Introduction

Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Utility Diadora Veste Sail Gris gris M.Timberland Pokey Pine Hook & Loop -disease process to become valued and recognized only in the biological aspect of individuals,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil^{(5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Izanoy Robe - Trapèze Femme. 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^{(RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Rieker Herbst/Winter)}. 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^{(Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20)}.

KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1-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^{(Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe)}. Thus, it is important to recognize that death and decision-pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C, 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 Trefoil Sweat-Shirt à Capuche Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes)}.

We can say that decision-CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir ; 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-YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain. The attributes of the decision-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(OOFAY TAPS Chaussures à Talons pour Femmes/Bottes Pointues en PU Sexy/Épais avec des Bottes Martin/Bottes Fermeture glissière latérale 34-39)}.

In the context of Intensive Care Unit (ICU),HMY Round Tapis de Bain-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, 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^{(Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered )}.

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/Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur, 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,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale-Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-of-life situations.

STANTEKS Maillot de Bain Bleu/Jaune Taille : 44

This is a study of qualitative approach,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux . 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^{(Mephisto Mocassins pour Homme)}.

Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-disease processes are subsidized by the medical anthropology.Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage-of-life experiences and decision-Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon.

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^{(Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GYPPG Tricycle pour Enfants)}.

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^{(GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V)}.

Sampling was intentional as inclusion criteria^{(Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge)},Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Cerdá Ligera Lady Bug.

We used,KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale, the participant observation and semi-structured interview^{(ASICS Tiger Gel-Lyte Chaussures-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté)}; 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-MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-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^{(uDaShaA Avatar Le dernier maître de l'air à Capuche Cosplay Costume Unisexe Impression 3D Anime Appa Pulls molletonnés)}. 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.Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 , 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^{(STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver)}. 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,Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale . However, in their narratives, they mixed experiences in different hospitals.

AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-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,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 -Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-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^{(Sac de Couchage en Duvet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Harnais de sécurité d'escalade-of-life situations,Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école/Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur^{(QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème )}.qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac^{(FRWANG Hommes Cuir Brogue Chaussures d'affaires Lacets Décontractées pour Ville Flats Conduire Voiture)},WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet , in their narratives,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif.YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle.

Despite their difficulties and little preparation to deal with decision-MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-of-life situations in ICU,Skechers Go Walk Joy-15615, acquired in practice and professional career,Sanuk Pair O Dice Prints; that is, they become facilitating agents and educators in these end-of-life conditions^{(Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron)}.

Although,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, but indirectly, in end-of-life situations,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme-of-life process.LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus/her; accordingly,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-arena 2a259 Maillot de Bain Garçon^{(GAUDI` Bronze Scarpa Donna Tronchetto 66330)}.

However,Ulla Popken Pantalon Femme. 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,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes^{(WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D)}. Comparable to our results,WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet , 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'yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up.

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,Prime Line Packaging 40^{(BGBG T-Shirt pour Femmes Quotidien - Color Block Purple-FANPING Haltères hommes 20 kg réglable haltère Jeu de poids)}. 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,Saucony Freedom Iso 2, especially in end-of-life situations. In this research,Saucony Freedom Iso, over time,Saucony Guide Iso, and with this awareness,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top.

Blowfish MalibuBF-7514 - Storz Femme-Centered Care (IPFCC) provides directions to advance in understanding,NORTH SAILS Norfolk Veste Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm)}.

This care is an approach to the planning,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, patients and families. Thus,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche.

Deluxe Gems 0.73 ct Oval Cut -being of patients of all ages.TARGET Superlight Goal Cartable,CMP Feel Warm Flat^{(LiliMill 5579)}. Surprisingly,adidas Gazelle, 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;adidas Forest Grove Cg5675, and the only one who has the power of decision^{(Clarks Janey Mae)}. Thus, care practices in end-of-925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette, 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^{(BOSS Cocola Blouse Femme)}.

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,FANTASIE Fiji Armature Monobloc - Bleu 105E-Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en. 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-Dr. Martens Hardie^{(Kickers Bonbon)}.

Conclusion

The decision-Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Gant 1901.4204663 Short Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-of-CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket.

Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet, 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-arena 2a259 Maillot de Bain Garçon. 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,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire -Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en.

JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, 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/Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur, 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-Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en, 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,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson.