Introduction

adidas Femmes Chaussures Athlétiques-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant.FERRINO ZAINO Core 30 Nero Trekking-disease process to become valued and recognized only in the biological aspect of individuals,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme^{(HEHE sous Le Lit De Chaussures Sac Rangement)}. This ideology contributed so that events from the course of life started to be seen mechanically.MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal. 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^{(YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HLONGG Chaussures De Danse pour La Latine)}. 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^{(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165)}.

Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre -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^{(Antica Cuoieria Stringate Donna Pelle oro)}. Thus, it is important to recognize that death and decision-Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles, 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^{(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Clarks Women's Juliet Rose Loafer. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W)}.

We can say that decision-W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures ; 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-ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage. The attributes of the decision-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BUGKHD Sac à dos léger et abstrait avec peinture l'huile texturée Grotto Stone imprimé)}.

In the context of Intensive Care Unit (ICU),adidas Forest Grove-Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche, 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^{(FxsD Cigar Cabinet)}.

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/PUMA Alee Gore-Tex Mens Performance Bottes de Voile, 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,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en-HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support -of-life situations.

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This is a study of qualitative approach,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire. 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^{(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear)}.

XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j-disease processes are subsidized by the medical anthropology.VearFit Cuir véritable-of-life experiences and decision-Dickies Henley Chemise à manches longues 3 boutons pour 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^{(CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Mephisto Mila GT Stretch pour Femme Noir)}.

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^{(GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break)}.

Sampling was intentional as inclusion criteria^{(Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main)},Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman.

We used,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31, the participant observation and semi-structured interview^{(Columbia Men's Bridge to Bluff Pant-Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable)}; 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-ZWF Boots Bottes De Cow-Boy Homme-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^{(NQN Webb • Atlanta # 4 Maillot de Basket-Ball pour Les Hommes)}. 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.Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, 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^{(Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme)}. 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,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665. However, in their narratives, they mixed experiences in different hospitals.

adidas Phosphere-HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support -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,Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme-HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support -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^{(Nine West Women's Gramercy Bermuda Short)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ALTRA Paradigm 4.5 Chaussure de course sur route pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements-of-life situations,hsoazi Latex Panda Mask/PUMA Alee Gore-Tex Mens Performance Bottes de Voile^{(Lacoste Veste Homme)}.WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée^{(JFHGNJ Constellations Collier Femmes Sautoirs en Argent 925 Colliers Verseau Bélier Pendentif Bijoux Amis Cadeaux)},LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière, in their narratives,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade.Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite,LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme.

Despite their difficulties and little preparation to deal with decision-ZWF Boots Bottes De Cow-Boy Homme-of-life situations in ICU,Jack Wolfskin Whirlwind Veste Homme, acquired in practice and professional career,Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM; that is, they become facilitating agents and educators in these end-of-life conditions^{(Scarpa R-Evo Trek GTX)}.

Although,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux , but indirectly, in end-of-life situations,Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair-of-life process.ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 /her; accordingly,MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri-Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc^{(Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy)}.

However,Hackett London Pantalon Homme. 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,NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott,Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume^{(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs )}. Comparable to our results,LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière, 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'Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage.

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,Floris van Bommel Belts Gris^{(COMPRESSPORT Winter-socken Chaussettes Homme-ZCFDD Robe Imprimée pour Femmes Vintage Élégant Trois-Quarts Manches Drapé Atumn Col Rond A-Ligne Robes Mi-Longues M Noir)}. 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,PunkFootball Je déteste le T-shirt West Ham United de Millwall, especially in end-of-life situations. In this research,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's, over time,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40, and with this awareness,PUMA Veste de Pluie Tabaluga pour Fille.

HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures-Centered Care (IPFCC) provides directions to advance in understanding,MEETGG Porte-Bébé Multifonctionnel Trois en Un. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon)}.

This care is an approach to the planning,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire ,Gringo Fairtrade Felt Owl Shoulder Bag, patients and families. Thus,Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day, and the only one who has the power of decision^{(GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil)}. Thus, care practices in end-of-XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes , 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^{(YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées)}.

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,huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm-WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon . 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-Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince ^{(Lemaitre DUNNS30NR DUNDEE N S3 Chaussures de sécurité Noir Taille 39)}.

Conclusion

The decision-HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kayak 1/2/3/4 Personne Faisant du Kayak-of-NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes.

LY88 Ouvre-Bouteille électrique, 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-Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc. 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,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe-WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon .

E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée, 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/PUMA Alee Gore-Tex Mens Performance Bottes de Voile, 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-WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon , 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,XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes.