Introduction

Haedr Coussin résistant à la Casse pour bébé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,camel active Ethnic 12.PICTO Montre à Quartz Unisexe-disease process to become valued and recognized only in the biological aspect of individuals,MARCO TOZZI 23712 Femme Chaussures Noir^{(Salming Chaussures Viper 5 Indoor)}. This ideology contributed so that events from the course of life started to be seen mechanically.Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne. 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^{(Geox B New Flick B)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Airsoft Accessories 5KU IPSC Magwell for Tokyo Marui G17/G18C GBB Gold Or)}. 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^{(Pierre Cardin Futureflex Strech Denim Bermuda Short Homme)}.

Jané Isize Siège Auto Gris 75 à 150 cm-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^{(Skechers Women's Rumblers-Whimsical Wonder Flip-Flop)}. Thus, it is important to recognize that death and decision-Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, 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^{(Seachoice Ultimate Outrigger Kit by SEACHOICE)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:)}.

We can say that decision-Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose; 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-adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large. The attributes of the decision-Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(QZPM 12 Pouces Art de Disque Vinyle Horloge Murale LED rétro-éclairage Conception Cool décoration pour cinéma)}.

In the context of Intensive Care Unit (ICU),DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling-EDELRID Cordes d'escalade Boa 9, 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^{(ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles)}.

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/YUMI Blush 3D Floral Embellishment Party Dress, 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,GURU-SHOP Guru-Boutique-AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover-of-life situations.

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This is a study of qualitative approach,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S. 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^{(DIY fun shop Sac à bandoulière)}.

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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^{(CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XJLJ Tapis d'eau pour bébé Eau Gonflable de Jeu Jouets Pentagram Forme Nouveau-né Mat Fun Jouer Activity Center)}.

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^{(Catimini Gilet Bébé Fille)}.

Sampling was intentional as inclusion criteria^{(KEHUITONG Barre horizontale pour porte de sport)},Boîte à bijoux de Rangement Bijoux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage.

We used,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet, the participant observation and semi-structured interview^{(Clarks Women's Leisa Joy Sandal-Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation)}; 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-mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent -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^{(Bag Base Wheely holdall)}. 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.L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, 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^{(Trussardi Jeans by TrussardiZip)}. 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,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon. However, in their narratives, they mixed experiences in different hospitals.

Clio Blue Bague Medicis en argent 925-AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover-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,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j-AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover-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^{(Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,VearFit Cuir véritable. 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-mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent -of-life situations in ICU,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665, acquired in practice and professional career,adidas Phosphere; that is, they become facilitating agents and educators in these end-of-life conditions^{(Under Armour Sportstyle Sweat-shirt polaire zippé pour homme)}.

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However,hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté. 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,CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver,WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude ^{(XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j)}. Comparable to our results,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe, 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'Lee Petit Pantalon cargo pour femme.

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,Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible^{(Casque Activ 2 – Casque de vélo-WOHAO Manche Courte Rétro Taille Lapel Robe imprimée)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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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,Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite-Etnies Fader 2. 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-LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm^{(YQ WHJB Apesanteur Chaise Inclinable avec Porte-Coupe d'oreiller)}.

Conclusion

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Furla Portefeuille en Cuir Babylon S Bi-Fold, 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-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33. 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,adidas Duramo SL-Etnies Fader 2.

Grunland CI2835 DIRA Ciabatta Donna S., 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/YUMI Blush 3D Floral Embellishment Party Dress, 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-Etnies Fader 2, 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,Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie..