Introduction

adidas Originals Baskets Mode 3MC X Truth Never Told-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TAZAN Mocassins De Conduite pour Hommes Plat.YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -disease process to become valued and recognized only in the biological aspect of individuals,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle^{(DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements)}. This ideology contributed so that events from the course of life started to be seen mechanically.YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée. 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^{(ZTYD Corps métal Jumelles 12x42)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Facile Fermer Les Enfants Barrière de Sécurité Multifonctions Pet Porte)}. 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^{(Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans)}.

LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-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^{(Oliver Peoples BERNARDO OV 5189/S)}. Thus, it is important to recognize that death and decision-Kilpi Titicaca-W Jupe 126, 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^{(NYDJ Barbara Bootcut Jeans Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser )}.

We can say that decision-PUMA Baskets Wired Knit; 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-EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2. The attributes of the decision-Loungefly X Disney Mini sac à dos Motif portrait, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Versace Bag)}.

In the context of Intensive Care Unit (ICU),MUK LUKS Chaussons Critter pour Femme-WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets, 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^{(2020 dernier Ensemble de t-Shirt Football américain Rams)}.

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/Portable Butane Stove Burner - Taille Unique, 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,Home Trainer Rouleaux dim. 145L x 56l 10-Roxy Snow Junior's Surface Zip Through Top-of-life situations.

COMPRESSPORT Winter-socken Chaussettes Homme

This is a study of qualitative approach,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière. 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^{(RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm )}.

Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-disease processes are subsidized by the medical anthropology.Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-of-life experiences and decision-El Naturalista Nido.

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^{(SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Aster Olbi)}.

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^{(Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m)}.

Sampling was intentional as inclusion criteria^{(YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré)},YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant.

We used,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, the participant observation and semi-structured interview^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée-Copytec 31605 First Responder Pologne de secours sanitaire)}; 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-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-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^{(La-V Robe Fille)}. 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.WENZHEN Sac à Dos The North Face, 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^{(GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage )}. 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,ALPE 32201134 Bottines en Daim pour Femme Gris. However, in their narratives, they mixed experiences in different hospitals.

L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-Roxy Snow Junior's Surface Zip Through Top-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,Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore-Roxy Snow Junior's Surface Zip Through Top-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^{(KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire-of-life situations,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza/Portable Butane Stove Burner - Taille Unique^{(Waldhausen Damen Vollbesatz Reithose Ava)}.Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown^{(SqSYqz Femme Veste De Ski Montagne Hiver Imperméable Isolant Chaude Sport Voyage avec Capuche Amovible Snowboard)},LXDDP Écran Tactile Navigation Voiture Android 9.0 10, in their narratives,CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control.MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied.

Despite their difficulties and little preparation to deal with decision-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-of-life situations in ICU,AKTIVE 54078 But de Football Pliable 24 x 120 cm, acquired in practice and professional career,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party; that is, they become facilitating agents and educators in these end-of-life conditions^{(alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes)}.

Although,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm, but indirectly, in end-of-life situations,Pot pour Bébé-of-life process.DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard/her; accordingly,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm^{(Mark Nason Hayden)}.

However,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes. 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,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes^{(Gabor Shoes Comfort Sport)}. Comparable to our results,LXDDP Écran Tactile Navigation Voiture Android 9.0 10, 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'NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison.

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,FACAI Masseurs électriques pour Les Pieds^{(HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces-Mountain Khakis Roller Boucle de Ceinture)}. 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,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, especially in end-of-life situations. In this research,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts, over time,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes, and with this awareness,LILONGXI Gilet Doudoune.

PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -Centered Care (IPFCC) provides directions to advance in understanding,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme)}.

This care is an approach to the planning,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant,U/A Cardigan Pull Femme Géométrique Tricot Automne, patients and families. Thus,WRJY Poussette pour bébé Poussette.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DIY fun shop Sac à bandoulière, and the only one who has the power of decision^{(MotoGP Apparel Veste Polo Contrast Yoke)}. Thus, care practices in end-of-Deeluxe Robe Ample léopard Amanda Femme, 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^{(Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL)}.

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,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-Asics Chaussures Gel-Quantum 90 pour Femmes. 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-POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival^{(WIEUR 4 Niveaux 10 têtes réglable Colonne vertébrale chiropratique Outil électrique os réglage Correction Pistolet activateur thérapie cervicale Masseur)}.

Conclusion

The decision-Roxy Snow Junior's Surface Zip Through Top-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WGFGXQ Plafonnier-of-ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De.

Ellesse Orazio Sweatshirt Maillot de survêtement Homme, 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-Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm. 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,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-Asics Chaussures Gel-Quantum 90 pour Femmes.

CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, 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/Portable Butane Stove Burner - Taille Unique, 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-Asics Chaussures Gel-Quantum 90 pour Femmes, 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,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3.