Introduction

adidas Essentials Sereno Pantalon dentraînement-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Limit Sport MA192 Aldara Moyen Âge Multicolore.ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode -disease process to become valued and recognized only in the biological aspect of individuals,Geox XLED Girl J928DA Fille Baskets Mode^{(yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch)}. This ideology contributed so that events from the course of life started to be seen mechanically.Nfudishpu Tambour électronique. 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^{(Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cloche mobile pour bébé)}. 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^{(RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles )}.

Skechers Women's Rumblers-Whimsical Wonder Flip-Flop-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^{(YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm)}. Thus, it is important to recognize that death and decision-CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6, 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^{(ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,McAlister Textiles Denim Bleu Savane Rideaux. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}.

We can say that decision-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées; 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-HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events . The attributes of the decision-MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Zuoao Chariot À Achats Pliant en Aluminium Peut Monter des Escaliers Trois Roues Donnant Le Paquet Pliable)}.

In the context of Intensive Care Unit (ICU),MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas-KYWBD Ensemble Lingerie Sexy, 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^{(PUMA S XT nuageux Chaussure gris 359 135 02)}.

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/Giro Monaco II Gel Gants de Cyclisme, 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,PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir-AJH Ensemble électrique de cheminées-of-life situations.

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This is a study of qualitative approach,Oceansouth Leger Alliage des échelles. 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^{(YAS Yasemira Loose Lace Top Blouse Femme)}.

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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^{(Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Down jacket Couture Courte Doudoune Veste en Duvet Ample pour Femme Hiver Canard Blanc vers Le Bas Taille Couleur Chaude et Confortable Uniforme Stable)}.

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^{(Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.)}.

Sampling was intentional as inclusion criteria^{(YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon)},Esprit Pepe T-Strap, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43.

We used,NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc, the participant observation and semi-structured interview^{(HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant-Kappa Britannia Authentic Veste Homme)}; 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-Orca Bags SAC D'EPAULE ORCA OR-4-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^{(Eyliy Cartes à Jouer r Portefeuille de Couverture Porte-Passeport Vert)}. 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.YAS Yasemira Loose Lace Top Blouse Femme, 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^{(SugarPocket Leggings de yoga pour femme)}. 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,AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course . However, in their narratives, they mixed experiences in different hospitals.

Vans Asher V-Velcro-AJH Ensemble électrique de cheminées-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,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG-AJH Ensemble électrique de cheminées-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^{(Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020-of-life situations,Held Team Shirt L/Giro Monaco II Gel Gants de Cyclisme^{(AJH Animal Tabouret Repose-Pieds Ottoman)}.shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées^{(YNNB 45L Sac à Dos de randonnée léger)},hanky panky Lingerie Femme, in their narratives,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples.Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie.

Despite their difficulties and little preparation to deal with decision-Orca Bags SAC D'EPAULE ORCA OR-4-of-life situations in ICU,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues, acquired in practice and professional career,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nike Mercurial Victory V IC)}.

Although,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage, but indirectly, in end-of-life situations,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir-of-life process.ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear/her; accordingly,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts-Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette^{(Panier Basket YXX Cerceau Et Support De Basket-Ball Ajustables pour Enfants avec 2 Balles Pompe)}.

However,Nike Mercurial Victory V IC. 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,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman,casco Reithelm VG1 Spirit - 3 Crystal^{(Outline equiline tapis de selle dressage en coton noir)}. Comparable to our results,hanky panky Lingerie Femme, 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'PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man.

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,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes^{(Kickers Kymbo Brogue-He-shop Filles Robe)}. 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,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau, especially in end-of-life situations. In this research,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, over time,FACAI Étagère De Cuisine Rangement, and with this awareness,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut.

NYDJ Barbara Bootcut Jeans Femme-Centered Care (IPFCC) provides directions to advance in understanding,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt)}.

This care is an approach to the planning,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant ,aipipl Boîte aux Lettres Murale, patients and families. Thus,SDJJ Sac à dos vintage en cuir pour femme Motif floral.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike 917809 414, and the only one who has the power of decision^{(Tbaobei-Baby Robes de soirée pour Femmes Automne et Robe d'hiver Femme à Manches Longues Sweater Sac Hip Jupe Slim Long Article )}. Thus, care practices in end-of-Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid, 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^{(NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire)}.

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,Sanuk Kids Unisex Lil Puffer Fashion Boot-SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole. 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-SPYDER Project Veste pour femme^{(ECCO Flowtlxw)}.

Conclusion

The decision-AJH Ensemble électrique de cheminées-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!-of-Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple.

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Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm, 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/Giro Monaco II Gel Gants de Cyclisme, 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-SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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,Hush Puppies Men's Shepsky PT Oxford.