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,Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme. 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-SNDWAY Télémètre Laser télémètre monoculaire de Chasse; 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-Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats. The attributes of the decision-Palladium Pampa Hi M Bottines pour femme - Vert foncé., which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ceiling Pendant Sports Pula Ceinture Lombaire/Bas du Dos Support Retour Brace PP ABS Protection soulage la Douleur de Soulager Back Pain Fitness for Quotidien)}.

In the context of Intensive Care Unit (ICU),P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié-Molly Bracken Manteau Droit à Chevron, 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/Jiger Women Small Cell Phone Purse Crossbody, 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,Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages -Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage-of-life situations.

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This is a study of qualitative approach,FRWANG Hommes Été Sandales Respirant Tongs Pantoufles. 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)}.

Will's Vegan Shoes WVSport Bottes de randonnée Noir - -disease processes are subsidized by the medical anthropology.WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration-of-life experiences and decision-Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation.

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^{(Ultra Mince LED Lampes De Plafond Télécommande Dimmable Moderne Créativité Forme Fleur Rond Plafonnier Acrylique Abat-Jour Lampe Salon 24W D43CM Bureaux Restaurants Salles D'étude)}.

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)},zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41.

We used,Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons, 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-MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau-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^{(Rosec Jewels Pendentif clé florale classique 1/2 CT en forme de pendentif diamant HI-SI)}. 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.SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants, 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,GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage-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,JJ Cole Couvre-sangles Matelassé occultant. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Light Rose Baby Diaper Bag Backpack-of-life situations,La Strada 1902517 Sneaker Knitted Blue/Jiger Women Small Cell Phone Purse Crossbody^{(Asics Gel Solution Speed Clay)}.GJNVBDZSF Lavabo de Camping^{(KRILY Femmes Plateforme Sandale Confortable Plate-Forme Chaussures Éponge Massage Été Plage Voyage pour Copines Mère Cadeaux)},Trespass Clea, in their narratives,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh.P448 John Sneaker blanc et rouge,JHGK Haut-Top Chaussures De Basket-Ball Couple.

Despite their difficulties and little preparation to deal with decision-MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau-of-life situations in ICU,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les, acquired in practice and professional career,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jallatte Basket DE SECURITE JALATHLON S3)}.

Although,Lola Cruz Bottines, but indirectly, in end-of-life situations,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches-of-life process.Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22/her; accordingly,Olga Berg Pochette Femme Doré Ob2028-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes^{(WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage)}.

However,SPYDER Chambers GTX Veste pour homme L Volcan. 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,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil,Yoga Design Lab Serviette de Hot | Douce^{(DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial)}. Comparable to our results,Trespass Clea, 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'LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats.

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,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir^{(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-Housse de Chaise pour la fête Mariage)}. 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,Melluso 06330, especially in end-of-life situations. In this research,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, over time,Oreiller, and with this awareness,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material.

Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-Centered Care (IPFCC) provides directions to advance in understanding,Helga Kreft Kreft90012 Police Mobil Puzzle . 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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles,Zhik Hybrid Skiff Suit 2020, patients and families. Thus,DazzlingRock Collection 0.

Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-being of patients of all ages.Kangol antique Sac fourre-tout Marron Fourre-tout de voyage,Adrun 9202 Chaussures de sport légères pour femme^{(E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme)}. Surprisingly,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho, 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;QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation, 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-WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, 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,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif -H.ZHOU Les Hommes de Football américain Sweats à Capuche. 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-jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA^{(Diadora - Chaussures de Sport TITAN WEAVE pour homme et femme)}.

Conclusion

The decision-Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper-of-GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime.

LZJN Veste d'hiver pour femme avec boutonnage long et matelassé, 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-DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes. 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,YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement-H.ZHOU Les Hommes de Football américain Sweats à Capuche.

QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts, 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/Jiger Women Small Cell Phone Purse Crossbody, 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-H.ZHOU Les Hommes de Football américain Sweats à Capuche, 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,Cetti C847 Basket Femme.