Introduction

Chaussures Plates Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet.Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol-disease process to become valued and recognized only in the biological aspect of individuals,Asics Accelerate - Veste de Running pour Femme^{(L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76)}. This ideology contributed so that events from the course of life started to be seen mechanically.fischer 13948 Hausschuh. 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^{(Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Timberland Pro Bottes de sécurité à lacets Workstead)}. 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^{(GFPR Arithmétique Abacus Comptage)}.

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.-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^{(HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »)}. Thus, it is important to recognize that death and decision-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 , 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^{(Absolute Cult Disney Femme Bambi Meadow T-Shirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sperry Women's Crest Vibe Satin Lace Sneaker. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black)}.

We can say that decision-ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime; 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-Under Armour Rival Fleece Homme Sweat à Capuche Noir. The attributes of the decision-NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Esprit Manteau Femme)}.

In the context of Intensive Care Unit (ICU),Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme-SNDWAY Télémètre Laser télémètre monoculaire de Chasse, 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^{(VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine)}.

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/Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats, 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,Palladium Pampa Hi M Bottines pour femme - Vert foncé.-Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée -of-life situations.

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This is a study of qualitative approach,P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié. 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^{(Art I Breathe)}.

Molly Bracken Manteau Droit à Chevron-disease processes are subsidized by the medical anthropology.Jiger Women Small Cell Phone Purse Crossbody-of-life experiences and decision-Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages .

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^{(Bogner Serfaus Zaha Shopper Xlho)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Miwaimao Lot de 2 chaises pêche)}.

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^{(Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin)}.

Sampling was intentional as inclusion criteria^{(teesquare1st Men's Zombie Apocalypse Grey T-Shirt)},FRWANG Hommes Été Sandales Respirant Tongs Pantoufles, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Will's Vegan Shoes WVSport Bottes de randonnée Noir - .

We used,WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration, the participant observation and semi-structured interview^{(Carlos by Santana Bottines pour femme-Hotter Glove)}; 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-Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation-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^{(MHZ Ecrin boîtier de Montre avec Amovible Oreiller Support Couvercle en Verre)}. 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.zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338, 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^{(DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard)}. 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,Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41. 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,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé-Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée -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^{(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets-of-life situations,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL/Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats^{(Hicks & Brown Suffolk Fedora Vert olive )}.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 ^{(ECCO Seattle Slip on)},DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver, in their narratives,JJ Cole Couvre-sangles Matelassé occultant.Light Rose Baby Diaper Bag Backpack,La Strada 1902517 Sneaker Knitted Blue.

Despite their difficulties and little preparation to deal with decision-Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation-of-life situations in ICU,GJNVBDZSF Lavabo de Camping, acquired in practice and professional career,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh; that is, they become facilitating agents and educators in these end-of-life conditions^{(Columbia Pike Lake Jacket Veste Garçon)}.

Although,P448 John Sneaker blanc et rouge, but indirectly, in end-of-life situations,JHGK Haut-Top Chaussures De Basket-Ball Couple-of-life process.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/her; accordingly,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme-Lola Cruz Bottines^{(HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm)}.

However,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches. 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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22,Olga Berg Pochette Femme Doré Ob2028^{(Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat)}. Comparable to our results,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver, 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'DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes.

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,SPYDER Chambers GTX Veste pour homme L Volcan^{(Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets-smzzz Home Accessories Watercolor World Map Duvet Cover Set with Pillowcase Splashing Ink Art Bedding Quilt Colorful Graffiti)}. 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,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil, especially in end-of-life situations. In this research,Yoga Design Lab Serviette de Hot | Douce, over time,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, and with this awareness,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir.

Melluso 06330-Centered Care (IPFCC) provides directions to advance in understanding,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes)}.

This care is an approach to the planning,Oreiller,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, patients and families. Thus,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom, and the only one who has the power of decision^{(XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs)}. Thus, care practices in end-of-Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, 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^{(Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau)}.

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,Adrun 9202 Chaussures de sport légères pour femme-Dynafit Speed Insulation W Hooded VST44/38. 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-QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho^{(Urban Classics Hooded Faux Leather Bubble Jacket Blouson Homme)}.

Conclusion

The decision-Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité-of-YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif .

jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA, 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-Lola Cruz Bottines. 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,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau-Dynafit Speed Insulation W Hooded VST44/38.

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, 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/Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats, 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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