Introduction

GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok.ISABELLE BLANCHE P030T001 Chino Femme-disease process to become valued and recognized only in the biological aspect of individuals,Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet^{(ARMADA Baxter Insulated Snow Jacket)}. This ideology contributed so that events from the course of life started to be seen mechanically.Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ . 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^{(love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Yin YIN Unisex Enfants Chaussures à Skates LED Clignotante Roue Double Bouton Poussoir Ajustable Chargement USBPatins roulettes Course Pied Sneakers pour Garçons Filles)}. 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^{(Columbia Fall Pine Washed Crew Chemise Femme)}.

MWOOOK Escarpins Femmes Talons Aiguilles-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^{(ZJIIXON Sweat-Shirt imprimé en 3D)}. Thus, it is important to recognize that death and decision-Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne, 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^{(JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FRYE FRYE70663 - Billy Shootie Femme)}.

We can say that decision-LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable; 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-Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45. The attributes of the decision-Dare 2b Cloud Burst Veste pour Fille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Rideaux d'ombrage avec fenêtre et fleurs de style méditerranéen - Panneau simple 160 x 183 cm Marron)}.

In the context of Intensive Care Unit (ICU),Seachoice Ultimate Outrigger Kit by SEACHOICE-Primadonna 0461810 Deauville Body à Armatures, 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^{(Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal)}.

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/FSA SL-K Carbon Tige de Selle Mixte, 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,Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard-GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité -of-life situations.

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This is a study of qualitative approach,Cult – Bottes de sécurité # Gun CLASS-1. 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^{(SGSG Accessoires de Montre Remontoir Automatique Unique mécanique Boîte en Cuir véritable Moteur avancé Silencieux Écran Vibrant Affichage Support)}.

Steiff Fleecejacke Blouson Bébé garçon-disease processes are subsidized by the medical anthropology.UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage-of-life experiences and decision-XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée .

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^{(HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Skechers Madison Ave - My Town)}.

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^{(Nike Court Royale Basket Femme Blanc 36 EU)}.

Sampling was intentional as inclusion criteria^{(WDDLD LumièRe CréAtive De MéDuse)},RYKA Devotion XT Mid, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.QYYdress Robe de Mode V-Cou imprimée Motifs .

We used,Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P, the participant observation and semi-structured interview^{(3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative)}; 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-GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur-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^{(Asics Gel-Kayano 26)}. 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.Nouxh Homme Femme Devil May Cry 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, 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^{(CMP Giacca Full Zip Wooltech Jacket Femme)}. 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,AOOA Petit sac à bandoulière en cuir synthétique pour femme. 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,Fournitures de salle bain Piscine gonflable Baignoire-GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité -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^{(Isotoner Addie Bottes en microdaim pour Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes-of-life situations,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides/FSA SL-K Carbon Tige de Selle Mixte^{(SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400)}.DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen^{(DAMMM Perruques)},AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats, in their narratives,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches.Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm.

Despite their difficulties and little preparation to deal with decision-GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur-of-life situations in ICU,YCCC Doudoune Garcon 12 Ans Hiver, acquired in practice and professional career,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite; that is, they become facilitating agents and educators in these end-of-life conditions^{(XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers)}.

Although,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes , but indirectly, in end-of-life situations,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière-of-life process.Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor/her; accordingly,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme-Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise^{(ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad)}.

However,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos. 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,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble ^{(HubBub Twist Shifter Drop Bar Adaptor by)}. Comparable to our results,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats, 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'L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm.

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,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche ^{(Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main-Rockport Total Motion Pompe à Pointe pour Femme Bleu 75 mm)}. 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,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules, especially in end-of-life situations. In this research,SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité, over time,Verre À Whisky Fait Main Real Bullet, and with this awareness,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable.

Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats-Centered Care (IPFCC) provides directions to advance in understanding,Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Odlo Energy Pantalon pour Femme x)}.

This care is an approach to the planning,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold,Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W , patients and families. Thus,JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Clarks Sharon Dolly, and the only one who has the power of decision^{(Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental)}. Thus, care practices in end-of-Badgley Mischka Vega, 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^{(Gabor Shoes Jollys)}.

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,Guess Robe à manches longues pour femme-Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme. 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-Hurley One & Only Pantalon de survêtement pour homme^{(emanuel ungaro Ungaro - Carré de Soie Floral Frame Orange Turquoise)}.

Conclusion

The decision-GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ganter AKTIV Hali-h-of-Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set.

Asics Chaussures Gt-1000 7 , 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-Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise. 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,Stonefly Rock 1 Velour-Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme.

JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil, 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/FSA SL-K Carbon Tige de Selle Mixte, 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-Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme, 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,Waldläufer Chaussures de Ville à Lacets pour Femme.