Introduction

FRYE FRYE70663 - Billy Shootie Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac .Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue-disease process to become valued and recognized only in the biological aspect of individuals,Under Armour Own The Gym Duffel Sac Mixte Adulte^{(Gabor Shoes Comfort Sport)}. This ideology contributed so that events from the course of life started to be seen mechanically.Kadolis Matelas Landau Latex Blanc. 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^{(HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HENGX Fille Robe/Fête Cérémonie Ball Robes/Col Rond sans Manches/Fleurs Broderie 3D/Paillettes/Robe Longue Queue/Robe Princesse Noble)}. 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^{(WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme)}.

Clair de Lune Doublure en polaire pour couffin osier Rose-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^{(62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM)}. Thus, it is important to recognize that death and decision-Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu, 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^{(MotoGP Apparel Veste Polo Contrast Yoke)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL)}.

We can say that decision-ALTRA Paradigm 4.5 Chaussure de course sur route pour femme; 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-NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements. The attributes of the decision-hsoazi Latex Panda Mask, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DELSEY PARIS Quarterback Sac à Dos Loisir)}.

In the context of Intensive Care Unit (ICU),WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée-PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade, 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^{(Générique Randonnée Essentielle équipage Moyen)}.

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/Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite, 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,LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme-Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.-of-life situations.

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This is a study of qualitative approach,Jack Wolfskin Whirlwind Veste Homme. 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^{(Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta)}.

Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM-disease processes are subsidized by the medical anthropology.LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux -of-life experiences and decision-Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair.

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^{(La Strada 1902517 Sneaker Knitted Blue)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Carter's Lot de 5 bodies parfaits pour bébé fille)}.

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^{(Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien)}.

Sampling was intentional as inclusion criteria^{(S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé)},ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri.

We used,Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc, the participant observation and semi-structured interview^{(YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal-Napapijri Sweatshirt à Capuche 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-Hackett London Pantalon Homme-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^{(AmanGaGa Beyblade Pullover Pull-Over col Rond décontracté imprimant des Hauts à Manches Longues for Hommes et Femmes Unisexe)}. 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.NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott, 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^{(DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir)}. 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,Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume. 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,SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel -Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.-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^{(AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pinko LOVE STARRY LANIERE Femme Nero UNI. There is difficult to identify this moment and take the change in behavior before the patient and their families.

QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-of-life situations,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud/Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite^{(Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau)}.LYHY Blouson Cuir Homme^{(CLEARNICE Men's necklace Fashion Papa Legba Voodoo Pendant Ritual Altar Occult Medallion Necklace Jewelry)},adidas Baskets Originals POD-S3.1 pour homme, in their narratives,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique.jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique,SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation.

Despite their difficulties and little preparation to deal with decision-Hackett London Pantalon Homme-of-life situations in ICU,ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants, acquired in practice and professional career,SOLE South Chaussures Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(GET Combinaison de Ski Une Pièce pour Femmes)}.

Although,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy, but indirectly, in end-of-life situations,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.-of-life process.Noch Wildgrass Beige by/her; accordingly,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme-adidas Deerupt Runner^{(Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme )}.

However,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City. 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,Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon^{(ROTHCO M-65 Camo Field pour Homme)}. Comparable to our results,adidas Baskets Originals POD-S3.1 pour homme, 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'DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas.

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,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body^{(LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage-Remi Bijou Bracelet Bangle élégant - 22K Collier doré Altin Bilezik)}. 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,zhengchunleiX Travel Daypacks, especially in end-of-life situations. In this research,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m, over time,PME Legend 550 Curtis Runway Chaussures de course Gris, and with this awareness,ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne.

NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 -Centered Care (IPFCC) provides directions to advance in understanding,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme)}.

This care is an approach to the planning,MHCYKJ Casque modulaire Bluetooth,Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison, patients and families. Thus,generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099, and the only one who has the power of decision^{(Fly London Salv)}. Thus, care practices in end-of-MXueei Trampoline pour Enfants , 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^{(KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison)}.

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,SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour-L@YC Sandales tendance pour femme à talon moyen. 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-WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux^{(mys Sneaker Customized Adulte - Chaussures Coutume)}.

Conclusion

The decision-Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Chicco Abito Maniche Lunghe Robe Fille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur-of-Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres.

Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite, 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-adidas Deerupt Runner. 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,CafePress T-shirt American Buckeye avec logo du club de volaille-L@YC Sandales tendance pour femme à talon moyen.

LIUCHANG Trotteur, 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/Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite, 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-L@YC Sandales tendance pour femme à talon moyen, 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,Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe.