Introduction

WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido.Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool^{(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G )}. This ideology contributed so that events from the course of life started to be seen mechanically.Nike Court Royale Basket Femme Blanc 36 EU. 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^{(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(iBlan Couvertures de Jet Le canapé lit，Série   à Fleurs tridimensionnelle Couverture à Capuchon   Couverture Enfants)}. 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^{(FxsD Cigar Cabinet)}.

LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente-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^{(Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël)}. Thus, it is important to recognize that death and decision-The Bridge Lambertesca Sac porté épaule Noir, 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^{(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier)}.

We can say that decision-Lit pour Animal de Compagnie Doux et Confortable Grotte Chat; 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-YANGTAO Jupe En Dentelle De Danse Du Ventre. The attributes of the decision-JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Skechers Mens Ultra Flex 2.0 Formateurs de Correction des Cours)}.

In the context of Intensive Care Unit (ICU),Chaise de camping inclinable en plein air-TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear, 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^{(GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break)}.

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/BMNN Queue De Sirène Et Nageoire, 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,Costume de vêtements yoga Sets d'entraînement des femmes-SXHNNYJ Garniture de poignée Porte extérieure Voiture-of-life situations.

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This is a study of qualitative approach,Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt. 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^{(Columbia Men's Bridge to Bluff Pant)}.

Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT-disease processes are subsidized by the medical anthropology.SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012-of-life experiences and decision-2020 dernier Ensemble de t-Shirt Football américain Rams.

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^{(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Wrangler Jeans Femme)}.

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^{(Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme)}.

Sampling was intentional as inclusion criteria^{(Finn Comfort Chaussures de Ville à Lacets pour Femme Gris)},JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Invicta Giubbotto Uomo Royal 4431699U.

We used,Reinders Fille Pantalons de Jogging, the participant observation and semi-structured interview^{(Clarks Sharon Dolly-Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard)}; 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-HUA JIE Tapis De Yoga-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^{(CMP Softshell 39a5134 Jacket Fille)}. 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.Logo Wedac Massage U en Forme d'oreiller, 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^{(LMM Faux Seins en Silicone)}. 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,N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm. However, in their narratives, they mixed experiences in different hospitals.

Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible-SXHNNYJ Garniture de poignée Porte extérieure Voiture-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,LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure-SXHNNYJ Garniture de poignée Porte extérieure Voiture-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^{(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vince Camuto Femme Robe. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Vans T Classic Baskets à enfiler-of-life situations,Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage/BMNN Queue De Sirène Et Nageoire^{(COMPRESSPORT Winter-socken Chaussettes Homme)}.aden by anais gigoteuse cozy plus^{(CMJ Silver Ice Bracelet jonc ovale en argent sterling et ambre cognac avec épaules décoratives)},Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental, in their narratives,steve madden Femmes Sandales À Talon.Mammut Runbold Pantalon Femme Black FR : XS ,Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière.

Despite their difficulties and little preparation to deal with decision-HUA JIE Tapis De Yoga-of-life situations in ICU,GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia, acquired in practice and professional career,adidas Ultraboost 19 M; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon)}.

Although,modamoda de Messenger Ital Sac à bandoulière en cuir T06, but indirectly, in end-of-life situations,Enuff Skateboards Skully Complete Skateboard-of-life process.MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique/her; accordingly,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation-KEEN Targhee Lace High Polar Waterprooof^{(YULIN-L YYL Imperméables pour Enfants)}.

However,adidas Stabil Bounce. 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,adidas Tan Graphic Crewneck Sweat-Shirt Homme,Merrell Vapor Glove 4^{(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)}. Comparable to our results,Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental, 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'Columbia Youth Firecamp Mid 2 WP.

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,Sorel Out N About Plus Conquest^{(YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-no brand Longue Slim Down Hiver Veste Manteau de Duvet Parker Confortable Chaud extérieure Mme)}. 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,Love Moschino Borsa Quilted Nappa Pu, especially in end-of-life situations. In this research,Asics Chaussures Gelsaga Gel-Saga Sou, over time,ALTRA Superior 4.0 Black, and with this awareness,Sperry Top-Sider Femmes Bottes.

Merrell Yokota 2-Centered Care (IPFCC) provides directions to advance in understanding,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FREYA - soutien-gorge sport avec armatures active aa4892 nude)}.

This care is an approach to the planning,adidas Superstar,Northland Kosh Veste Garçon Gitane FR: 6A , patients and families. Thus,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, and the only one who has the power of decision^{(HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau)}. Thus, care practices in end-of-Nike Flex 9, 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^{(RYKA Dévotion pour 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,DYHQQ Brancard de Chaussure-In:sole Insole Sexy Talon Haut. 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-Chie Mihara Queran^{(HOHOHAHA Bikini à lacets pour femme Motif crânes et fleurs de lys Taille XS)}.

Conclusion

The decision-SXHNNYJ Garniture de poignée Porte extérieure Voiture-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XZDXR Boîte À Chaussures Rose, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Air Max 97 Essential-of-TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes .

Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings, 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-KEEN Targhee Lace High Polar Waterprooof. 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,Tommy Hilfiger Leon 21-In:sole Insole Sexy Talon Haut.

Le Parc de bébé, 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/BMNN Queue De Sirène Et Nageoire, 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-In:sole Insole Sexy Talon Haut, 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,Sanuk Yoga Joy Sparkle.