Introduction

adidas JB A AAC Ft Pt Pantalon Fille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hoonmis Robe de soirée Enfant.Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport-disease process to become valued and recognized only in the biological aspect of individuals,Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat ^{(AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64)}. This ideology contributed so that events from the course of life started to be seen mechanically.PUMA Style Rider Ride on. 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^{(Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LHY Les Femmes d'hiver de Fourrure doublé Bottes Neige)}. 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^{(Craghoppers Kiwi Pro TRS Pantalon De Costume Homme)}.

LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur-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^{(Cxjff Pliant PedaI Tricycle)}. Thus, it is important to recognize that death and decision-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales, 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^{(Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Moulinets de pêche. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(UMOOIN Basketball Team 3D Housse de Couette)}.

We can say that decision-Porte-Serviettes Chauffant Intelligent; 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-Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered . The attributes of the decision-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Bessport Camping Tente 1 et 2 Personnes，3 4 Personnes Ultra Légère Facile à Installer Tentes Dôme Double Couche Saison Imperméable)}.

In the context of Intensive Care Unit (ICU),LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes, 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^{(Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille)}.

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/LGLE Pyjama en satin à manches longues pour homme, 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,Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères-of-life situations.

O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes

This is a study of qualitative approach,LILONGXI Tapis. 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^{(DBWIN Parc de Jeu pour Enfants)}.

SYue Miroir de Maquillage Mural-disease processes are subsidized by the medical anthropology.Pneus De Scooter Électrique-of-life experiences and decision-Aden Anais Sac de Couchage Mousseline 100% Coton.

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^{(HEAD Sprint 3.0 Junior)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Karl Kani Denim Short)}.

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^{(Dr. Martens Hardie)}.

Sampling was intentional as inclusion criteria^{(Filet de Camouflage De for La Chasse Tournage Pêche )},Mandarina Duck Hera 3.0 Portafoglio, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vince Camuto Raner.

We used,Demonia GRIP-103 Blk Faux Leather UK 3 , the participant observation and semi-structured interview^{(EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu -FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle)}; 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-W&XY Escarpins d'hiver pour l'alpinisme -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^{(Munich Break 03)}. 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.Nike Quest 3, 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^{(Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao)}. 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,ZOMAKE Sac à Dos Petit 25L. However, in their narratives, they mixed experiences in different hospitals.

RVCA South Eastern Trunk pour Homme-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères-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,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères-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^{(Under Armour Charged Toccoa 2 Chaussure de course pour homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DKNY Homme DMMDO4HT Manteaux en Laine. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Fergalicious Jolene-of-life situations,Merrell Forestbound Waterproof/LGLE Pyjama en satin à manches longues pour homme^{(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU)}.Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon^{(MWOOOK Liège Sandales Plateforme Compensées)},XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_, in their narratives,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0.LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure.

Despite their difficulties and little preparation to deal with decision-W&XY Escarpins d'hiver pour l'alpinisme -of-life situations in ICU,überleben Coppa leggera in Legno Con moschettone Backpacking, acquired in practice and professional career,Kipling 100 Pens Organiseur de Sac à Main; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZSHWP Sexy)}.

Although,Lacrosse Women's Aero Timber 10, but indirectly, in end-of-life situations,YQ QY Chaussons Description du produitpointureTableau des Tailles -of-life process.SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet/her; accordingly,EXTON 246 Sneakers Man-LLNB Zip Veste À Capuche^{(Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive )}.

However,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir . 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,Lora di Collier Indi Celebrate. court,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron^{(New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes)}. Comparable to our results,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_, 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'Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper.

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,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches ^{(YLYT Lampe Starry Sky Night Light Enfants Nuit-Biglove Noir Tatouage Transfert Pochoir Machine Thermique copieur imprimante ZY003)}. 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,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, especially in end-of-life situations. In this research,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré, over time,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, and with this awareness,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage .

Tamaris Femme Chaussures à Lacets-Centered Care (IPFCC) provides directions to advance in understanding,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. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée)}.

This care is an approach to the planning,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme,Joules Golightly Imperméable Femme, patients and families. Thus,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.

MZSG LED Loft Vintage Applique-being of patients of all ages.SXHNNYJ Garniture de poignée Porte extérieure Voiture,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23^{(Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket)}. Surprisingly,PUMA Roma Anniversario, 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;Reqins ILAN Lycra - Training Lacet Noir, and the only one who has the power of decision^{(Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.)}. Thus, care practices in end-of-NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre, 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^{(YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail 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,HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary -1200Mbps USB WiFi Adapter. 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-SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme^{(Dare 2b Impose Waterproof Breathable Adjustable Cuffs Reflective Detail Jacket Vestes Enfant)}.

Conclusion

The decision-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.In:sole Insole Sexy Talon Haut, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet-of-MHMT Planches De Stand Up Paddle Gonflables 10 Pieds.

BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène , 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-LLNB Zip Veste À Capuche. 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,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-1200Mbps USB WiFi Adapter.

Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, 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/LGLE Pyjama en satin à manches longues pour homme, 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-1200Mbps USB WiFi Adapter, 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,Tentes à Tente rétractable de lit.