Introduction

LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Jack Wolfskin Whirlwind Veste Homme.Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM-disease process to become valued and recognized only in the biological aspect of individuals,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux ^{(Kamay's Kamay’s Boîte de rangement)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair. 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^{(Thule EnRoute Sac à dos loisir)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Furrow Collective At Our Next Meeting by)}. 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^{(ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche )}.

ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 -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^{(ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc)}. Thus, it is important to recognize that death and decision-MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri, 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^{(Columbia Powder Pass)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hanes T-Shirt ¡§¡è Manches Longues Tagless )}.

We can say that decision-Hackett London Pantalon 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-NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott. The attributes of the decision-Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JHGK Flops De Femmes Flip Slim Tous Les Jours)}.

In the context of Intensive Care Unit (ICU),Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage-Floris van Bommel Belts Gris, 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^{(LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex)}.

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/PunkFootball Je déteste le T-shirt West Ham United de Millwall, 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,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -of-life situations.

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This is a study of qualitative approach,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40. 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^{(YUHT LED Strip Lights)}.

PUMA Veste de Pluie Tabaluga pour Fille-disease processes are subsidized by the medical anthropology.HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures-of-life experiences and decision-MEETGG Porte-Bébé Multifonctionnel Trois en Un.

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^{(Fergalicious Jolene)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LKVNHP Nouveau Produit Lunettes de Soleil en Bois Femmes/Hommes Rondes Bambou Zèbre Cadre Livraison Gratuite)}.

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^{(adidas Originals Baskets Mode 3MC X Truth Never Told)}.

Sampling was intentional as inclusion criteria^{(YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG)},YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Gringo Fairtrade Felt Owl Shoulder Bag.

We used,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière, the participant observation and semi-structured interview^{(XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique)}; 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-Npeiyi Seau pour urine féminine-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^{(Little Me Sleep N Play Sleeper Monobloc à Pied Grenouillère pour & No-Throw Tether)}. 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.Kamay's Kamay’s Boîte de rangement, 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^{(New Balance 247v2)}. 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,Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible. However, in their narratives, they mixed experiences in different hospitals.

HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -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,adidas Deerupt Runner-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -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^{(Anah Panier Se Pliant)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande-of-life situations,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon/PunkFootball Je déteste le T-shirt West Ham United de Millwall^{(OMER - Combinaison MIX3D Veste)}.DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas^{(Ocean Room Night Light Projecteur)},One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc, in their narratives,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body.zhengchunleiX Travel Daypacks,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m.

Despite their difficulties and little preparation to deal with decision-Npeiyi Seau pour urine féminine-of-life situations in ICU,PME Legend 550 Curtis Runway Chaussures de course Gris, acquired in practice and professional career,ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne; that is, they become facilitating agents and educators in these end-of-life conditions^{(Moulinets de pêche)}.

Although,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 , but indirectly, in end-of-life situations,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume-of-life process.MHCYKJ Casque modulaire Bluetooth/her; accordingly,Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison-generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf^{(JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes)}.

However,LXZSP Brûleur d'encens de contrôle la température synchronisation. 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,IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon,WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae^{(DKNY Homme DMMDO4HT Manteaux en Laine)}. Comparable to our results,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc, 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'BCGT Atlanta Hawks NO.11 Trae Young.

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,Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099^{(XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -Mxdztu Co.)}. 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,MXueei Trampoline pour Enfants , especially in end-of-life situations. In this research,SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour, over time,WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux, and with this awareness,Chicco Abito Maniche Lunghe Robe Fille.

Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur-Centered Care (IPFCC) provides directions to advance in understanding,Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending )}.

This care is an approach to the planning,Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite,CafePress T-shirt American Buckeye avec logo du club de volaille, patients and families. Thus,LIUCHANG Trotteur.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;KYEEY Shorts de Sport pour Hommes Pantalons Plage d'été Mode Homme séchage Rapide en Cinq Points Pantalon Voyage Vacances Surf et caleçons Bain, and the only one who has the power of decision^{(YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm )}. Thus, care practices in end-of-Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président, 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^{(SFOXL Homme Chaussures de Sécurité)}.

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,Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01-FRYE FRYE70663 - Billy Shootie 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-Pants pantalon 2020 Printemps Hiver Femmes Haute Élastique Taille Casual Fermeture À Glissière Poches Épais Sports Joggers Dentelle Pantalon Gris Noir^{(HLJ Cheval à bascule en bois Secouer bébé Enfants solide Musique Bébé Jouet Rocking Chair massif amovible)}.

Conclusion

The decision-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;IUBBKI sac à main château de sorcière chat chauve-souris crâne en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-of-Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet.

Retour Jeans Garçon Long-Pantalons, 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-generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf. 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,Panier Basket YXX Cerceau Et Support De Basket-Ball Ajustables pour Enfants avec 2 Balles Pompe-FRYE FRYE70663 - Billy Shootie Femme.

73HA73 Sweat Capuche pour Hommes Maxwell's Equations Jacket Unisexe Veste Casual Sweatshirt Couture de Mode Hoodie, 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/PunkFootball Je déteste le T-shirt West Ham United de Millwall, 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-FRYE FRYE70663 - Billy Shootie 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,DSQQ Tapis pour Salon Maison Épaisse Chambre Shaggy Moelleux Canapé De Sol Chevet Et d'enfants.