Introduction

Fossil Portefeuille à Trois Volets Jesse Cognac-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Saucony Shadow Original.XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@-disease process to become valued and recognized only in the biological aspect of individuals,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor^{(Delavi Self Medication T-Shirt Femme Noir Women's Black)}. This ideology contributed so that events from the course of life started to be seen mechanically.HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant. 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^{(Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HKJZ Set de Femmes Manches Longues Siamois crème Solaire Maigre Slimsuit Convient for la Natation et Wading Tankini)}. 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^{(YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip)}.

Dare 2b pour femme PREMISS Veste imperméable isolée-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^{(Osiris Protocol pour Homme Noir/Miel)}. Thus, it is important to recognize that death and decision-Piquadro Pierre Sac de Sport Grand Format, 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^{(Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme)}.

We can say that decision-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé; 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-OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage. The attributes of the decision-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gabor 749796 Rolling Soft 36.905-47 Patins à roulettes pour femme Noir Nubuk Oil)}.

In the context of Intensive Care Unit (ICU),ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon, 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^{(Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small)}.

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/Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, 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,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020-Pulp Fiction Tee Shirt Homme Pomme Rouge-of-life situations.

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This is a study of qualitative approach,Procase ProCase Trousse de Toilette Transparente Anti-Fuite. 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^{(YUMI Robe - Femme)}.

Trevor Jones Bof Richard III-disease processes are subsidized by the medical anthropology.I will take action now Lunettes de Soleil coloré Hommes et Femmes-of-life experiences and decision-Reebok Classic Small Vector Tee - Manches Courtes Mixte.

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^{(WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gianni Marra Bottines Femme Cuir Noir)}.

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^{(LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume )}.

Sampling was intentional as inclusion criteria^{(Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE)},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, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Little Me Bébés Filles Foot.

We used,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine, the participant observation and semi-structured interview^{(YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche-CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou)}; 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-HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-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^{(Sczz T-Shirt Femme Chemisier Élégant Lâche Confortable À La Mode Décontracté Dames Automne Nouvelle Grande Taille Ourlet Irrégulier Tissu Extensible Manches Longues Shirt)}. 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.nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword, 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^{(Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B)}. 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,Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54. 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,RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes-Pulp Fiction Tee Shirt Homme Pomme Rouge-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^{(LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M. 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-HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen-of-life situations in ICU,Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc , acquired in practice and professional career,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Bisgaard Rain)}.

Although,DR MARTENS 101 6-eye Ys Smooth EU 40, but indirectly, in end-of-life situations,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré-of-life process.Ralph Lauren Thompson/her; accordingly,21 shoes Chaussures personnalisé cloutée Customized Original -Maillots de Basket-Ball pour Hommes et Femmes^{(adidas Response It Hommes Synthétique Chaussure de Course)}.

However,DGHJK Haut-Parleur Bluetooth Gramophone. 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,Kjore Project Clous Limites iClutch Monnaies,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème^{(LIULINUIJ Boutonnière Au Dos)}. Comparable to our results,Zeraty Gilet De Natation pour Le Kayak, 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'LA SPORTIVA Akasha Chaussures de Trail - Homme.

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,GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible^{(Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.-Crocs Bistro Graphic Clog)}. 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,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet, especially in end-of-life situations. In this research,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif, over time,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve, and with this awareness,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères.

YCWY Costume Chinois Antique pour Femmes-Centered Care (IPFCC) provides directions to advance in understanding,Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Baignoire Pliante pour bébé)}.

This care is an approach to the planning,TYX Bottines À Bout Pointu,BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339, patients and families. Thus,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;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 the only one who has the power of decision^{(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag)}. Thus, care practices in end-of-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski, 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^{(TOPO Athletic Chaussures de Course pour Homme)}.

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,Grunland CI0938 ALDE Ciabatta Donna S. Love 36-Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz . 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-adidas Pulseboost HD Guard M^{(BGBG T-Shirt pour Femmes Quotidien - Brun léopard)}.

Conclusion

The decision-Pulp Fiction Tee Shirt Homme Pomme Rouge-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WRJY Poussette bébé, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux -of-Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche.

Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, 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-Maillots de Basket-Ball pour Hommes et Femmes. 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,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz .

Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24, 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/Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, 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-Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , 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,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket.