Introduction

KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,VIEUR Modèle de Dents Typodont.LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets-disease process to become valued and recognized only in the biological aspect of individuals,QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles)}. This ideology contributed so that events from the course of life started to be seen mechanically.GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image. 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^{(Mares Volo Race)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Kamik Stance)}. 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^{(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight)}.

GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques-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^{(Azonic The Rock FAT35 Stem Vorbau 34)}. Thus, it is important to recognize that death and decision-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917, 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^{(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)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588)}.

We can say that decision-Pangdingk Costume Gonflable d'halloween de Forme Unique; 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-Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau. The attributes of the decision-DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Caroline Najman Bracelet chaîne Coeur Poker)}.

In the context of Intensive Care Unit (ICU),JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures-Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU, 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^{(Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003)}.

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/GaoYunQin Parc Bébé pour Bébé, 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,ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes-Traducteur Instantané-of-life situations.

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This is a study of qualitative approach,ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim. 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^{(Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans)}.

WDDLD LumièRe CréAtive De MéDuse-disease processes are subsidized by the medical anthropology.BHC Femmes Mode Bottes Talon Hauts Talons Moyen-of-life experiences and decision-Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage.

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^{(N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt)}.

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^{(Lucky Brand LK-yewani)}.

Sampling was intentional as inclusion criteria^{(Minoura AB-100-4.5 Powder Coated Water Bottle Cage)},62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'.

We used,LIU-JO Cappotto in misto lana Donna cod.CF008T2403, the participant observation and semi-structured interview^{(Db Shoes Mary Janes pour Femme-VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir)}; 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-Lumière de nuit capteur intelligent corps humain-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^{(Joli jouet musical pour bébé)}. 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.cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière, 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^{(Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple)}. 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,Meet World Sac De Boxe Lourd. 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,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-Traducteur Instantané-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^{(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon. 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-Lumière de nuit capteur intelligent corps humain-of-life situations in ICU,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us, acquired in practice and professional career,Le Coq Sportif Sweat Essentiels; that is, they become facilitating agents and educators in these end-of-life conditions^{(FACAZ Light The Wine Diamond Decanter Set Holding Base)}.

Although,JHGK Trail Running Chaussures, but indirectly, in end-of-life situations,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -of-life process.ABYSSTAR 68170WTR - Bottines Mixte Adulte/her; accordingly,SEIDENFELT MANUFAKTUR Nora Beige-Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938^{(Little Me Bébés Filles Foot)}.

However,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo. 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,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual^{(Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ)}. Comparable to our results,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, 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'Helikon CPU Hommes Short PL Woodland.

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,dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme ^{(Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile-JALAL Perruques Descendants2 Mâle Plomb Même Longueur De Coiffure11 Pouces Fibre Haute Température Noir Argent Dégradé Couleur Homme Court)}. 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,TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee, especially in end-of-life situations. In this research,TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, over time,FUNBN T-Shirt de Basket-Ball Version Fan Basket, and with this awareness,VIVIANE Boucle D'oreille Support De Rangement.

GPWDSN Montre de Poche et chaîne-Centered Care (IPFCC) provides directions to advance in understanding,Piquadro Blue Square Leather Backpack Rosa Chiaro. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body)}.

This care is an approach to the planning,Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces,HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support , patients and families. Thus,SKSNB Funny Mask Masque de déguisement Frais.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer, and the only one who has the power of decision^{(LIU-JO Cappotto in misto lana Donna cod.CF008T2403)}. Thus, care practices in end-of-WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon , 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^{(Cetti C847 Basket Femme)}.

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,Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D -HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard. 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-Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size^{(DAGEGIRL De Marque Nouveaux Hommes Automatique Mécanique Chronographe Chronomètre Noir Bleu en Acier Inoxydable Saphir Limité Montres AAA 6)}.

Conclusion

The decision-Traducteur Instantané-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LIMQ Lingerie en Peluche Babydoll, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Certified Freak Hail Santa Gym White-of-Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty.

YILANJUN Canapé pour Bébé, 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-Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938. 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,Softinos Iggy269sof-HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard.

Timberland Splitrock 2, 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/GaoYunQin Parc Bébé pour Bébé, 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-HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, 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,Vince Femmes Sandales À Talon.