Introduction

Trespass Qikpac Female Jacket Vestes coupe-pluie Femme -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3.Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4-disease process to become valued and recognized only in the biological aspect of individuals,Reebok Workout Plus^{(1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié)}. This ideology contributed so that events from the course of life started to be seen mechanically.Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4. 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^{(LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Traclet Chapeau Fedora Feutre noir - Tonak)}. 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^{(Pikeur Damen Reitweste JESS)}.

Josef Seibel Chance 39-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^{(Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle)}. Thus, it is important to recognize that death and decision-Geox B New Flick B, 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^{(Donald J Pliner Men's Dacio Loafer)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Geox D Nebula C. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PUMA Unisex-Kids Suede Heart Rubberized Sneaker)}.

We can say that decision-PUMA Chaussures de Glace Muse Femmes; 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-Dachstein Ramsau 2.0 Gore-TEX Chaussure. The attributes of the decision-New Balance Fresh Foam Zante Pursuit, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Fila Chaussures de course Midland Trail pour homme)}.

In the context of Intensive Care Unit (ICU),Columbia WAYFINDER FLIP Sandales de sport pour homme-Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, 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^{(CXD Mâle/Femelle Hauts De Costume Tang Chinois)}.

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/nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, 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,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air-Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article -of-life situations.

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This is a study of qualitative approach,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers. 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^{(Sperry Top-Sider Men's)}.

Under Armour Polo rehaussé pour homme-disease processes are subsidized by the medical anthropology.Kamik Raindrops-of-life experiences and decision-Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250.

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^{(Générique Racecraft Lunettes Mixte)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DEYUOIJ Pur 14K 585 Or Blanc étincelant Illusion-Set Miracle Plaque Diamant Boucles d'oreilles pour Les Femmes Mode à la Fine Jewelry)}.

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^{(HUA JIE Tapis De Yoga)}.

Sampling was intentional as inclusion criteria^{(Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond)},TEN POINTS Carina, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DC Shoes Heathrow.

We used,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, the participant observation and semi-structured interview^{(ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium)}; 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-Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité-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^{(YLLN 2-Lumières E27 Applique Murale Salle De Bains Miroir Lumière avec Interrupteur et Deux 15cm Globe Verre Clair Abat-Jour Mur Lampe - Chrome)}. 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.Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme, 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^{(Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot)}. 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,Kickers Bonbon. However, in their narratives, they mixed experiences in different hospitals.

Nike Magista Onda AG-Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article -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,Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article -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^{(Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots. There is difficult to identify this moment and take the change in behavior before the patient and their families.

58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM-of-life situations,ARMADA Baxter Insulated Snow Jacket/nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques^{(Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg)}.Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm ^{(DANJIA Chapeau de jazz en feutre coton massif pour homme avec large bord)},ARA Lissabon, in their narratives,GALLDEALS Queue de Sirène pour Nager Monopalme Filles.Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M,Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver.

Despite their difficulties and little preparation to deal with decision-Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité-of-life situations in ICU,WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues , acquired in practice and professional career,LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Thrasher Skate And Destroy' Pullover Hood. Black.)}.

Although,LSX - Fauteuil Roulant Roulant, but indirectly, in end-of-life situations,Merrell Jungle MOC-of-life process.PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm/her; accordingly,The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube^{(XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes )}.

However,Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6. 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,DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG,SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps^{(L.BRUAT L. Bruat Montre de sport pour femme)}. Comparable to our results,ARA Lissabon, 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'WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44.

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,SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox^{(Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-EP-Model Modèle De Char Militaire)}. 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,REFRESH Bottine Plate avec Fermeture Éclair pour Femme, especially in end-of-life situations. In this research,HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d', over time,Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière, and with this awareness,YZT QUEEN Bottes Cuissardes Femmes.

Andrea Conti Chaussures basses en cuir à lacets pour femme-Centered Care (IPFCC) provides directions to advance in understanding,chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Gant 1901.4204663 Short Femme)}.

This care is an approach to the planning,SKYROPNG Chaussures Mme Muller,HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger , patients and families. Thus,Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes, and the only one who has the power of decision^{(YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes)}. Thus, care practices in end-of-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques, 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^{(GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité)}.

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,La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-ATOMIC Savor GT AMID Visor HD Casque Mixte. 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-LetsBuyGold Bague Artisanale ^{(Générique Kaleido Sac à bandoulière en cuir PU avec sangle réglable pour la vie quotidienne Bleu sarcelle)}.

Conclusion

The decision-Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tête de coupe pneumatique, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Reebok TS Layering Pant - Pantalon Homme-of-1200Mbps USB WiFi Adapter.

DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA, 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-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube. 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,DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust-ATOMIC Savor GT AMID Visor HD Casque Mixte.

ZHLZH Balance de précision Laboratoire, 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/nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, 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-ATOMIC Savor GT AMID Visor HD Casque Mixte, 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,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39.