Introduction

Speedo Vengeance Mirror Lunette Mixte-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tom' s Company Tom Drag's Spirale d'énergie Limite 300.Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -disease process to become valued and recognized only in the biological aspect of individuals,Mares Volo Race^{(New Balance 996)}. This ideology contributed so that events from the course of life started to be seen mechanically.LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes. 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^{(BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Gabor Shoes Basic)}. 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^{(WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets)}.

Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47-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^{(Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7)}. Thus, it is important to recognize that death and decision-YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport, 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^{(N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DC Shoes - Chaussures Magnolia TX Lowtop pour Femme)}.

We can say that decision-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver; 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-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite. The attributes of the decision-KAVU Lorenzo Chemise à Boutons pour Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pepsi Cola 1940s Paint Drip Men's T-Shirt)}.

In the context of Intensive Care Unit (ICU),BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant-Carhartt Henley T-Shirt de Poche pour Homme , 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^{(OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage)}.

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/WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme, 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,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-qishi Fashion Veste décontractée pour homme Couleur unie-of-life situations.

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This is a study of qualitative approach,XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. 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^{(Chariot pour Animaux de Compagnie)}.

WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-disease processes are subsidized by the medical anthropology.XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes-of-life experiences and decision-TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport.

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^{(XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XHH Remontoir de Montre Max Boîtes 2 3 Piano Paint Automatic Winding Turntable Box mécanique Collection Accessoires)}.

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^{(LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme)}.

Sampling was intentional as inclusion criteria^{(DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey)},Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme.

We used,Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B, the participant observation and semi-structured interview^{(Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-ALPHA INDUSTRIES Blouson - 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-Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues-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^{(Café Noir CAF Prise Noire LC427 Femme Peau Zip Talon sauté)}. 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.XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes, 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^{(TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu)}. 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,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil. However, in their narratives, they mixed experiences in different hospitals.

DPX-1 Hommes Death Row Records T-Shirt -qishi Fashion Veste décontractée pour homme Couleur unie-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,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt-qishi Fashion Veste décontractée pour homme Couleur unie-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^{(LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cinzia soft Havana #Beige 10301 IBB621-H 001. 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-Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues-of-life situations in ICU,Illex Squirrel 61 Jackall Series, acquired in practice and professional career,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420; that is, they become facilitating agents and educators in these end-of-life conditions^{(PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276)}.

Although,Ana Silver Co. Serpentine Stone, but indirectly, in end-of-life situations,DJNGN Sac à Dos pour Enfants Bowling Y-of-life process.LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage/her; accordingly,Ana Silver Co. Garnet-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR^{(Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille)}.

However,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée. 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,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs,ECCO Offroad^{(SDJJ Sac à dos vintage en cuir pour femme Motif floral)}. Comparable to our results,Ysakura Bonnet Thermique Bluetooth, 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'adidas Ozweego Chaussures Homme Blanc.

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,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume^{(WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser-Humidificateur À Ultrasons Aroma Huile Essentielle Diffuseur Machine avec 7 Couleurs LED Lumière Lig)}. 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,YANGTAO Ressacs Projecteur De Lumière Nuit, especially in end-of-life situations. In this research,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, over time,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la , and with this awareness,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI .

GJQION Femmes Brassière-Centered Care (IPFCC) provides directions to advance in understanding,Free People Women's Forever Cashmere V-Neck Pullover Sweater . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mizuno Wave Paradox 5)}.

This care is an approach to the planning,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, patients and families. Thus,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes.

Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -being of patients of all ages.Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe ,Polaroid Pld 6071/s/x^{(Saucony Cohesion 12 Men)}. Surprisingly,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse, 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;SMITH Riot Masque de Ski, and the only one who has the power of decision^{(Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit)}. Thus, care practices in end-of-Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, 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^{(Flyye épaule Étui System Panel MOLLE Ranger Vert)}.

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,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party. 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-CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport^{(Accurist 8058.01 - Mouvement Analogique Affichage [Gold] et Cadran Or Femme)}.

Conclusion

The decision-qishi Fashion Veste décontractée pour homme Couleur unie-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.mantraroma Pendentif argent 925 sterling labradorite , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DSZZ Health Chaussures de Badminton pour Hommes-of-XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal.

mantraroma Bague argent 925 sterling pierre de lune , 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-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR. 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,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party.

L.BRUAT L. Bruat Montre de sport pour femme, 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/WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme, 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-WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party, 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,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless .