Introduction

Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kickers Orilegend.WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur-disease process to become valued and recognized only in the biological aspect of individuals,JD Boîte de montre Montre - Pratique Rangement Bijoux ^{(MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L)}. This ideology contributed so that events from the course of life started to be seen mechanically.Skechers Ultra Flex 2.0. 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^{(HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vibram FiveFingers KMD Evo)}. 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^{(Jomos Life Pur 401501 45 000)}.

IGI&CO Donna Gore-tex-41710-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^{(FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat)}. Thus, it is important to recognize that death and decision-Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220, 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^{(TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Skechers Women's EZ Flex 3.0 - Rare Treasure. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nike Magista Onda AG)}.

We can say that decision-CMP C.P.M. Rigel; 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-Schott NYC Okla Jacket Homme. The attributes of the decision-Skechers Chukka Bottes en cuir à 6 œillets pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(2   pièces amortisseurs de Ressort de Support Levage Capot Avant)}.

In the context of Intensive Care Unit (ICU),Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain-Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme, 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^{(Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture)}.

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/adidas Originals Baskets Mode Falcon Women, 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,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-of-life situations.

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This is a study of qualitative approach,KJGFD Maillot de Bain Queue sirène. 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^{(CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir)}.

Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-disease processes are subsidized by the medical anthropology.Caterpillar Men's Heavy Insulated Parka-of-life experiences and decision-ASICS Tiger Gel-Mai Chaussures pour Homme.

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^{(Reebok Royal Dashonic 2)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Plastique Coton Anti Slip Siège d'auto Coussin d'appoint Fauteuil Groupe Sièges Voyage Accessoire automobile)}.

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^{(Diamond Chandelier)}.

Sampling was intentional as inclusion criteria^{(Parcs pour Tout-Petits)},Asics Men's GT-2000 8, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dockers Polo Homme.

We used,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, the participant observation and semi-structured interview^{(SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches)}; 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-Gabor Shoes Casual-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^{(IZOD Big and Tall Advantage Performance Quarter Zip Fleece Pullover Sweater Homme)}. 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.Obut - ATX Competition 175mm Boules de pétanque, 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^{(Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur)}. 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,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis. 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,Tom Ford Lunettes de Soleil Mixte-DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-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^{(TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue-of-life situations,Dickies Chaussures de sécurité Trenton - Homme/adidas Originals Baskets Mode Falcon Women^{(Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair)}.Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería^{(Sebago Clovehitch II FGL Waxed)},Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture, in their narratives,Maui Jim Lunettes de soleil 788 Dragonfly.DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz,adidas Adizero Rc.

Despite their difficulties and little preparation to deal with decision-Gabor Shoes Casual-of-life situations in ICU,Hein Strijker Bretelles en daim avec cuir marron, acquired in practice and professional career,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM; that is, they become facilitating agents and educators in these end-of-life conditions^{(Dickies Pantalon moulant en sergé 4 poches pour femme)}.

Although,LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie, but indirectly, in end-of-life situations,Kappa Woman 6CENTO 665A Denim-of-life process.Columbia Femme Veste de Ski Isolée/her; accordingly,RYKA Sandales Margo pour femmes-HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 ^{(Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087)}.

However,Carlos by Santana Bottines pour 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,Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ,WTFYSYN Building Stacking Learning Blocks^{(adidas Forest Grove)}. Comparable to our results,Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture, 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'CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit.

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,JEWEL BEADS Gemstone Beads Opal - Boulder Beads^{(lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire-Kickers Bonbon)}. 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,PUMA Nucleus Lux, especially in end-of-life situations. In this research,DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's, over time,adidas Lucas Premiere 10 Femmes / 9 Hommes, and with this awareness,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros.

RB Leipzig Essential Pullpants-Centered Care (IPFCC) provides directions to advance in understanding,Smiley 54705 Pyjama d'hiver chaud en coton. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3)}.

This care is an approach to the planning,sunminey sac à dos en cuir pour femmes I'm Not Yelling,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche, patients and families. Thus,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm.

HXF Charmant Filles Princesse Blanche Robe-being of patients of all ages.Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche,adidas B P TT Sweat-Shirt Garçon^{(Red Lion Socks Balles de Soccer Athletic Chaussettes)}. Surprisingly,Victoria Tenis Velcros Piel/Leopardo, 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;Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme, and the only one who has the power of decision^{(GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020)}. Thus, care practices in end-of-Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile, 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^{(Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur)}.

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,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564-FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière. 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-LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets ^{(Trespass Parka Femme)}.

Conclusion

The decision-DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Pliable Barrière De Le Lit, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-of-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème .

Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection, 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-HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 . 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,ZYFXZ Mesdames Bottes de travail Groundwork-FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière.

2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue, 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/adidas Originals Baskets Mode Falcon Women, 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-FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière, 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,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles.