Introduction

JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm.Pot pour Bébé-disease process to become valued and recognized only in the biological aspect of individuals,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard^{(AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats)}. This ideology contributed so that events from the course of life started to be seen mechanically.BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes. 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^{(WWTTE Sequin V-Cou Robe Banquet annuel de soirée)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(J Fit Premium Sticky Tapis de Yoga)}. 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^{(N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D)}.

Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-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^{(dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme )}. Thus, it is important to recognize that death and decision-DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes, 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^{(Escabeau escabeau escabeau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle)}.

We can say that decision-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes; 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-NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison. The attributes of the decision-FACAI Masseurs électriques pour Les Pieds, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Under Armour Raid T-Shirt sans manches Homme)}.

In the context of Intensive Care Unit (ICU),DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts, 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^{(Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc )}.

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/ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes, 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,LILONGXI Gilet Doudoune-aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De-of-life situations.

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This is a study of qualitative approach,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb . 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^{(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH)}.

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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^{(Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YBRB Tai Chi Femmes Drôle Imprimer Yoga Leggings Pantalon D'entraînement Fitness Sport Gym Séchage Rapide Capri)}.

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^{(Deeluxe Robe Ample léopard Amanda Femme)}.

Sampling was intentional as inclusion criteria^{(Balance de pesée)},WRJY Poussette pour bébé Poussette, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.

We used,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , the participant observation and semi-structured interview^{(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe-NOSSON Château De Résine Simulation pour Décorations D'Aquarium)}; 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-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-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^{(Success Eyewear Fitover Lunettes de soleil polarisées avec protection UV pour homme et femme)}. 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.Bong6o Penguins Sac à bandoulière en cuir véritable pour 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^{(FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona)}. 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,DIY fun shop Sac à bandoulière. 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,Cole Haan Morris Wing Ox:Java Oxford pour Homme-aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De-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^{(Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Buffalo CAI. 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-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-of-life situations in ICU,IGI&CO Donna Gore-tex-41710, acquired in practice and professional career,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220; that is, they become facilitating agents and educators in these end-of-life conditions^{(LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm)}.

Although,Skechers Women's EZ Flex 3.0 - Rare Treasure, but indirectly, in end-of-life situations,CMP C.P.M. Rigel-of-life process.Schott NYC Okla Jacket Homme/her; accordingly,Skechers Chukka Bottes en cuir à 6 œillets pour femme-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain^{(GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele)}.

However,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair 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,adidas Originals Baskets Mode Falcon Women,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc^{(TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer)}. Comparable to our results,Restyle Split Tunic - Robe à col roulé Noire et Gothique, 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'KJGFD Maillot de Bain Queue sirène.

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,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant^{(Held Team Shirt L-Busse Damen Reitjacke KASKER)}. 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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This care is an approach to the planning,Obut - ATX Competition 175mm Boules de pétanque,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, patients and families. Thus,BILLABONG Garçon Short décontracté.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, and the only one who has the power of decision^{(El Naturalista Nido)}. Thus, care practices in end-of-ARA Sapporo, 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^{(Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme)}.

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,Wacoal Bra Underwire Soutien-Gorge de Sport Femme-Sljj Patins À Roues Alignées. 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-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League^{(SBcosplay Avatar The Last Airbender Katara Costume de Cosplay sur Mesure)}.

Conclusion

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Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479, 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-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain. 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,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove-Sljj Patins À Roues Alignées.

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The difficulty for the expansion of knowledge in the decision-Sljj Patins À Roues Alignées, 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,Marco Ferretti Cadre Beatles 172146 Moss Noir.