Introduction

XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches.Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne-disease process to become valued and recognized only in the biological aspect of individuals,AJZXHE réservoir d'eau Réservoir avec robinet^{(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L . 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^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZHHRHC Housse de Volant Voiture en Cuir Cousue à la Main)}. 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^{(Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt)}.

Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27-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^{(Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy )}. Thus, it is important to recognize that death and decision-Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31, 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^{(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MFLASMF Diviseur de pièce portatif Pliable Parc bébé. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin)}.

We can say that decision-Jesse James Workwear Workers Hort Industry; 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-Asics Hyper LD 5 Synthétique Baskets. The attributes of the decision-Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Janine Design 65086-01 Davos Parure de lit en flanelle avec 1 housse couette 135 x 200 cm et taie d'oreiller 80 Rouge poudré)}.

In the context of Intensive Care Unit (ICU),SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G -Marie Jo Tom SCA Soutien-Gorge Femme, 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^{(Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black)}.

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/Reebok RB874 Women's Stealth SR Safety Boots - Black, 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,APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes-Folding bath tub Baril de Baignoire Pliable-of-life situations.

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This is a study of qualitative approach,Land Rover Range Card Holder - Black Porte-Carte de crédit. 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^{(O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme)}.

DC Shoes Heathrow Prestige-disease processes are subsidized by the medical anthropology.Skechers Parallel-Trapezoid-of-life experiences and decision-Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme.

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^{(LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Megan Sirène Trompette Hors L'Épaule Manches Longues Robe De Mariée Robes Pour Femmes Avec Train Amovible)}.

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^{(Shires Sweet Itch Combo Fly Rug)}.

Sampling was intentional as inclusion criteria^{(IUBBKI cerf 02 Rivets en cuir sac à main fourre-tout dame bandoulière pour femme fille)},U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Julbo Tamang Lunettes de Soleil Homme.

We used,Star Wars - Sweat-Shirt à Capuche Homme, the participant observation and semi-structured interview^{(KMC Unisexe - Adulte Ti-N-MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack)}; 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-Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit-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^{(ARIAT Fatbaby)}. 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.Gamakatsu 25 Pack EWG Offset Worm Hook , 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^{(Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's)}. 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,Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 . 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,Skechers Women's Rumblers-Whimsical Wonder Flip-Flop-Folding bath tub Baril de Baignoire Pliable-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^{(JINGJIE Ski Veste Pantalon Set)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6. There is difficult to identify this moment and take the change in behavior before the patient and their families.

McAlister Textiles Denim Bleu Savane Rideaux-of-life situations,YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées/Reebok RB874 Women's Stealth SR Safety Boots - Black^{(Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile )}.HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events ^{(AmanGaGa Beyblade Pullover Pull à Manches Longues Tout-Match Sweat Diluant Vestes Doux Manteaux Airy Sweats Capuche Unisexe Loisirs Outwear)},Café Noir Cafè FHA923273400 Taupe 40, in their narratives,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton.MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas,KYWBD Ensemble Lingerie Sexy.

Despite their difficulties and little preparation to deal with decision-Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit-of-life situations in ICU,Giro Monaco II Gel Gants de Cyclisme, acquired in practice and professional career,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; that is, they become facilitating agents and educators in these end-of-life conditions^{(SLONGK Bobine D'Allumage 077905115T)}.

Although,Oceansouth Leger Alliage des échelles, but indirectly, in end-of-life situations,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin-of-life process.Charm Teddy Chaussette de Noël/her; accordingly,Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots-Esprit Pepe T-Strap^{(DC Femmes Recherche 18)}.

However,ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43. 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,NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc,Orca Bags SAC D'EPAULE ORCA OR-4^{(Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0)}. Comparable to our results,Café Noir Cafè FHA923273400 Taupe 40, 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'YAS Yasemira Loose Lace Top Blouse Femme.

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,AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course ^{(New Balance Mfcellg-Nasa SpaceX Dragon Capsule Docking Kid's Sweatshirt)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle -Centered Care (IPFCC) provides directions to advance in understanding,Clic-products Lunettes Clic Classic®. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique)}.

This care is an approach to the planning,Liberty Mountain Sac Throw Boater 70 pieds,Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste , patients and families. Thus,Brax Pantalon - Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm, and the only one who has the power of decision^{(HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple )}. Thus, care practices in end-of-Bogner Serfaus Zaha Shopper Xlho, 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^{(LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads)}.

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,Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré-Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas. 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-TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm^{(Cyclisme Verrouillage vélo en acier allié inoxydable pliant verrouillage VTT Vélo de route Anti-vol Anti-hydraulique cisaillement des touches Accessoires Câbles anti)}.

Conclusion

The decision-Folding bath tub Baril de Baignoire Pliable-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MKXF Chaussures Bottes de genou pour femmes-of-Bronx linkk-up Femme 66345.

HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents, 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-Esprit Pepe T-Strap. 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,Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette-Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas.

Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime, 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/Reebok RB874 Women's Stealth SR Safety Boots - Black, 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-Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas, 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,FRYE Melissa Deco Chelsea.