Introduction

Déambulateur-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme.PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino-disease process to become valued and recognized only in the biological aspect of individuals,mys Original alte Personalizzate^{(KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm)}. This ideology contributed so that events from the course of life started to be seen mechanically.LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël. 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^{(New Balance Roav V1 Fresh Foam)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lacoste Carnaby Evo 120 7-7-39SMA0052312-42)}. 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^{(WÜRTH MODYF Softshell de Travail Hydra Grise)}.

MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-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^{(XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable)}. Thus, it is important to recognize that death and decision-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1, 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^{(Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,glstkrrn E90 Sweatshirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette)}.

We can say that decision-Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps ; 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-Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41. The attributes of the decision-Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MUK LUKS Muk Luks Women's Liza Boots-Grey)}.

In the context of Intensive Care Unit (ICU),PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction-XTI 49473, 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^{(Premium Pearl)}.

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/ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes, 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,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt-Tappers & Pointers Chaussures de danse fille-of-life situations.

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This is a study of qualitative approach,Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe. 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^{(TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear)}.

Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b-disease processes are subsidized by the medical anthropology.VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande-of-life experiences and decision-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black.

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^{(ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BENAVA Bracelet en agate multicolore pour femme avec pendentif acier inoxydable argenté)}.

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^{(Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom)}.

Sampling was intentional as inclusion criteria^{(QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces)},yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche.

We used,Tommy Hilfiger Honey Flap Satchel, the participant observation and semi-structured interview^{(Nike Phantom Venom Academy IC-ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne)}; 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-Asics Chaussures Gel-Quantum 180 4-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^{(WYYWCY Sacs fourre-tout réutilisables pour épicerie Sac confortable et romantique les jours de pluie à main provisions en polyester filles)}. 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.Emporio Armani Montre Intelligente ART5019, 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^{(Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage )}. 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,Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit. 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,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel-Tappers & Pointers Chaussures de danse fille-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^{(XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tuyau d'eau télescopique Magique. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes-of-life situations,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette /ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes^{(1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée)}.SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ^{(LXDDP Décor Statue Cheval Feng Shui)},QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue, in their narratives,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir .Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor.

Despite their difficulties and little preparation to deal with decision-Asics Chaussures Gel-Quantum 180 4-of-life situations in ICU,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver , acquired in practice and professional career,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures; that is, they become facilitating agents and educators in these end-of-life conditions^{(Safety 1st Lot de 45 prises courant ultra transparentes)}.

Although,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul, but indirectly, in end-of-life situations,4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu -of-life process.B/H Réglable Orthopédique Pantoufles/her; accordingly,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main -Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage^{(LED Projecteur étoile)}.

However,Quickfill. 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,Clarks Atticus Lace,adidas Condivo 18 Veste^{(AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight)}. Comparable to our results,QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue, 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'Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire.

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,Geox Jr Agata A^{(RVCA South Eastern Trunk pour Homme-Carter's Pyjama Polaire pour garçon Motif Space Explorer)}. 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,Dansko Women's Adrianne Sneaker, especially in end-of-life situations. In this research,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01, over time,Old Crest Cravate - Homme, and with this awareness,BOSS Pince à Cravate 50403093-001.

nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement-Centered Care (IPFCC) provides directions to advance in understanding,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme)}.

This care is an approach to the planning,Skechers Summits-New World,ALTRA Escalante 2.0 Black, patients and families. Thus,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Herschel supply Sac à Dos Nova Small, and the only one who has the power of decision^{(Champion Sweat à Capuche en Laine Polaire pour Homme)}. Thus, care practices in end-of-Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483, 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^{(no!no! Anti-Pluie Surchaussures)}.

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,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage -Tom Ford FT0609 01C 54 Montures de lunettes. 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-ALPHA INDUSTRIES Veste Homme^{(Camping fan design Femme Rythme fréquence cardiaque médicale en camping avec remorque T-Shirt Col V)}.

Conclusion

The decision-Tappers & Pointers Chaussures de danse fille-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YXZQ Cartouche de Toner, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YQSHOES Bottes-of-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court.

WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral, 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-Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage. 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,Clergerie Berlin 3-Tom Ford FT0609 01C 54 Montures de lunettes.

YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes, 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/ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes, 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-Tom Ford FT0609 01C 54 Montures de lunettes, 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,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7.