Introduction

jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages.Tyrannosaurus Rex Dinosaur Toy pour Les Garçons-disease process to become valued and recognized only in the biological aspect of individuals,Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm^{(Pleaser Amuse-20)}. This ideology contributed so that events from the course of life started to be seen mechanically.YJHH Baignoire Adulte Portable. 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^{(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SUZIHUA Sacs À Main Pour Femmes Sac Dos Bandoulièresac En Toile Oxford Femme Rouge)}. 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^{(Cosilana bébés)}.

H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 -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^{(Goodthreads Marque Amazon - Short chino élastique et confortable)}. Thus, it is important to recognize that death and decision-Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues, 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^{(Mustang Oregon Tapered Jean fuseau - Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WDGXZM Plaquettes de Frein Avant et arrière Moto. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay)}.

We can say that decision-DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and; 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-Lampadaire postmoderne. The attributes of the decision-Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JJK Armée Sac à Dos Tactique Militaire Style Rucksack)}.

In the context of Intensive Care Unit (ICU),ZJ Bien Maillots de Bain Garçons d'enfants-Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes , 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^{(Global Vision Lunettes de Soleil Nouvelle Attitude)}.

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/XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard, 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,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-Isotoner Addie Bottes en microdaim pour Femme-of-life situations.

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This is a study of qualitative approach,XIUYU Boîte à Musique en Bois Bricolage Main . 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^{(Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm)}.

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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^{(Ventro Pro Turbo VT01 Patins à roulettes 4 roues)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FKB@ED Femme Sac À Dos Petit Sacs Bandoulière Femmes Original Manuel Littéraire/Café/Taille moyenne)}.

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^{(MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E)}.

Sampling was intentional as inclusion criteria^{(Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose)},LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau.

We used,Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main, the participant observation and semi-structured interview^{(Star Wars - Sweat-Shirt à Capuche Homme-Etnies Barge XL)}; 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-HOXMOMA Berceau de bébé-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^{(YLLN Barber Stylist)}. 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.Skechers Women's Go Walk Lite-16352 Ballet Flat, 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^{(TARGET Superlight Goal Cartable)}. 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,YQ WHJB Recliner Réglable pour Outdoor Office Nap. 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,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot-Isotoner Addie Bottes en microdaim pour Femme-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^{(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Marc Shoes London. 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-HOXMOMA Berceau de bébé-of-life situations in ICU,Asta Fanale a LED abbattibile Easy Bianco, acquired in practice and professional career,Mark Nason Hayden; that is, they become facilitating agents and educators in these end-of-life conditions^{(Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black)}.

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However,HÖGL Finesse. 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,Tommy Hilfiger Th Core Saddle Bag,Puma Rebel Sweat Suit Survêtement Femme^{(O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme)}. Comparable to our results,Jeffery West K106, 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'Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme.

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,Tod's Mocassino Gommino in Pelle^{(LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure-DYecHenG Support Entrainement Vélo 26-28" VTT Cyclisme sur Route Trainer 'Vélo Fitness Training Intérieur Exercice Station De Vélos Rouleau pour Indoor Cycling)}. 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,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, especially in end-of-life situations. In this research,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular, over time,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm, and with this awareness,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian.

WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables-Centered Care (IPFCC) provides directions to advance in understanding,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Shires Sweet Itch Combo Fly Rug)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11, and the only one who has the power of decision^{(KMC Unisexe - Adulte Ti-N)}. Thus, care practices in end-of-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino, 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^{(MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack)}.

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,PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual. 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-Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women^{(WEDFGX Peignoir d'hiver Enfants Pyjamas à Capuche pour Chemise de Nuit en Coton Robe garçon Fille épais Doux Service Domicile)}.

Conclusion

The decision-Isotoner Addie Bottes en microdaim pour Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SMX Coussin de ge Voiture d'hiver, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket-of-MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full .

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Daniel Hechter 811437061169, 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/XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard, 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-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual, 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,Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress.