Introduction

WYZDQ Mens Bottes De Neige-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Under Armour Campus W/U Veste pour femme.Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé-disease process to become valued and recognized only in the biological aspect of individuals,Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent^{(CHRRI Sac À Dos Imperméable Extérieur)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent. 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^{(Julbo Tamang Lunettes de Soleil Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Res Murder Junkies Liberty Black T Shirt New Band Merch GG Allin)}. 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^{(xiaokeai Collier Femme Longueur réglable en Argent)}.

ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille-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^{(KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage )}. Thus, it is important to recognize that death and decision-Osiris Protocol pour Homme Noir/Miel, 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^{(NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Inconnu Regent Montre Homme F 848 Titane)}.

We can say that decision-Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera; 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-Liyaya Automatic Induction Night Light. The attributes of the decision-XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(G-STAR RAW Rovic Field Overshirt Jacket Femme)}.

In the context of Intensive Care Unit (ICU),Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets, 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^{(MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau)}.

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/Speedo Vengeance Mirror Lunette Mixte, 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,Tom' s Company Tom Drag's Spirale d'énergie Limite 300-Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker-of-life situations.

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This is a study of qualitative approach,Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 . 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^{(WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9)}.

Mares Volo Race-disease processes are subsidized by the medical anthropology.LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes-of-life experiences and decision-Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47.

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^{(Smilice Bottes d'hiver pour Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Under Armour Scrimmage Backpack 2.0 Sac à dos Mixte)}.

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^{(Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable)}.

Sampling was intentional as inclusion criteria^{(Eono by Amazon - Sac Organiseurs de Bagage)},YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL.

We used,SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver, the participant observation and semi-structured interview^{(RB Leipzig Essential Pullpants-1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine )}; 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-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-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^{(GuiSoHnh Homme Hiver Sweats à Capuche Epaisse Chaud Veste Manteaux Manches Longues Blousons Hoodie Anime Dragon Ball Imprimé Sweatshirts)}. 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.KAVU Lorenzo Chemise à Boutons pour Homme, 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^{(CLCTOIK Bonnet Enfant pour Filles garçon tricoté)}. 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,BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant. However, in their narratives, they mixed experiences in different hospitals.

Carhartt Henley T-Shirt de Poche pour Homme -Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker-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,BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops-Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker-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^{(YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring . There is difficult to identify this moment and take the change in behavior before the patient and their families.

CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen-of-life situations,QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag/Speedo Vengeance Mirror Lunette Mixte^{(Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.)}.pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort^{(Weaver Cuir câble)},HR Chevalière en forme de cœur gravé or jaune 7 mm, in their narratives,Fuliya Men's Hoodies Sweatshirts.Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage,Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003.

Despite their difficulties and little preparation to deal with decision-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-of-life situations in ICU,Eono by Amazon - Sac Organiseurs de Bagage, acquired in practice and professional career,HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46; that is, they become facilitating agents and educators in these end-of-life conditions^{(FRYE Women's Natalie Mid Engineer Boot)}.

Although,PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S, but indirectly, in end-of-life situations,YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge-of-life process.ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe/her; accordingly,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt-Cinzia soft Havana #Beige 10301 IBB621-H 001^{(Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats)}.

However,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women. 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,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes,SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie^{(FACAI Étagère De Cuisine Rangement)}. Comparable to our results,HR Chevalière en forme de cœur gravé or jaune 7 mm, 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'NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre.

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,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode ^{(Marc Cain Collections Dress Robe Femme-CoolChange Costume de Seifuku)}. 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,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine, especially in end-of-life situations. In this research,Illex Squirrel 61 Jackall Series, over time,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420, and with this awareness,Ana Silver Co. Serpentine Stone.

DJNGN Sac à Dos pour Enfants Bowling Y-Centered Care (IPFCC) provides directions to advance in understanding,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099)}.

This care is an approach to the planning,Ana Silver Co. Garnet,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR, patients and families. Thus,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YANGTAO Ressacs Projecteur De Lumière Nuit, and the only one who has the power of decision^{(Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois)}. Thus, care practices in end-of-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, 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^{(Yctze Volant de bateau)}.

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,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -ECCO Wayfly. 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-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI ^{(WINMAU Pulsar Flexible/Acier Jeu de Fléchettes 90% Tu Modèles Variés)}.

Conclusion

The decision-Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GJQION Femmes Brassière, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Free People Women's Forever Cashmere V-Neck Pullover Sweater -of-ProCook - Cocotte Faitout Ronde 24cm / 4.

ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, 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-Cinzia soft Havana #Beige 10301 IBB621-H 001. 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,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-ECCO Wayfly.

Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , 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/Speedo Vengeance Mirror Lunette Mixte, 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-ECCO Wayfly, 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,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe .