Introduction

5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rieker 30921.Showers Pass Short de ski léger respirant à séchage rapide pour homme-disease process to become valued and recognized only in the biological aspect of individuals,Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous^{(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tom Ford FT0609 01C 54 Montures de lunettes. 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^{(Box J-Boîte de Montre Coffret en Bois)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Café Noir Cafè GLC542532360 MULTIBEIGE 36 Chaussure Gilda avec Talon en Daim Bicolore)}. 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^{(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe)}.

adidas Originals Kids' U_Path Running Shoe-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^{(Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga)}. Thus, it is important to recognize that death and decision-Skechers Solar Fuse, 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^{(Clair de Lune Doublure en polaire pour couffin osier Rose)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LMM Faux Seins en Silicone. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nike M NKCT Jacket Stadium Veste Homme)}.

We can say that decision-Dansko Femmes Chaussures De Mule; 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-Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive. The attributes of the decision-HEAD Sprint 3.0 Junior, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette)}.

In the context of Intensive Care Unit (ICU),YATTYUG Women's Hoodies Tops-RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, 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^{(Décoration de la Maison Figures géométriques Statue Sculpture)}.

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/DHNKW Men's Hoodies Sweatshirts, 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,YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-of-life situations.

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This is a study of qualitative approach,GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa . 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^{(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage)}.

BSWL Gilet Chauffant USB Intelligent-disease processes are subsidized by the medical anthropology.jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains -of-life experiences and decision-Déambulateur.

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^{(Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Outdoor Research Bonnet Sombrero)}.

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^{(B Blesiya 3pcs Sac de Haricot Housse Imperméable)}.

Sampling was intentional as inclusion criteria^{(LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903)},BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino.

We used,mys Original alte Personalizzate, the participant observation and semi-structured interview^{(Huber Romi Veste en Tricot pour Femme Bleu Clair-Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7)}; 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-LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël-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^{(Chambre pour Enfants Moquette Crawling Mat)}. 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.MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte, 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^{(Suitline Valise Plus Grande Bagages Rigide)}. 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,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1. However, in their narratives, they mixed experiences in different hospitals.

glstkrrn E90 Sweatshirt-XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-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,Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme -XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-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^{(Tommy Hilfiger Leon 21)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu-of-life situations,MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir/DHNKW Men's Hoodies Sweatshirts^{(Skechers Street Downtown-Fashion Kourts Baskets pour femme)}.Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème^{(Pandora Femme Argent Charms et perles - 797185EN160)},YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme, in their narratives,AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison.GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes,Décoration de la Maison Figures géométriques Statue Sculpture.

Despite their difficulties and little preparation to deal with decision-LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël-of-life situations in ICU,The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes, acquired in practice and professional career,Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L; that is, they become facilitating agents and educators in these end-of-life conditions^{(Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe)}.

Although,XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau, but indirectly, in end-of-life situations,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-of-life process.YIJIAREN pour Volkswagen Series Tapis Sol Voiture/her; accordingly,Escabeau escabeau escabeau-chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1^{(Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite)}.

However,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil. 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,NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 ^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. Comparable to our results,YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme, 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'SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel.

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,Tuyau d'eau télescopique Magique^{(TAZAN Mocassins De Conduite pour Hommes Plat-ZWHDS Casual Trench Longues Homme Outwear Taille Plus Mince Mode Veste Coupe-Vent)}. 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,Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes, especially in end-of-life situations. In this research,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette , over time,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre , and with this awareness,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir .

Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu-Centered Care (IPFCC) provides directions to advance in understanding,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea)}.

This care is an approach to the planning,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver ,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures, patients and families. Thus,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul.

4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu -being of patients of all ages.B/H Réglable Orthopédique Pantoufles,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main ^{(Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom)}. Surprisingly,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Quickfill, and the only one who has the power of decision^{(TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air)}. Thus, care practices in end-of-Clarks Atticus Lace, 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^{(Multifanshop Rétro sac à bandoulière modern love wiebke noir)}.

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,adidas Condivo 18 Veste-WANGPENG Brosse à récurer pour chaussures. 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-Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire^{(Fuliya Men's Hoodies Sweatshirts)}.

Conclusion

The decision-XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Geox Jr Agata A, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Dansko Women's Adrianne Sneaker-of-Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01.

Old Crest Cravate - 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-chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1. 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,BOSS Pince à Cravate 50403093-001-WANGPENG Brosse à récurer pour chaussures.

nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, 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/DHNKW Men's Hoodies Sweatshirts, 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-WANGPENG Brosse à récurer pour chaussures, 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,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa.