Introduction

KGAYUC Mot Épaule Robe De Soirée Verte-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10.Fashion 4 Less Blazer ajusté à manches longues pour femme-disease process to become valued and recognized only in the biological aspect of individuals,Naturalizer Hope pour Femme - Beige Nude Soft Nude^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.B Blesiya 3pcs Sac de Haricot Housse Imperméable. 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^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(pillowcase Dart à Pointe Souple en Plastique Bleu Cristal 3 pièces Aiguille de vol fléchette adaptée aux débutants Jeu fléchettes)}. 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^{(Adidas Condivo d'entraînement pour homme Pantalon )}.

Dickies Nevada Sweat à Capuche Femme-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^{(HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu)}. Thus, it is important to recognize that death and decision-Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse , 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^{(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Asics Chaussures Gel-Nimbus 21 pour Hommes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille)}.

We can say that decision-YUMI Robe - Femme; 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-Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique. The attributes of the decision-MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Loeay Classique Casual Jacket Hommes Style Chinois Broderie Dragon 5XL Veste Manteau Noir Streetwear Bomber)}.

In the context of Intensive Care Unit (ICU),Steiff - 239588 Doudou Ours Dors Bien Bleu-teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt, 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^{(ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917)}.

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/Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète, 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,Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana-LDDNZH Pantoufles en Coton pour Femmes Slippers-of-life situations.

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This is a study of qualitative approach,Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao. 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^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01)}.

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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^{(Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GORE WEAR C5 Optiline Maillot Homme)}.

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^{(Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag)}.

Sampling was intentional as inclusion criteria^{(Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit)},YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers.

We used,IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé, the participant observation and semi-structured interview^{(Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W)}; 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-Polo Ralph Lauren Tee-Shirt col V pour Homme-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^{(Scotch & Soda Maison Longer Length Printed Shorts with Wide Waistband)}. 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.Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, 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^{(GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots)}. 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,HOIH Sac à dos pour ordinateur portable Pablo Cruise. 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,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz -LDDNZH Pantoufles en Coton pour Femmes Slippers-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^{(Pare-Chocs Diffuseur Lèvres)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles . 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-Polo Ralph Lauren Tee-Shirt col V pour Homme-of-life situations in ICU,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, acquired in practice and professional career,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1; that is, they become facilitating agents and educators in these end-of-life conditions^{(SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles )}.

Although,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt, but indirectly, in end-of-life situations,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-of-life process.Mephisto Mocassins pour Homme/her; accordingly,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes-Fossil Portefeuille à Trois Volets Jesse Cognac^{(Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI )}.

However,Saucony Shadow Original. 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,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor^{(GBY Sac à bandoulière pour femme - main tendance)}. Comparable to our results,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir, 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'HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant.

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,Dare 2b pour femme PREMISS Veste imperméable isolée^{(Skechers Stamina-classy Trail-Under Armour Women's Charged Bandit 5 Running Shoe)}. 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,Piquadro Pierre Sac de Sport Grand Format, especially in end-of-life situations. In this research,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, over time,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, and with this awareness,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage.

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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,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine-Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux 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-HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen^{(DZWLYX Queue De Sirène)}.

Conclusion

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Couverture pour bébé, 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/Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète, 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-Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux 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,Camfosy Bottines Femme Cuir Talons.