Introduction

XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL.Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -disease process to become valued and recognized only in the biological aspect of individuals,JJ Cole Couvre-sangles Matelassé occultant^{(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti)}. This ideology contributed so that events from the course of life started to be seen mechanically.Light Rose Baby Diaper Bag Backpack. 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^{(Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LORVIES Français Tour Eiffel Mots Lettres Roses Serrures Modèle De Ballons Bottes Montantes pour Hommes)}. 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^{(FACAZ Light The Wine Diamond Decanter Set Holding Base)}.

La Strada 1902517 Sneaker Knitted Blue-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^{(Little Me Bébés Filles Foot)}. Thus, it is important to recognize that death and decision-GJNVBDZSF Lavabo de Camping, 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^{(Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile)}.

We can say that decision-P448 John Sneaker blanc et rouge; 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-JHGK Haut-Top Chaussures De Basket-Ball Couple. The attributes of the decision-Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RNGZC Sweats à Capuche Chandail De Lame Démon pour Homme Cosplay 3D Pull À Plaid Stripe Anime Top Enfants)}.

In the context of Intensive Care Unit (ICU),Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme-Lola Cruz Bottines, 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^{(ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body)}.

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/Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3-of-life situations.

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This is a study of qualitative approach,Olga Berg Pochette Femme Doré Ob2028. 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^{(LIU-JO Cappotto in misto lana Donna cod.CF008T2403)}.

DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-disease processes are subsidized by the medical anthropology.SPYDER Chambers GTX Veste pour homme L Volcan-of-life experiences and decision-AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil.

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^{(Cetti C847 Basket Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XuZeLii Maillots De Cyclisme Veste Homme Cycling imperméable Respirant Léger for la Course Convient pour Le Moyenne à Longue Dist)}.

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^{(Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280)}.

Sampling was intentional as inclusion criteria^{(Ganter AKTIV Hali-h)},Yoga Design Lab Serviette de Hot | Douce, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats.

We used,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir, the participant observation and semi-structured interview^{(JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier-MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz )}; 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-Melluso 06330-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^{(QFYD FDEYL Réglable Orthopédique Sandales)}. 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.Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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^{(Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M)}. 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,Oreiller. 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,Gabs & Studio GABS -WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3-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^{(Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DKNY Women's Classic Lace Long Line Demi. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Giro Sentrie Techlace Road-of-life situations,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu /Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches^{(PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade)}.Skechers Flex Advantage 2.0^{(QBKYRF Hommes Doudoune   Simplement Style Solide Couleur Veste Décontractée Col Montant Mince Blanc Canard Vêtements Taille S-3xl S de l'image)},Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs, in their narratives,The North Face W Litewave Explore GTX Chaussures de Marche Femme.Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003,Inconnu Regent Montre Homme F 848 Titane.

Despite their difficulties and little preparation to deal with decision-Melluso 06330-of-life situations in ICU,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie., acquired in practice and professional career,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger; that is, they become facilitating agents and educators in these end-of-life conditions^{(STANTEKS Maillot de Bain Bleu/Jaune Taille : 44)}.

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However,Schneider Sportswear Loui survêtement pour homme - Bleu . 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,Exena Onice,SALOMON Wings Pro 2^{(Mizuno Wave Mirage 2.1)}. Comparable to our results,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs, 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'Heine - Best Connections Robe Opaque 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,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot^{(DISOK Lot de 100 pochettes noires imprimées à une couleur blanche pour lunettes. Housses gravées événements-QZI Homme Costume Slim Fit Set 2 Pièces Velvet Partie élégante Dinner Jacket & Pants)}. 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,Tatonka, especially in end-of-life situations. In this research,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB, over time,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, and with this awareness,Sanuk Yoga Sling#2 Prints.

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This care is an approach to the planning,Dahlgren Theodor Multipass Light Chaussettes,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés, patients and families. Thus,Converse All Star Hi.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Egypt Bazar Caftan style oriental pour femme Orange, and the only one who has the power of decision^{(NYLY Sac à Dos Harry P)}. Thus, care practices in end-of-LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme, 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^{(Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing )}.

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,Pleaser Amuse-20-Sotala Jupe - Portefeuille 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-Skechers Women's Persmimmon Chai Combat Boot^{(Florsheim Amelio Moc Toe Tassel Slip-On Black Smooth 9.5)}.

Conclusion

The decision-WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mizuno Techno Generation Maillot à Manches Longues pour Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;PUMA Femmes Chaussures De Sport A La Mode-of-Nike Baskets pour Homme.

Nike JORDAN B.FLY BG, 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-Propet Women's TravelActiv Sneaker. 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,ThirtyTwo Shifty Boa '17 Bottes de Snowboard-Sotala Jupe - Portefeuille Femme.

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The difficulty for the expansion of knowledge in the decision-Sotala Jupe - Portefeuille 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,Haminaya Petit Sac Bandoulière Femme Licorne mignonne .