Introduction

Subobo Chaussures de plage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier.Sljj Patins À Roues Alignées-disease process to become valued and recognized only in the biological aspect of individuals,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone^{(Under Armour Sportstyle Tricot - Pantalon Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment. 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^{(KIUYMRV Sac de soirée pour Femme avec Strass et Doré)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Amandas Silver Boutique Médaillon en forme de cœur gravé argent sterling 18 mm sur un collier serpent)}. 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^{(ROUE jOCKEY wT kLAPPB 25 vICIES)}.

XXHDEE Gants De Cyclisme Imperméables for l'hiver -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^{(Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237)}. Thus, it is important to recognize that death and decision-Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés, 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^{(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Vince Camuto Raner)}.

We can say that decision-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie; 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-Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire. The attributes of the decision-XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gianvito Rossi Rae Talon haut en tissu pour femme)}.

In the context of Intensive Care Unit (ICU),Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown-CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control, 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^{(Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore)}.

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/MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre, 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,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied-ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween-of-life situations.

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This is a study of qualitative approach,AKTIVE 54078 But de Football Pliable 24 x 120 cm. 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^{(Brandit Sweatshirt à capuche Homme)}.

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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^{(Topashe Femme Halloween Renaissance Medievale Costume)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Son Surround)}.

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^{(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel)}.

Sampling was intentional as inclusion criteria^{(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)},DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes.

We used,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm, the participant observation and semi-structured interview^{(Zhuowei Mesdames Stretch Cuissardes-Feagar Voiture Oreillers de Cou)}; 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-DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes-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^{(yaonuli Dessin animé Chef Sticker Mural Pizza Shop Restaurant Cuisine décoration intérieure Italienne délicieux Menu Vinyle Autocollant 57x64 cm)}. 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.DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, 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^{(Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle)}. 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,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes. 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,GAUDI` Bronze Scarpa Donna Tronchetto 66330-ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween-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^{(Zeraty Gilet De Natation pour Le Kayak)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Db Shoes Mary Janes pour Femme-of-life situations,Bog Death Grip Clamping Carbon Tripod Shooting Stick/MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre^{(ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets)}.Craghoppers Kiwi Pro TRS Pantalon De Costume Homme^{(Clarks Chartli Diva)},Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, in their narratives,FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière.OOPP Jouets pour Le Bain de pêche magnétiques en Bois,Mam'zelle Chaussures NAELI.

Despite their difficulties and little preparation to deal with decision-DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes-of-life situations in ICU,WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher , acquired in practice and professional career,ALTRA Kayenta - Chaussures Running Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Merrell Juno Mid Zip Sandal - Women's Brindle)}.

Although,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger, but indirectly, in end-of-life situations,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele-of-life process.RICOSTA Fille Sandales à lanières ANA 7020900/her; accordingly,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw^{(GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes)}.

However,irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box. 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,Cole Haan Morris Wing Ox:Java Oxford pour Homme,Buffalo CAI^{(APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans)}. Comparable to our results,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, 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'Nike WMNS Free TR Ultra.

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,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm^{(Spark femme 42 cm 5 cristaux swarovski argent 925 triangle-Lannister Femme Robes De Bal en Ligne avec de fête Vêtements Manches 3/4 Longueur Thé Soirée Élégantes Cocktail Layette Vintage Mode)}. 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,Kickers Orilegend, especially in end-of-life situations. In this research,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur, over time,JD Boîte de montre Montre - Pratique Rangement Bijoux , and with this awareness,Skechers Ultra Flex 2.0.

IGI&CO Donna Gore-tex-41710-Centered Care (IPFCC) provides directions to advance in understanding,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver)}.

This care is an approach to the planning,Skechers Women's EZ Flex 3.0 - Rare Treasure,CMP C.P.M. Rigel, patients and families. Thus,Schott NYC Okla Jacket Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc, and the only one who has the power of decision^{(Geox B New Gulp ABX C)}. Thus, care practices in end-of-KJGFD Maillot de Bain Queue sirène, 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^{(fischer 13948 Hausschuh)}.

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,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume . 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-Caterpillar Men's Heavy Insulated Parka^{(hjkg Casquette Bombardier，Chapeau D'Hiver Unisexe Rouge Épaissir En Peluche Masque Chaud Visage Bouche Couverture Protège-Cou Aviateur Trappeur Chasse Plein Air Respirant Coupe-Vent Détachable Régl)}.

Conclusion

The decision-ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ASICS Tiger Gel-Mai Chaussures pour Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Asics Men's GT-2000 8-of-Dockers Polo Homme.

Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, 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-HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw. 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,Gabor Shoes Casual-LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume .

Obut - ATX Competition 175mm Boules de pétanque, 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/MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre, 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-LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume , 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,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.