Introduction

mys Sneaker Customized Adulte - Chaussures Coutume -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Yhjkvl Hommes Gym Legging Fitness.JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative-disease process to become valued and recognized only in the biological aspect of individuals,nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie^{(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils)}. This ideology contributed so that events from the course of life started to be seen mechanically.Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie. 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^{(MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GUANGUA Beaux Bijoux 30x41mm ormeau Coquille rectangulaire Pendentif Perles)}. 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^{(JJ Cole Couvre-sangles Matelassé occultant)}.

Cxjff Pliant PedaI Tricycle-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^{(inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon)}. Thus, it is important to recognize that death and decision-DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme, 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^{(Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Baignoire Pliante pour bébé. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Naturalizer Kari Mocassins pour femme)}.

We can say that decision-Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long; 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-RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser . The attributes of the decision-AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZXMDP Bâton éducatif magnétique pour Que Les Enfants construisent des Blocs Jouets de Bloc Construction Bricolage Aimant Jouet Enfant éducatifs)}.

In the context of Intensive Care Unit (ICU),Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine-Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack, 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^{(RYKA Devotion XT Mid)}.

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/CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges, 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,Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy -JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams-of-life situations.

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This is a study of qualitative approach,FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle. 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^{(XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}.

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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^{(Columbia Drainmaker 3D')}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Menorca Sandales Authentiques Minorquines)}.

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^{(HÖGL Studio 80)}.

Sampling was intentional as inclusion criteria^{(Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm)},MYMAO Pluie épaisse Ponchos ~ Qualité Premium, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette.

We used,Hudson baby Long Sleeve Bodysuits, the participant observation and semi-structured interview^{(Speedo Women's One Piece Swimsuit High Neck Contemporary Cut-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée)}; 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-Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14-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^{(KTSWP Notorious RBG Ruth Bader Ginsburg Feminist T-Shirts Children De Haute Qualité)}. 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.Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose, 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^{(Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues)}. 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,Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc. 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,Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket-JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams-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^{(Visit the Carhartt Store Wip Car-Lux Jacket Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SWIMS Mocassins en Dentelle Stride pour Hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14-of-life situations in ICU,Cwypxl Santiag Femmes Western PU Botte Cowboy Talon Casual Chic Cowgirl Boots Haute Chaussures Chelsea Pointu à imprimé Serpent Couleur mélangée, acquired in practice and professional career,Delavi Self Medication T-Shirt Femme Noir Women's Black; that is, they become facilitating agents and educators in these end-of-life conditions^{(WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale )}.

Although,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo , but indirectly, in end-of-life situations,ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs -of-life process.GET Combinaison de Ski Une Pièce pour Femmes/her; accordingly,MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe-VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur^{(VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase)}.

However,PUMA TSUGI Disc. 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,Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine,elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage^{(PUMA Suede Classic )}. Comparable to our results,hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi, 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'PUMA Roma Basic.

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,Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne^{(Korntex KXRJGS Veste imperméable Jaune Taille S-Lacoste Carnaby Evo 0120 2 Blanc/Noir Synthétique 38 EU)}. 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,FB Fashion Boots 14902, especially in end-of-life situations. In this research,ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens, over time,QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège , and with this awareness,EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5.

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This care is an approach to the planning,Kask Utopia Casque vélo Adulte Unisexe,Hotter Glove, patients and families. Thus,Reebok Aztrek 96.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques, and the only one who has the power of decision^{(QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts)}. Thus, care practices in end-of-Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, 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^{(MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe)}.

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,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-CafePress BRIGHTGREYSAATOMY PJ pour femme. 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-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme^{(Lsjuee New Halloween Bats Imprimé Sac à Dos décontracté léger bandoulière 17 Pouces avec Bretelles rembourrées pour Les Sports de Travail Scolaire)}.

Conclusion

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Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille, 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/CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges, 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-CafePress BRIGHTGREYSAATOMY PJ pour femme, 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,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman.