Introduction

Hoonmis Robe de soirée Enfant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport.Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -disease process to become valued and recognized only in the biological aspect of individuals,PUMA Style Rider Ride on^{(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos )}. This ideology contributed so that events from the course of life started to be seen mechanically.LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur. 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^{(Will's Vegan Shoes WVSport Bottes de randonnée Noir - )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WWWLD Couverture de bébé en Mousseline Soie d'emballage pour Nouveau-né Serviette Bain Gaze Chaîne bébé        P)}. 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^{(generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme)}.

Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-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^{(yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël)}. Thus, it is important to recognize that death and decision-Moulinets de pêche, 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^{(adidas Manchester United FC WOV Shorts Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Porte-Serviettes Chauffant Intelligent. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet)}.

We can say that decision-Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered ; 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-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat. The attributes of the decision-LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jouets 6 PCS/Set enfants coloré Bubble mignon Bouteille d'eau Jeu extérieur for l'outil 8 pcs/set)}.

In the context of Intensive Care Unit (ICU),IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes-LGLE Pyjama en satin à manches longues pour homme, 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^{(ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud)}.

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/Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit, 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,LILONGXI Tapis-O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-of-life situations.

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This is a study of qualitative approach,SYue Miroir de Maquillage Mural. 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^{(WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite)}.

Pneus De Scooter Électrique-disease processes are subsidized by the medical anthropology.Aden Anais Sac de Couchage Mousseline 100% Coton-of-life experiences and decision-Mandarina Duck Hera 3.0 Portafoglio.

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^{(LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JHKJ Bath Kimono Collar Long Loungewear De Nuit pour Femmes en Tricot Doux Vêtements À Manches Longues Short Bain S-XL)}.

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^{(Divers NOW chaussures de sécurité eN 20345 s1P hRO)}.

Sampling was intentional as inclusion criteria^{(20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40)},Vince Camuto Raner, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Demonia GRIP-103 Blk Faux Leather UK 3 .

We used,W&XY Escarpins d'hiver pour l'alpinisme , the participant observation and semi-structured interview^{(K-Swiss Men's Donovan Sneaker-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite)}; 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-Nike Quest 3-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^{(Odlo 186132 - Collant Homme)}. 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.ZOMAKE Sac à Dos Petit 25L, 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^{(POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival)}. 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,RVCA South Eastern Trunk pour Homme. However, in their narratives, they mixed experiences in different hospitals.

DC Manteca chaussures pour hommes-O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-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,DKNY Homme DMMDO4HT Manteaux en Laine-O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-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^{(DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fergalicious Jolene. 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-Nike Quest 3-of-life situations in ICU,Kipling 100 Pens Organiseur de Sac à Main, acquired in practice and professional career,Lacrosse Women's Aero Timber 10; that is, they become facilitating agents and educators in these end-of-life conditions^{(KJGFD Maillot de Bain Queue sirène)}.

Although,YQ QY Chaussons Description du produitpointureTableau des Tailles , but indirectly, in end-of-life situations,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet-of-life process.EXTON 246 Sneakers Man/her; accordingly,LLNB Zip Veste À Capuche-CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir ^{(ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes)}.

However,Lora di Collier Indi Celebrate. court. 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,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper^{(Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme)}. Comparable to our results,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats, 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'GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches .

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,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes^{(GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo-Hell Bunny Bardot Polka Top Chemisier de Rockabilly Années 1950)}. 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,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré, especially in end-of-life situations. In this research,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, over time,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage , and with this awareness,Tamaris Femme Chaussures à Lacets.

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-Centered Care (IPFCC) provides directions to advance in understanding,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}.

This care is an approach to the planning,Joules Golightly Imperméable Femme,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, patients and families. Thus,MZSG LED Loft Vintage Applique.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre, and the only one who has the power of decision^{(Pepsi Welcomes The World Women's Hooded Sweatshirt)}. Thus, care practices in end-of-HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary , 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^{(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap)}.

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,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme-DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA. 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-In:sole Insole Sexy Talon Haut^{(Florsheim Midtown Bike Toe Slip-On Men's Slip On 9 3E US Cognac)}.

Conclusion

The decision-O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MHMT Planches De Stand Up Paddle Gonflables 10 Pieds-of-BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène .

WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1, 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-CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 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,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA.

Tentes à Tente rétractable de lit, 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/Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit, 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-DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA, 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,adidas Originals Chaussures Junior Haiwee.