Introduction

AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:.Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air-disease process to become valued and recognized only in the biological aspect of individuals,AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir^{(HubBub Twist Shifter Drop Bar Adaptor by)}. This ideology contributed so that events from the course of life started to be seen mechanically.YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis. 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^{(Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(werq Legging Pantalon Yoga Femme Fluide Taille Haute Serré Élasticité Fesses Coton Fin Léger Respirant Et Absorbant La Transpiration)}. 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^{(Odlo Energy Pantalon pour Femme x)}.

LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas-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^{(Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250)}. Thus, it is important to recognize that death and decision-mmmy Perruque, 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^{(Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Gabor Shoes Jollys)}.

We can say that decision-BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton; 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-Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures. The attributes of the decision-IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZFQQ Pull à Capuche Manches Longues et avec imprimé de Noël pour Femmes)}.

In the context of Intensive Care Unit (ICU),New Balance Roav V1 Fresh Foam-ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage, 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^{(MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail)}.

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/jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert., 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,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages-Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son -of-life situations.

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This is a study of qualitative approach,Tyrannosaurus Rex Dinosaur Toy pour Les Garçons. 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^{(Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi)}.

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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^{(YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Rubies Costume Co Officiel de Cinq Nuits à Freddy Chica – Enfant Grand)}.

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^{(Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm )}.

Sampling was intentional as inclusion criteria^{(JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à)},Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WDGXZM Plaquettes de Frein Avant et arrière Moto.

We used,DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and, the participant observation and semi-structured interview^{(WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond-Chaise suspendue pour berceau bébé)}; 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-Lampadaire postmoderne-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^{(Redxiao Accessoire de réparation Montre Mouvement à Double Calendrier)}. 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.Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements , 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^{(Asics Tarther OG)}. 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,ZJ Bien Maillots de Bain Garçons d'enfants. 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,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc-Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son -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^{(Béaba BÉABA Sac à Langer Sydney I)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia Garçon Veste Isolée. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell-of-life situations,Converse Chuck Taylor All Star Core Lea Hi/jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.^{(Clarks Women's Linvale Sea Fashion Boot)}.Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF^{(Luau Rideaux occultants larges avec fleurs d'hibiscus florissantes Printemps à Hawaï Motif oeillets décoratifs imprimés)},PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire, in their narratives,Columbia Wayfinder Outdry'.Hush Puppies Men's Advice Pt Derby Oxford,Mizuno Wave Fang SL Chaussure Sport en Salle.

Despite their difficulties and little preparation to deal with decision-Lampadaire postmoderne-of-life situations in ICU,Nike Court Borough Mid , acquired in practice and professional career,Mephisto Rainbow Chestnut Mens Shoes; that is, they become facilitating agents and educators in these end-of-life conditions^{(E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée)}.

Although,Clarks Janey Mae, but indirectly, in end-of-life situations,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087-of-life process.Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir/her; accordingly,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot-Marc Shoes London^{(ECCO Wayfly)}.

However,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif. 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,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde^{(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme)}. Comparable to our results,PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire, 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'Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK.

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,Lucky Brand LK-yewani^{(Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif-PUMA Ultra 2.1 Firm Artificial Ground)}. 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,SQlab 610 Ergolux Active 2.0, especially in end-of-life situations. In this research,Asta Fanale a LED abbattibile Easy Bianco, over time,Mark Nason Hayden, and with this awareness,ASICS Tiger Gel-Lyte Chaussures.

Leg Avenue Spooky Board Beauty Adult Sized Costumes-Centered Care (IPFCC) provides directions to advance in understanding,GIOSEPPO Oulu. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit)}.

This care is an approach to the planning,Rocket Dog Sadea,HÖGL Publicity, patients and families. Thus,HÖGL Finesse.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, and the only one who has the power of decision^{(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe)}. Thus, care practices in end-of-NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular, 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^{(BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes)}.

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,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm-Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme. 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-Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian^{(Box J-Boîte de Montre Automatique Unique Remontoir IMPORTES Motors)}.

Conclusion

The decision-Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée-of-mys Sneaker Customized Adulte - Chaussures Coutume .

Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL, 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-Marc Shoes London. 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,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine-Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme.

Columbia Bahama Vent PFG Veste pour homme, 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/jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert., 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-Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme, 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,Lee Performance Series Extreme Motion Regular Fit Jean Homme.