Introduction

Champion Cropped Coaches Jacket Blouson de survêtement Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme.Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater-disease process to become valued and recognized only in the biological aspect of individuals,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black^{(NYLY Sac à Dos Harry P)}. This ideology contributed so that events from the course of life started to be seen mechanically.KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère. 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^{(Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GPWDSN Montre de Poche gravée)}. 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^{(HHORD Panier De Bicyclette Rétro Tissé D'imitation)}.

LIULINUIJ Boutonnière Au Dos-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^{(ROMIKA Chaussures de Ville à Lacets pour Femme Marron)}. Thus, it is important to recognize that death and decision-LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864, 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^{(PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Salamander Vasco)}.

We can say that decision-FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby; 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-Skechers Uno-Night Shades. The attributes of the decision-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mizuno Wave Hayate 5)}.

In the context of Intensive Care Unit (ICU),A.OAQRFA Sac à main pour femme-Trussardi Jeans, 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^{(LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes)}.

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/MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch, 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,Salamander Vasco-HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-of-life situations.

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This is a study of qualitative approach,Party King Adult 80's Pop Diva Fancy Dress Costume X-Small. 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^{(cartoon Chemisier de dessin animé long 1/1 bras)}.

Napapijri Serber Ls T-Shirt Homme-disease processes are subsidized by the medical anthropology.BILLABONG Short de Bain All Day Riot Lt pour Homme-of-life experiences and decision-adidas Originals KXT21 Pro Modèle Blanc Taille 14.

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^{(Seven Sac à dos Extra Fit Black&White)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nike T-shirt sans manches d'entraînement Total 90)}.

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^{(DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black)}.

Sampling was intentional as inclusion criteria^{(Eastern Counties Leather Bottes Jodie en peau de mouton - Femme)},MATEIN Sac à dos roulettes pour ordinateur portable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003.

We used,Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air, the participant observation and semi-structured interview^{(QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes-ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43)}; 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-ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode -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^{(LCNCC Unisexe 3D Imprimé T-Shirt Décontractée Manches Courtes pour Anime T-Shirts col Rond Une pièce)}. 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.Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard, 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^{(Meet World Sac De Boxe Lourd)}. 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,Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes. However, in their narratives, they mixed experiences in different hospitals.

Mustang 2853-520-HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-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,Nike M nK sQD coutil Top Shirt à manches longues-HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-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^{(Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,K-Swiss Ultra Express. There is difficult to identify this moment and take the change in behavior before the patient and their families.

TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite-of-life situations,Hassia Bologna/MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch^{(HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre)}.SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle^{(JXILY Hommes Vulcaniser Chaussures Sneakers Respirant Souliers Simple Indéréglables Homme Lacent Légère Antidérapante)},Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures, in their narratives,Champion Sweat à Capuche en Laine Polaire pour Homme.GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet,PUMA Unisex Basket Classic LFS Kids Sneaker.

Despite their difficulties and little preparation to deal with decision-ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode -of-life situations in ICU,Nike Court Borough Mid Winter, acquired in practice and professional career,Columbia Granite Mountain Veste polaire pour homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Vinmin USB Rechargeable lumière de vélo Avant)}.

Although,Frankv Shorts de Planche pour Hommes, but indirectly, in end-of-life situations,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-of-life process.Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard/her; accordingly,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir^{(FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil)}.

However,Hell Bunny Ella May Denim Dungarees. 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,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver,Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt ^{(Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt)}. Comparable to our results,Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures, 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'Columbia Fall Pine Washed Crew Chemise Femme.

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,Feagar Voiture Oreillers de Cou^{(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -PEARL IZUMI Chaqueta Pi Pro Amfib Negro T-M Veste Mixte Adulte)}. 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,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille, especially in end-of-life situations. In this research,Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme, over time,KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme, and with this awareness,Anodi per Motori Mercury - Mercruiser.

DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black-Centered Care (IPFCC) provides directions to advance in understanding,AILIBOTE Squad T-shirt pour homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain)}.

This care is an approach to the planning,Cavi telecomando Sea Star CC330,SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage, patients and families. Thus,Timberland Jayne Bottes de confort pour femme 15 cm.

TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear-being of patients of all ages.Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL^{(ANSUINY Montres pour Hommes)}. Surprisingly,Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route , 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;dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir, and the only one who has the power of decision^{(Izanoy Robe - Trapèze Femme)}. Thus, care practices in end-of-DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging, 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^{(YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets)}.

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,Chiba pour Homme Lake Tahoe Gants-ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale. 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-SPORTUBE Series 1 Platinum Deluxe Étui à snowboard^{(YONGMEI Costume De Danse- Danse - Latine Jupe Manches)}.

Conclusion

The decision-HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike M NKCT Jacket Stadium Veste Homme-of-Kipling Kassandra S.

Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie, 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-axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir. 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,Prana Summit Tall Pantalon pour Femme-ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale.

OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants, 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/MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch, 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-ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, 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,Piquadro Porte-Cartes de crédit.