Introduction

LMM Faux Seins en Silicone-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dansko Femmes Chaussures De Mule.Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-disease process to become valued and recognized only in the biological aspect of individuals,HEAD Sprint 3.0 Junior^{(FRYE Robin Feather Criss Sandale plate pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.YATTYUG Women's Hoodies Tops. 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^{(RICOSTA Fille Sandales à lanières ANA 7020900)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Yyqtsnh Faux Cuir De Qualité Supérieure)}. 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^{(Guess Marciano 0BG3149370Z Doudoune pour Femme)}.

RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea-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^{(ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse)}. Thus, it is important to recognize that death and decision-DHNKW Men's Hoodies Sweatshirts, 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^{(HUF Sweat-shirt Crew Essentials Taille L)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26". Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête)}.

We can say that decision-GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa ; 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-BSWL Gilet Chauffant USB Intelligent. The attributes of the decision-jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(classic-glory Men's Sweat à Capuche personnalisé Locked Dollar Sweatshirt Motif Graphique drôle)}.

In the context of Intensive Care Unit (ICU),Déambulateur-BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, 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^{(Timberland Jayne Bottes de confort pour femme 15 cm)}.

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/PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino, 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,mys Original alte Personalizzate-WANGPENG Brosse à récurer pour chaussures-of-life situations.

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This is a study of qualitative approach,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël. 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^{(EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé)}.

MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-disease processes are subsidized by the medical anthropology.MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1-of-life experiences and decision-glstkrrn E90 Sweatshirt.

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^{(AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KAC KAD Boucles D'oreilles à Fleurs en Zircon Rouge la Mode Écologique Or Blanc Pour Femme/Acier Inoxydable/Hypoallergénique/Paillettes D'argent/Diamant/Petit Exquis/Cristal)}.

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^{(Skechers Bounder)}.

Sampling was intentional as inclusion criteria^{(Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera)},Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41.

We used,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED , the participant observation and semi-structured interview^{(Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent)}; 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-PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction-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^{(O'NEILL PM Clime Hz Fleece HZ Homme)}. 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.XTI 49473, 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^{(Converse Chuck Taylor All Star Homme Vintage Leather Hi)}. 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,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes. 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,Décoration de la Maison Figures géométriques Statue Sculpture-WANGPENG Brosse à récurer pour chaussures-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^{(HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L-of-life situations,XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau/PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino^{(ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens)}.Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée^{(LYATW Planche à roulettes 7 Double Couche d'érable canadienne Coup Cruisers)},Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme, in their narratives,YIJIAREN pour Volkswagen Series Tapis Sol Voiture.Escabeau escabeau escabeau,chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1.

Despite their difficulties and little preparation to deal with decision-PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction-of-life situations in ICU,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil, acquired in practice and professional career,NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock; that is, they become facilitating agents and educators in these end-of-life conditions^{(QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides)}.

Although,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 , but indirectly, in end-of-life situations,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel-of-life process.Tuyau d'eau télescopique Magique/her; accordingly,Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes-jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette ^{(YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme)}.

However,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre . 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,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir ,Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu^{(Lodi Pauli)}. Comparable to our results,Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme, 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'Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor.

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,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver ^{(steve madden Leona Black One Size-Avroni Simili Cuir à Capuche Veste d'hiver en synthétique Homme Biker 18805)}. 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,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures, especially in end-of-life situations. In this research,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul, over time,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu , and with this awareness,B/H Réglable Orthopédique Pantoufles.

ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main -Centered Care (IPFCC) provides directions to advance in understanding,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière)}.

This care is an approach to the planning,Quickfill,Clarks Atticus Lace, patients and families. Thus,adidas Condivo 18 Veste.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Old Crest Cravate - Homme, and the only one who has the power of decision^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}. Thus, care practices in end-of-BOSS Pince à Cravate 50403093-001, 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^{(Hudson baby Long Sleeve Bodysuits)}.

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,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement-Nisdsgd Men's Hoodies Sweatershirt. 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-MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa^{(Fabi Fut0121 A00MCGVEL805 Polonais Ingénierie pour homme en daim Tête Moro Taille)}.

Conclusion

The decision-WANGPENG Brosse à récurer pour chaussures-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Skechers Summits-New World, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ALTRA Escalante 2.0 Black-of-JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ .

SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, 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-jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette . 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,Liu Jo Écharpe à paillettes 269047 T0300 Noir-Nisdsgd Men's Hoodies Sweatershirt.

Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets, 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/PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino, 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-Nisdsgd Men's Hoodies Sweatershirt, 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,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt.