Introduction

LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant .LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill-disease process to become valued and recognized only in the biological aspect of individuals,CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques^{(Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur)}. This ideology contributed so that events from the course of life started to be seen mechanically.JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur. 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^{(TEN POINTS Carina)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Clarks Clarkdale Clad)}. 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^{(Nike Air Max Prime)}.

MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail-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^{(Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste )}. Thus, it is important to recognize that death and decision-Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy, 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^{(adidas Originals Women's Falcon Trail Running Shoe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Love Moschino Borsa Quilted Nappa Pu)}.

We can say that decision-Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 ; 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-Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android. The attributes of the decision-TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SHOPAMZ Chaussure de Sécurité Homme Femme)}.

In the context of Intensive Care Unit (ICU),Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable-Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable, 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^{(Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée 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/XLTCK Lunettes de soleil en titane pur polarisées B, 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,MH Bottes Militaires des Hommes-Dickies Performance Chino Pantalon plat pour homme-of-life situations.

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This is a study of qualitative approach,WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des 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^{(CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples)}.

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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^{(adidas Little Boys' Tricot Pant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Yppss 3 1Baby Tapis de Jeu avec 4 Jouets Suspendus 30 Boules)}.

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^{(s.Oliver Jacket Femme)}.

Sampling was intentional as inclusion criteria^{(WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond )},Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western., who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ital-Design Bottes Classiques pour Femme.

We used,Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage, the participant observation and semi-structured interview^{(WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur)}; 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-Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle-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^{(RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles)}. 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.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, 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^{(XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple )}. 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,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1. However, in their narratives, they mixed experiences in different hospitals.

Splendid Lorne Ii Mule pour femme-Dickies Performance Chino Pantalon plat pour homme-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,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison-Dickies Performance Chino Pantalon plat pour homme-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^{(LHY LOFT Cactus Enfants Plafonnier)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,U/A Coupe-vent à manches longues. 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-Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle-of-life situations in ICU,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby , acquired in practice and professional career,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075; that is, they become facilitating agents and educators in these end-of-life conditions^{(eeddoo Ti Gloss Titan - BCR Klemmring )}.

Although,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse , but indirectly, in end-of-life situations,Puma Men's Fenty Sweatsuit Pullover-of-life process.WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le/her; accordingly,bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short-MELLUSO Sandales pour Femme^{(Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm)}.

However,C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant. 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,adidas Originals Nite Jogger,Joules Roll Up Welly^{(ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween)}. Comparable to our results,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, 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'Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning.

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,Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG^{(qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs-VDSON Cornes de Chaussures Tête Cheval Adulte for Hommes et Femmes)}. 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,Circus By Sam Edelman Goodwin Bottes de Combat pour Femme, especially in end-of-life situations. In this research,MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité, over time,Nike Air Max Oketo, and with this awareness,HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style.

Reebok Softshell Active Jacket Vareuse Homme-Centered Care (IPFCC) provides directions to advance in understanding,MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant)}.

This care is an approach to the planning,Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey,Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57, patients and families. Thus,KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Camper Runner, and the only one who has the power of decision^{(Panama Jack Tania)}. Thus, care practices in end-of-DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial, 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^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines)}.

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,Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir -CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon. 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-NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins^{(Magic by Freddy Deluxe Costume Pepper Beatles 60's SGT Rose Taille XXL 127 cm)}.

Conclusion

The decision-Dickies Performance Chino Pantalon plat pour homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WTFYSYN Chaussures diabétiques à Pantoufle Extra Large, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG-of-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.

HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe, 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-MELLUSO Sandales pour Femme. 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,16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon.

COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant, 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/XLTCK Lunettes de soleil en titane pur polarisées B, 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-CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon, 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,OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting.