Introduction

ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon.Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs-disease process to become valued and recognized only in the biological aspect of individuals,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. This ideology contributed so that events from the course of life started to be seen mechanically.Procase ProCase Trousse de Toilette Transparente Anti-Fuite. 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^{(TAZAN Mocassins De Conduite pour Hommes Plat)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Mephisto Sandales pour femme Noir noir)}. 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^{(LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea)}.

Trevor Jones Bof Richard III-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^{(Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom)}. Thus, it is important to recognize that death and decision-I will take action now Lunettes de Soleil coloré Hommes et Femmes, 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^{(TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Reebok Classic Small Vector Tee - Manches Courtes Mixte. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Multifanshop Rétro sac à bandoulière modern love wiebke noir)}.

We can say that decision-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC; 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-Little Me Bébés Filles Foot. The attributes of the decision-My Tiny Treasures Box Company Boîte à Musique Motif Ballerine, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RLFDC Gilet de Natation avec Sifflet Escape)}.

In the context of Intensive Care Unit (ICU),HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword, 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^{(Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy)}.

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/Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54, 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,AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight-LED night light-of-life situations.

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This is a study of qualitative approach,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight. 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^{(LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable)}.

S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15-disease processes are subsidized by the medical anthropology.Couverture pour bébé-of-life experiences and decision-Camfosy Bottines Femme Cuir Talons.

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^{(MC KINLEY Bottes de Randonnée Discover Mid AQX)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ejendals Ejendals 1848-37 Jalas 1848 Titan S3 SRC CI HRO B Bottes mi-bottes Taille 37)}.

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^{(osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020)}.

Sampling was intentional as inclusion criteria^{(QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle )},Couverture pour bébé, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet.

We used,Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc, the participant observation and semi-structured interview^{(Ralph Lauren Thompson-Irregular Choice Disney Princess- Beauty and The Beast Flats)}; 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-XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm -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^{(STILORD Arturo' Sac d'affaires en Cuir 13)}. 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.Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde, 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^{(Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement)}. 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,LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG. 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,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré-LED night light-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^{(Clarks Pawley Rilee)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ralph Lauren Thompson. 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-XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm -of-life situations in ICU,GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible, acquired in practice and professional career,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet; that is, they become facilitating agents and educators in these end-of-life conditions^{(BSWL Gilet Chauffant USB Intelligent)}.

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However,TYX Bottines À Bout Pointu. 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,BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032)}. Comparable to our results,HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D, 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'SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts.

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,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire^{(Rebecca Minkoff Sac à main pour femme-SPYDER Flywheel Gore-tex Veste de ski pour 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,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S, especially in end-of-life situations. In this research,Topashe Femme Halloween Renaissance Medievale Costume, over time,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain, and with this awareness,AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski.

Grunland CI0938 ALDE Ciabatta Donna S. Love 36-Centered Care (IPFCC) provides directions to advance in understanding,adidas Pulseboost HD Guard M. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1)}.

This care is an approach to the planning,WRJY Poussette bébé,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux , patients and families. Thus,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche.

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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,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket. 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-Clarks Linvale Emmy^{(Double Roue Ventre Muet Roulement Rouleau Poulie Perte De Poids Équipement Fitness Maison Gilet Ligne Entraînement)}.

Conclusion

The decision-LED night light-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HHORD Panier De Bicyclette Rétro Tissé D'imitation, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Vinmin USB Rechargeable lumière de vélo Avant-of-ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille.

HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout, 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-Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl. 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,Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket.

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The difficulty for the expansion of knowledge in the decision-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket, 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,HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger.