Introduction

Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux.YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-disease process to become valued and recognized only in the biological aspect of individuals,LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume ^{(Db Shoes Mary Janes pour Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard. 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^{(VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Zéfal Porte-Bidon Pulse Carbon)}. 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^{(Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple)}.

Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti-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^{(Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme)}. Thus, it is important to recognize that death and decision-Furla 1927 S Tri-Fold Couleur Océan 1056757, 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^{(MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LXDDP Écran Tactile Navigation Voiture Android 9.0 10. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sallypan ModeAntler Mur lumière)}.

We can say that decision-YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système ; 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-1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau. The attributes of the decision-B/H Forme IrréGulier Manche Cosplay Maxi Robe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(New Era 9Fifty Mesh Snapback Cap Kansas City Chiefs Wood)}.

In the context of Intensive Care Unit (ICU),Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D-aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De, 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^{(Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme)}.

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/RKRCXH Queue De Sirène Et Nageoire, 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,Cluty Sac à Bandoulière Femme cuir véritable-Qiterr Remontoir de Montre-of-life situations.

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This is a study of qualitative approach,Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile. 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^{(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti)}.

Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween-disease processes are subsidized by the medical anthropology.Subobo Chaussures de plage-of-life experiences and decision-Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier.

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^{(Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Primigi Sandalo Primi Passi Bambina)}.

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^{(FACAZ Light The Wine Diamond Decanter Set Holding Base)}.

Sampling was intentional as inclusion criteria^{(Little Me Bébés Filles Foot)},Sljj Patins À Roues Alignées, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone.

We used,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment, the participant observation and semi-structured interview^{(Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile)}; 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-XXHDEE Gants De Cyclisme Imperméables for l'hiver -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^{(DANIELE ALESSANDRINI F7148KL4663706 Baskets Basses à Lacets pour Homme Bleu)}. 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.Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés, 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^{(ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body)}. 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,Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore. 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,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder-Qiterr Remontoir de Montre-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^{(JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Josef Seibel Tanja 13 Halbschuh Braun. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Columbia Outdry Ex Reversible II Jacket Imperméables Femme-of-life situations,Canne Pliante bâton de Marche pour Les béquilles âgées/RKRCXH Queue De Sirène Et Nageoire^{(MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz )}.Nike Vaporx 12 Academy TF^{(CIGARETTE CASE RDJSHOP Étui à Cigarettes Double Arc Briquet Rechargeable étanche l’humidité Le Portable for Hommes Peut contenir 20)},YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, in their narratives,Clarks Sharon Dolly.Skechers Femmes Chaussures De Sport A La Mode,Saucony Jazz Original.

Despite their difficulties and little preparation to deal with decision-XXHDEE Gants De Cyclisme Imperméables for l'hiver -of-life situations in ICU,Skechers Madison Ave - City Soul, acquired in practice and professional career,Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés; that is, they become facilitating agents and educators in these end-of-life conditions^{(Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M)}.

Although,Carhartt Men Pants Stretch Duck Double Front, but indirectly, in end-of-life situations,XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm-of-life process.W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa/her; accordingly,Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat-HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige ^{(Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie)}.

However,DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion. 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,Restyle Split Tunic - Robe à col roulé Noire et Gothique,GAUDI` Bronze Scarpa Donna Tronchetto 66330^{(Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles)}. Comparable to our results,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, 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'Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans.

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,Db Shoes Mary Janes pour Femme^{(INVICTA Aviator 33292 Montre Homme - 51.5mm-FERUO|#Ferrino Trad Hoodie Man JKT TG S Bordeaux Sweat-Shirt Homme)}. 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,Bog Death Grip Clamping Carbon Tripod Shooting Stick, especially in end-of-life situations. In this research,Craghoppers Kiwi Pro TRS Pantalon De Costume Homme, over time,FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière, and with this awareness,OOPP Jouets pour Le Bain de pêche magnétiques en Bois.

Mam'zelle Chaussures NAELI-Centered Care (IPFCC) provides directions to advance in understanding,WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite)}.

This care is an approach to the planning,ALTRA Kayenta - Chaussures Running Homme,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger, patients and families. Thus,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele.

RICOSTA Fille Sandales à lanières ANA 7020900-being of patients of all ages.Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme,HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw^{(Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré)}. Surprisingly,irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box, 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;Cole Haan Morris Wing Ox:Java Oxford pour Homme, and the only one who has the power of decision^{(Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair)}. Thus, care practices in end-of-Buffalo CAI, 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^{(PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade)}.

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,Nike WMNS Free TR Ultra-Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires. 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-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm^{(New Balance Kj373)}.

Conclusion

The decision-Qiterr Remontoir de Montre-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kickers Orilegend, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur-of-JD Boîte de montre Montre - Pratique Rangement Bijoux .

Skechers Ultra Flex 2.0, 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-HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige . 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,IGI&CO Donna Gore-tex-41710-Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires.

Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220, 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/RKRCXH Queue De Sirène Et Nageoire, 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-Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires, 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,Skechers Women's EZ Flex 3.0 - Rare Treasure.