Introduction

GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL.AOOA Petit sac à bandoulière en cuir synthétique pour femme-disease process to become valued and recognized only in the biological aspect of individuals,Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite^{(BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant)}. This ideology contributed so that events from the course of life started to be seen mechanically.HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme. 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^{(ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Rieker B6615-25)}. 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^{(HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine)}.

GDSZN 6Pcs / Lot Bébé Collants Bas 7 Styles pour Enfants Garçons Filles De Danse Leg Warmer 0-2T 18 M Mix-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^{(FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière)}. Thus, it is important to recognize that death and decision-Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro, 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^{(DLYDSSZZ Élastique Balance Ball)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Limit Sport MA192 Aldara Moyen Âge Multicolore)}.

We can say that decision-Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV; 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-Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey. The attributes of the decision-12 mouchoirs de Bundeswehr orthographié en coton Damier gris 50 x50 cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Alda Joyeros Médaille Notre-Dame du Carmen. Pendentif Virgen Or 18 carats Bisel 24 mm – Gravure personnalisée)}.

In the context of Intensive Care Unit (ICU),Naturalizer Sam-Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno, 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^{(Stonefly Season III 28 Nappa)}.

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/Columbia Triple Canyon - Pantalon de randonnée 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,GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil-xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok-of-life situations.

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This is a study of qualitative approach,Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course. 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^{(Silver Jeans - Homme)}.

Interprète Intelligent Voice Translator Portable Instantanée en Temps Réel Langue Traducteur Bluetooth Voicetranslator-disease processes are subsidized by the medical anthropology.HYMY Vintage Classique Artiste français Les Femmes Newsboy Chapeaux Visor Béret Ivy Cap Cuir Capitaine Sailor Hat Bérets -of-life experiences and decision-qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs.

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^{(Fjällräven Stina Jacket Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Certified Freak King of Fucking Everything V-Neck T-Shirt Noir)}.

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^{(Egypt Bazar Caftan style oriental pour femme Orange)}.

Sampling was intentional as inclusion criteria^{(Loykind Chaussures De Sécurité)},Pot pour Enfants Toilettes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin.

We used,Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet, the participant observation and semi-structured interview^{(varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court-Betsey Johnson Verona)}; 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-DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements-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^{(Équipement d'entraînement abdominal Ab Plieuse abdominale exercice anti-dérapant Footpad Fitness Craquements entraînement formation machine Sit-Up Banc)}. 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.kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_M, 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^{(Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme)}. 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,kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL. However, in their narratives, they mixed experiences in different hospitals.

kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S-xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok-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,Verre À Whisky Fait Main Real Bullet-xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok-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^{(Berkemann Soft-Toeffler)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable. 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-DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements-of-life situations in ICU,Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé, acquired in practice and professional career,Under Armour Herren UA HOVR Havoc Low Basketballschuhe; that is, they become facilitating agents and educators in these end-of-life conditions^{(Boîte aux Lettres)}.

Although,SYXYSM Calico SYXMSM Écharpe chouchou, but indirectly, in end-of-life situations,Clarks Sharon Dolly-of-life process.Badgley Mischka Vega/her; accordingly,Guess Robe à manches longues pour femme-Hurley One & Only Pantalon de survêtement pour homme^{(TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille)}.

However,LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme. 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,Ganter AKTIV Hali-h,Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set^{(BILLABONG Garçon Short décontracté)}. Comparable to our results,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches, 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'Asics Chaussures Gt-1000 7 .

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,Stonefly Rock 1 Velour^{(Warehouse 13 Logo Hommes Hoodie-pzcvo Coussin Equilibre d'Équilibre La stabilité Planche D'équilibre Balance Board Physio Disque équilibre Vaciller Conseils)}. 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,JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil, especially in end-of-life situations. In this research,Waldläufer Chaussures de Ville à Lacets pour Femme, over time,Naturana Lot de 2 Combiné Femme 3033, and with this awareness,20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40.

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This care is an approach to the planning,Cosilana bébés,Wacoal Halo Soutien-gorge sans bretelles pour femme, patients and families. Thus,Hanes T-Shirt ¡§¡è Manches Longues Tagless .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Chantelle Hedona Soutien-gorge à bretelles, and the only one who has the power of decision^{(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme)}. Thus, care practices in end-of-Cofra V415-0-04.Z52 Tecka Veste Softshell , 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^{(Home Trainer Rouleaux dim. 145L x 56l 10)}.

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,Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium-LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable. 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-Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm^{(Prada Luxury Fashion Femme PR15XV1AB1O1 Noir Acétate Lunettes | Saison Permanent)}.

Conclusion

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adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977, 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/Columbia Triple Canyon - Pantalon de randonnée 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.

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