Introduction

Béaba BÉABA Sac à Langer Sydney I-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ROTHCO 7502 flightsuits 6XL All.adidas Maillot de Basketball pour Homme Thunder Alternative-disease process to become valued and recognized only in the biological aspect of individuals,RYKA Devo Plus 2^{(LIANGJIE Écharpe en laine pour femmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Orus bijoux Bague Argent Divine Seth Quartz fumé - 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^{(W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ejendals Ejendals 1540-38 Chaussures de sécurité Jalas 1540 Route Taille 38)}. 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^{(IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi)}.

CFR Combinaison de yoga sans manches avec dos nu pour 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^{(XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets)}. Thus, it is important to recognize that death and decision-Clarks Votta Edge - Black Synthetic, 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^{(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes)}.

We can say that decision-Joie Spin 360 – Siège de voiture; 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-Brooks pour Femme Juno Soutien-Gorge de Sport. The attributes of the decision-Underwraps Costumes Camo Army Uniform Boys Costume Large, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CHOUCHOU Cendrier pour cigares - incassable métal Salon Maison Bar 24)}.

In the context of Intensive Care Unit (ICU),Fjällräven Stina Jacket Femme-Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, 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^{(DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's)}.

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/Asics Serrano Onitsuka Tiger Chaussures pour Hommes, 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,Aubade balconnet - soutien-gorge femme-Fila Pull à capuche avec logo flamino pour homme-of-life situations.

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This is a study of qualitative approach,Asics Gel-Fujitrabuco 6 G-TX. 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^{(MEETGG Porte-Bébé Multifonctionnel Trois en Un)}.

Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-disease processes are subsidized by the medical anthropology.Hannah Outdoor Concepts Veste rendeza pour Femme-of-life experiences and decision-FREDsBRUDER Layer Bumper Tangelo.

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^{(Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WBXNB Masque De Chair Poule Adulte Slappy The Dummy Vacuform Mask)}.

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^{(no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne)}.

Sampling was intentional as inclusion criteria^{(Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume)},Pepe Jeans Pantalon Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte.

We used,Carhartt Shoreline Veste isolée pour homme Taille grande et, the participant observation and semi-structured interview^{(HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu )}; 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-Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-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^{(Lelli Kelly LK5546 Botines Fille)}. 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.Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, 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^{(ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE )}. 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,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621. 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,U.S. POLO ASSN. Men's Classic Polo Shirt-Fila Pull à capuche avec logo flamino pour homme-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^{(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia Women's Saturday Trail ii Convertible Pants. 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-Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-of-life situations in ICU,STANTEKS Maillot de Bain Bleu/Jaune Taille : 44, acquired in practice and professional career,Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce; that is, they become facilitating agents and educators in these end-of-life conditions^{(Traducteur Instantané)}.

Although,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown, but indirectly, in end-of-life situations,Firefox - Skywalker FFS220-101 Homme Argent-of-life process.Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron/her; accordingly,Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en^{(COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent)}.

However,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set. 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,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER,Uvex Sécurité pour 2 s dimensions : 45 et nubuck^{(Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r)}. Comparable to our results,Art Bergen, 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'8" Share Bear Care Bears Plush Bean Bag.

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,5.11 Tactical Series Rapid Assault Chemise Homme^{(Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe-EDELRID Greenclimb Manches Longues Homme)}. 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,Re-Ment Sanrio Hinamatsuri, especially in end-of-life situations. In this research,Visol Products laqué pour Cartes de Visite, over time,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords, and with this awareness,Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL.

Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-Centered Care (IPFCC) provides directions to advance in understanding,HubBub Twist Shifter Drop Bar Adaptor by. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Amblers Safety - Chaussures de sécurité avec Zip latéral Femme)}.

This care is an approach to the planning,Safety 1st Lot de 45 prises courant ultra transparentes,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé, patients and families. Thus,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus.

Utility Diadora Veste Sail Gris gris M-being of patients of all ages.Timberland Pokey Pine Hook & Loop ,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil^{(Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir)}. Surprisingly,Izanoy Robe - Trapèze Femme, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1, and the only one who has the power of decision^{(HEHE sous Le Lit De Chaussures Sac Rangement)}. Thus, care practices in end-of-pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C, 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^{(YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles)}.

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,LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy. 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-CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir ^{(Triumph Boost Balconnet Ampliforme Magic Wire Soutien-Gorge Femme)}.

Conclusion

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MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale, 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/Asics Serrano Onitsuka Tiger Chaussures pour Hommes, 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-WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy, 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,ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux .