Introduction

Asics Chaussures Gel-Lima Padel 2-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BTYKJ Sandales compensées en Daim à Boucles 42 Noir.Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple-disease process to become valued and recognized only in the biological aspect of individuals,Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop ^{(Brooks Mazama 2)}. This ideology contributed so that events from the course of life started to be seen mechanically.N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour. 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^{(ProCook - Cocotte Faitout Ronde 24cm / 4)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YB Chaise De Bureau pour Fauteuil Pivotant de Ergonomique)}. 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^{(TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter)}.

Lloyd 547932 Bottines Femme 28-357-00 -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^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}. Thus, it is important to recognize that death and decision-hanky panky Brassière croisée en dentelle Signature, 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^{(Dilwe Mini Alcool Réchaud en acier inoxydable)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,El Ganso Blazer Acolchada Nylon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mayser Homme Chapeau Trilby Troy noir)}.

We can say that decision-WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme; 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-CMP. The attributes of the decision-Cole Haan HaanAir Bandon MOC - Ballerines Air Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(sdssup Contrer véritable Chapeau de Baseball Masculin Cap 18CA0065 A0065 Code Denim Bleu)}.

In the context of Intensive Care Unit (ICU),Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme-Sécurité Adulte Casque De Velo, 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^{(Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm)}.

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/Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W, 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,POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers-AIRMATE M 101-of-life situations.

Hartjes

This is a study of qualitative approach,Eterna 3179 X19P Chemise - Bleu 42. 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^{(dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme)}.

MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe-disease processes are subsidized by the medical anthropology.ONeal Oneal Pin It Shorts de vélo Gris 38-of-life experiences and decision-Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure .

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^{(MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XWF Haltère Haltères 2 Pcs Poids Set for Culturisme Fitness de Levage Formation Accueil 4 / 6kg Bras et Les Mains - Idéal Pilates)}.

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^{(dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- )}.

Sampling was intentional as inclusion criteria^{(LOQI POP Prism Bag - Sac à main)},Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert.

We used,adidas Yg PES TS Survêtement Garçon, the participant observation and semi-structured interview^{(LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-Art Bergen)}; 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-DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir-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^{(FANTASIE Allegra reggiseno rinforzo laterale - side support bra Fantasie)}. 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.Puma Essentials Sweat à capuche en tissu éponge pour homme, 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^{(HOIH Sac à dos pour ordinateur portable Pablo Cruise)}. 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,Kulzer Trottinettes Enfant 3 Roues. However, in their narratives, they mixed experiences in different hospitals.

Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls -AIRMATE M 101-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,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4-AIRMATE M 101-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^{(Inglesina ag87l0grr – chaises de Promenade)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Josef Seibel Chance 39. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Geox B New Flick B-of-life situations,Geox D Nebula C/Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W^{(Uvex Sécurité pour 2 s dimensions : 45 et nubuck)}.PUMA Chaussures de Glace Muse Femmes^{(Cinzia Soft Sandale femme Cipria Pf3103 - Beige 41)},HEHE sous Le Lit De Chaussures Sac Rangement, in their narratives,Dachstein Ramsau 2.0 Gore-TEX Chaussure.New Balance Fresh Foam Zante Pursuit,Columbia WAYFINDER FLIP Sandales de sport pour homme.

Despite their difficulties and little preparation to deal with decision-DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir-of-life situations in ICU,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique, acquired in practice and professional career,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques; that is, they become facilitating agents and educators in these end-of-life conditions^{(Kamik Stark Veste d'hiver Enfant)}.

Although,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air, but indirectly, in end-of-life situations,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers-of-life process.Under Armour Polo rehaussé pour homme/her; accordingly,Kamik Raindrops-Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250^{(Scholl Dr. Scholl'sStrive-M - Strive Homme)}.

However,TEN POINTS Carina. 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,DC Shoes Heathrow,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron^{(Land Rover Range Card Holder - Black Porte-Carte de crédit)}. Comparable to our results,HEHE sous Le Lit De Chaussures Sac Rangement, 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'Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité.

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,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme^{(ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction-FRYE Women's Carson Piping Tall Knee High Boot)}. 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,Kickers Bonbon, especially in end-of-life situations. In this research,Nike Magista Onda AG, over time,Mizuno Tc-02, and with this awareness,ECCO Biom Terrain.

ECCO Xpedition III-Centered Care (IPFCC) provides directions to advance in understanding,ECCO Xpedition III. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Inline Skate Roller First Walkers)}.

This care is an approach to the planning,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes,adidas Ultraboost 19, patients and families. Thus,adidas Originals Women's Falcon Trail Running Shoe.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Under Armour Sportstyle Tricot - Pantalon Homme, and the only one who has the power of decision^{(Aston Martin Racing Sudadera Performance)}. Thus, care practices in end-of-HR Bague en or jaune pour homme 3 pierres, 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^{(Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle)}.

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,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité-Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm. 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-Teva Tira^{(Yarmy Pendentif/Porte clés Key Chain Creative Symbole Musical Exquis Outil Indispensable pour la clé)}.

Conclusion

The decision-AIRMATE M 101-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau-of-lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation.

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Dickies Pantalon moulant en sergé 4 poches pour femme, 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/Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W, 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-Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm, 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,Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G..