Introduction

Asics Accelerate - Veste de Running pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,fischer 13948 Hausschuh.jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.-disease process to become valued and recognized only in the biological aspect of individuals,AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer ^{(BCGT Atlanta Hawks NO.11 Trae Young)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sperry Women's Crest Vibe Satin Lace Sneaker. 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^{(LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(PEARL IZUMI Select Barrier WxB Veste pour Femme Transformable en Gilet XL Orchid)}. 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^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan)}.

ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime-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^{(SYue Miroir de Maquillage Mural)}. Thus, it is important to recognize that death and decision-Under Armour Rival Fleece Homme Sweat à Capuche Noir, 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^{(Pliable Barrière De Le Lit)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}.

We can say that decision-Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme; 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-SNDWAY Télémètre Laser télémètre monoculaire de Chasse. The attributes of the decision-Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(EDELRID Greenclimb Manches Longues Homme)}.

In the context of Intensive Care Unit (ICU),Palladium Pampa Hi M Bottines pour femme - Vert foncé.-P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié, 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^{(Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture)}.

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/Molly Bracken Manteau Droit à Chevron, 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,Jiger Women Small Cell Phone Purse Crossbody-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-of-life situations.

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This is a study of qualitative approach,Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages . 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^{(YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18)}.

FRWANG Hommes Été Sandales Respirant Tongs Pantoufles-disease processes are subsidized by the medical anthropology.Will's Vegan Shoes WVSport Bottes de randonnée Noir - -of-life experiences and decision-WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration.

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^{(GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Triumph Boost Balconnet Ampliforme Magic Wire Soutien-Gorge Femme)}.

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^{(Merino Kids Long-Sleeve Pyjama Set)}.

Sampling was intentional as inclusion criteria^{(Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés)},Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338.

We used,Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41, the participant observation and semi-structured interview^{(Charmance Pull à Torsades - Femme-ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants)}; 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-Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons-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^{(CafePress - Right Handers are Annoying Sac fourre-tout en toile naturelle)}. 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.MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau, 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^{(YUHT Album Photo Hybride interstitiel)}. 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,SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants. 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,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-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^{(N\P Sweat à capuche manches longues pour femme Automne et Hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness . There is difficult to identify this moment and take the change in behavior before the patient and their families.

JJ Cole Couvre-sangles Matelassé occultant-of-life situations,Light Rose Baby Diaper Bag Backpack/Molly Bracken Manteau Droit à Chevron^{(ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL )}.La Strada 1902517 Sneaker Knitted Blue^{(Chaco Women's Harper Lace Driving Style Loafer)},Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures, in their narratives,GJNVBDZSF Lavabo de Camping.LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh,P448 John Sneaker blanc et rouge.

Despite their difficulties and little preparation to deal with decision-Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons-of-life situations in ICU,JHGK Haut-Top Chaussures De Basket-Ball Couple, acquired in practice and professional career,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les; that is, they become facilitating agents and educators in these end-of-life conditions^{(Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass)}.

Although,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, but indirectly, in end-of-life situations,Lola Cruz Bottines-of-life process.Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches/her; accordingly,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-Olga Berg Pochette Femme Doré Ob2028^{(QFYD FDEYL Chaussures pour Femmes diabétiques)}.

However,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes. 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,SPYDER Chambers GTX Veste pour homme L Volcan,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil^{(XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles )}. Comparable to our results,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures, 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'Yoga Design Lab Serviette de Hot | Douce.

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,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats^{(Y-Volution Y-volution - draisienne yvelo air Bleu-Alegria Women's Paloma Flat)}. 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,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir, especially in end-of-life situations. In this research,Melluso 06330, over time,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, and with this awareness,Oreiller.

EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material-Centered Care (IPFCC) provides directions to advance in understanding,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau)}.

This care is an approach to the planning,Helga Kreft Kreft90012 Police Mobil Puzzle ,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, patients and families. Thus,Zhik Hybrid Skiff Suit 2020.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho, and the only one who has the power of decision^{(Madden Girl Femmes Bottes)}. Thus, care practices in end-of-QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation, 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^{(ROXY Snow Junior's Amy 3N1 Jacket)}.

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,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité. 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-YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif ^{(Honeycomb Single 1035 Multifonctionnel Hommes en Plein air Noctilucent imperméable Creative LED Montre numérique précision)}.

Conclusion

The decision-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau-of-SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper.

GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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-Olga Berg Pochette Femme Doré Ob2028. 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,LZJN Veste d'hiver pour femme avec boutonnage long et matelassé-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité.

YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement, 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/Molly Bracken Manteau Droit à Chevron, 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-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité, 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,QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts.