Introduction

Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sanita Saskia Sport Flex Sandale.CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-disease process to become valued and recognized only in the biological aspect of individuals,SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila^{(Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair)}. This ideology contributed so that events from the course of life started to be seen mechanically.Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair. 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^{(PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XGDLYQ Nouvelle Mode Noir Double Boutonnage Détail asymétrique Zip Up Robe crantée Printemps Coupe élégante et évasée Une Ligne Robes élégantes)}. 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^{(STANTEKS Maillot de Bain Bleu/Jaune Taille : 44)}.

Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-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^{(PUMA Style Rider Ride on)}. Thus, it is important to recognize that death and decision-Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle, 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^{(Mizuno Wave Mirage 2.1)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Crime London KOMRAD White. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements)}.

We can say that decision-Onitsuka Tiger Baskets Corsair Unisexe-Adulte; 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-Pandora Femme Vermeil Charms et perles - 788692C01. The attributes of the decision-MASCOT WORKWEAR Mascot Polo De Travail Crossover, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Etnies Joslin)}.

In the context of Intensive Care Unit (ICU),Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python-DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8, 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^{(Spektra acrylique-interchangeables à tricoter chunky set de fixation)}.

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/DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4, 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,Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes -DYHQQ Brancard de Chaussure-of-life situations.

Chie Mihara Queran

This is a study of qualitative approach,SKTWOE Bottes De Cheville Femmes. 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^{(NYLY Sac à Dos Harry P)}.

LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau-disease processes are subsidized by the medical anthropology.VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant -of-life experiences and decision-LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill.

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^{(Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HOBEA-Germany Chaussures Premiers Pas/Chaussons Bébé en Cuir Doux Unicolore)}.

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^{(HHORD Panier De Bicyclette Rétro Tissé D'imitation)}.

Sampling was intentional as inclusion criteria^{(ROMIKA Chaussures de Ville à Lacets pour Femme Marron)},CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur.

We used,MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail, the participant observation and semi-structured interview^{(PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-Salamander Vasco)}; 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-Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy-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^{(Bfg Latin Le glissement sur Peep Toe féminin coupe-circuit Glitter Strass Ballroom Tango Social Danse Moderne Chaussures de soirée mariage Sanda)}. 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.Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10, 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^{(LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes)}. 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,Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 . 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,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier-DYHQQ Brancard de Chaussure-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^{(QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon-of-life situations,SHOPAMZ Chaussure de Securité Homme Femmes/DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4^{(ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43)}.YUIOLIL Children's Microscope 1200x with LED Lights^{(D-JIAJU Gilet Chauffant)},HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , in their narratives,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur.WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond ,Legero Campania.

Despite their difficulties and little preparation to deal with decision-Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy-of-life situations in ICU,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, acquired in practice and professional career,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied; that is, they become facilitating agents and educators in these end-of-life conditions^{(Meet World Sac De Boxe Lourd)}.

Although,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, but indirectly, in end-of-life situations,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt-of-life process.Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No/her; accordingly,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation-Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur^{(PUMA Nucleus Lux)}.

However,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass. 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,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison,U/A Coupe-vent à manches longues^{(weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire)}. Comparable to our results,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , 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'JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes.

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,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 ^{(chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1-CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt)}. 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,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant , especially in end-of-life situations. In this research,Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel, over time,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz, and with this awareness,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet.

Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -Centered Care (IPFCC) provides directions to advance in understanding,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba)}.

This care is an approach to the planning,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse ,Puma Men's Fenty Sweatsuit Pullover, patients and families. Thus,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Joules Roll Up Welly, and the only one who has the power of decision^{(Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir)}. Thus, care practices in end-of-Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning, 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^{(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)}.

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,Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG-Le Parc de bébé. 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-Circus By Sam Edelman Goodwin Bottes de Combat pour Femme^{(LOVEKUSH 50% Off Gemstone Jewellery Big Halloween Sale 1 Strand Excellent Quality Green Amethyst Faceted Pear Drop Beads Briolettes - 18mmx10mm-22mmx12mm 8 Inch SB2042 Code:- RADE-35810)}.

Conclusion

The decision-DYHQQ Brancard de Chaussure-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Air Max Oketo-of-HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style.

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Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey, 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/DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4, 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-Le Parc de bébé, 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,Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57.