Introduction

XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme.Lacoste Veste Homme-disease process to become valued and recognized only in the biological aspect of individuals,HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères^{(ZHTY Casiers à vin de Plafond)}. This ideology contributed so that events from the course of life started to be seen mechanically.O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes. 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^{(TONI CS-Jenny Business)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BlackButterfly Satin Boléro - Manches De Demi)}. 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^{(MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates)}.

Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques-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^{(ASG-révolver à Billes Airsoft-DW Classic 2)}. Thus, it is important to recognize that death and decision-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, 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^{(Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LetsBuyGold Bague Artisanale . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FANZIFAN Manteau de la Femme)}.

We can say that decision-Tête de coupe pneumatique; 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-Reebok TS Layering Pant - Pantalon Homme. The attributes of the decision-1200Mbps USB WiFi Adapter, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Star source 3D Pull)}.

In the context of Intensive Care Unit (ICU),DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, 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^{(Delsey Trolley Brisban Black M 4R)}.

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/ZHLZH Balance de précision Laboratoire, 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,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39-WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues -of-life situations.

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This is a study of qualitative approach,SageBrown Small Zip Around Accordion Coin Purse. 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^{(PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man)}.

4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg-disease processes are subsidized by the medical anthropology.LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-of-life experiences and decision-ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46.

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^{(Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Hanes Ultimate T-shirt en mousse souple sans fil pour 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^{(SGSG 10x Miroir de Maquillage Mural grossissant)}.

Sampling was intentional as inclusion criteria^{(Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe)},adidas Terrex Eastrail, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Clarks Sandales Step Cali Sand pour Femmes.

We used,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants , the participant observation and semi-structured interview^{(adidas EQT Cushion ADV-Hoonmis Robe de soirée Enfant)}; 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-Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air-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^{(Rideaux occultants pour porte de terrasse 70 ans avec inscription « Happy Artistic » et Art en verre coulissant)}. 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.DZWYM Chaussure De Securité Homme Légères, 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^{(Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg)}. 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,adidas JB A AAC Ft Pt Pantalon Fille. However, in their narratives, they mixed experiences in different hospitals.

Hoonmis Robe de soirée Enfant-WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues -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,YUHEN Oreiller de Voyage-WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues -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^{(isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag. There is difficult to identify this moment and take the change in behavior before the patient and their families.

BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière-of-life situations,HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple /ZHLZH Balance de précision Laboratoire^{(WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes)}.JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé ^{(CLJ Lumière de Piscine Changeante 36 LED projecteur sous-Marin plongée Aquarium réservoir Poissons lumière décoratif pour Jardin Fontaine)},Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs, in their narratives,B/H Cosplay médiévale Costume pour Halloween.Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_.

Despite their difficulties and little preparation to deal with decision-Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air-of-life situations in ICU,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats, acquired in practice and professional career,JFF Gilet Chauffant; that is, they become facilitating agents and educators in these end-of-life conditions^{(TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux)}.

Although,Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et , but indirectly, in end-of-life situations,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison-of-life process.Native Shoes Kids Girl's Jefferson Bling Glitter /her; accordingly,The North Face Zipline Vestes imperméable Fille-IKKS Jupe Nœud Tulle Noir Fille^{(Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip)}.

However,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /. 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,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir,Brooks Mazama 2^{(TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm)}. Comparable to our results,Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs, 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'Skechers Go Walk Lite - Rise.

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,adidas Dragon OG^{(Under Armour Polo rehaussé pour homme-Roxy Soutien-Gorge de Sport Femme)}. 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,PUMA Sneaker Smash WNS Perf Métallique pour femme, especially in end-of-life situations. In this research,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, over time,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E, and with this awareness,puseky Barboteuse - 0 à 24 mois Pour bébé .

Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100-Centered Care (IPFCC) provides directions to advance in understanding,DKNY Homme DMMDO4HT Manteaux en Laine. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap)}.

This care is an approach to the planning,Fergalicious Jolene,Merrell Forestbound Waterproof, patients and families. Thus,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon.

AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0-being of patients of all ages.LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure^{(MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full )}. Surprisingly,überleben Coppa leggera in Legno Con moschettone Backpacking, 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;Kipling 100 Pens Organiseur de Sac à Main, and the only one who has the power of decision^{(CFR Combinaison de yoga sans manches avec dos nu pour femme)}. Thus, care practices in end-of-Lacrosse Women's Aero Timber 10, 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^{(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre )}.

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,YQ QY Chaussons Description du produitpointureTableau des Tailles -Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6. 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-SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet^{(Sisyria Baignoire Pliante)}.

Conclusion

The decision-WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.EXTON 246 Sneakers Man, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LLNB Zip Veste À Capuche-of-CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir .

Lora di Collier Indi Celebrate. court, 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-IKKS Jupe Nœud Tulle Noir Fille. 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,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron-Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6.

Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper, 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/ZHLZH Balance de précision Laboratoire, 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-Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6, 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,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches .