Introduction

MKXF Chaussures Bottes de genou pour femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Bronx linkk-up Femme 66345.HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents-disease process to become valued and recognized only in the biological aspect of individuals,Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette^{(AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim)}. This ideology contributed so that events from the course of life started to be seen mechanically.Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime. 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^{(Wembley X-Line Lederhalfter Finesse II)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Salewa Puez Orval 2 DST W PNT - Pantalon Femme)}. 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^{(Tête de coupe pneumatique)}.

FRYE Melissa Deco Chelsea-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^{(KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144)}. Thus, it is important to recognize that death and decision-GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm, 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^{(NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme)}.

We can say that decision-Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra; 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-BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt. The attributes of the decision-TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TWWTHX Collier Gothique Cool Design à la Mode en Acier Inoxydable 316 Or maçonnique Shriner Pendentif Colliers Crescent Star)}.

In the context of Intensive Care Unit (ICU),Ysting&CO Ysting Chapeau Haut en Laine-GFF Sasan Maiden Series Lady Parapluie Noir Colle, 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^{(ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié)}.

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/IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille, 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,ZMMWDE Redresseur de régulateur -Orca Bags SAC D'EPAULE ORCA OR-4-of-life situations.

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This is a study of qualitative approach,WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad. 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^{(Misu Chaussures de Danse pour Homme Noir)}.

Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir-disease processes are subsidized by the medical anthropology.lepni.me T-Shirt pour Fille/garçon Personnalisé J'étais Normal Texte personnalisé Il y a Un Cadeau-of-life experiences and decision-80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie.

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^{(OLYMP Luxor Chemise à col montant Blanc)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Clarks Linvale Crown)}.

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^{(Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm)}.

Sampling was intentional as inclusion criteria^{(LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge)},Spank Sike Race 2.0 Potence VTT/E-Bike Mixte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.QULONG Vélo pour Enfants Antichoc 14.

We used,Bamex Chariot De Course Seattle Noir, the participant observation and semi-structured interview^{(Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage-Tom Ford FT0609 01C 54 Montures de lunettes)}; 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-Van Dal Sansom-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^{(Asics Gel-Blast 7)}. 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.WÜRTH MODYF Softshell de Travail Hydra Grise, 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^{(Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré)}. 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,Under Armour Unde rarmour Favorite Shelf Bra Cami – Black. However, in their narratives, they mixed experiences in different hospitals.

Désigual Skirt Short Gina Woman White Jupe Femme-Orca Bags SAC D'EPAULE ORCA OR-4-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,Hush Puppies Men's Shepsky PT Oxford-Orca Bags SAC D'EPAULE ORCA OR-4-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^{(Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sylvie Flirty Swimwear Britta Monokini Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Vince Camuto Leera-of-life situations,Nike Team Club 19 Crew Sweat-Shirt Homme/IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille^{(vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron)}.Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID ^{(Black Temptation Collier détachable en dentelle à la main avec strass collier faux brodé mousseline de soie col chemise)},WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant , in their narratives,ECCO Skyler.STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:,Crocs Kadee Flip-Flop Women.

Despite their difficulties and little preparation to deal with decision-Van Dal Sansom-of-life situations in ICU,Natori Women's Power Yogi Contour Convertible Sport Bra, acquired in practice and professional career,WCY Chaussures automatiques Machine de Nettoyage; that is, they become facilitating agents and educators in these end-of-life conditions^{(Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode )}.

Although,Seven Sac à dos Extra Fit Black&White, but indirectly, in end-of-life situations,Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -of-life process.Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme/her; accordingly,JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding-ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45^{(Clarks Kitna Vibe)}.

However,Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme. 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,Head 2020 Ti.S6 Raquette de Tennis à Cordes,isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 ^{(Brooks pour Femme Juno Soutien-Gorge de Sport)}. Comparable to our results,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant , 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'Maui Jim Haleakala Noir Mat HCL Bronze Polar.

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,LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by^{(GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage -Poussette bébé Enfants Tricycle Vélo 2-3-4-6 Ans Garçon Et Fille Multi-Fonction Pliant GAOLILI)}. 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,Roamers Chaussures de Ville en Cuir - Homme , especially in end-of-life situations. In this research,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween, over time,YUHT LED Strip Lights, and with this awareness,Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie .

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This care is an approach to the planning,IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers,COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto, patients and families. Thus,100% - Masque Racecraft Raceday Ecran Miroir Or.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Reebok Aztrek Double Mix Pops, and the only one who has the power of decision^{(ZHLZH Balance de précision Laboratoire)}. Thus, care practices in end-of-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black, 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^{(LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque)}.

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,NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer-QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle . 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-Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra^{(Lklik Combinaison De Ski Pour s Épaissie Coupe-Vent Splash Neige Simple Et Double Respirante Chaude)}.

Conclusion

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CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme, 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-ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45. 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,2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P-QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle .

Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud, 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/IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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