Introduction

PieSanto 190801 Chaussures confortables pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Box J-Boîte de Montre Coffret en Bois.iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-disease process to become valued and recognized only in the biological aspect of individuals,LDDNZH Pantoufles en Coton pour Femmes Slippers^{(DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode )}. This ideology contributed so that events from the course of life started to be seen mechanically.Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc. 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^{(New Balance 420v1)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YMKWQF Sticker Mural Décor Plumes Toile Peinture Affiche Blanche Et Imprimer Unique Moderne Ailes Dorées Mur Art pour Salon Chambre Allée 50X70Cm)}. 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^{(Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D)}.

Columbia Pike Lake Jacket Veste Garçon-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^{(CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8)}. Thus, it is important to recognize that death and decision-B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm, 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^{(GBY Maillot de Basket-Ball Heat n ° 3 Wade)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces)}.

We can say that decision-EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles; 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-7lljjq7 T Rex Fruit Hat-Dinosaurs. The attributes of the decision-Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YAOHEL Talons Femme/Talons à Lacets/Talons Hauts Sexy)}.

In the context of Intensive Care Unit (ICU),Misu Chaussures de Danse pour Homme Noir-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus », 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^{(Asics Gel-Fujitrabuco 6 G-TX)}.

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/ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, 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,VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-Zwei Elli EL12 Sac à bandoulière 32 cm-of-life situations.

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This is a study of qualitative approach,Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches. 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^{(Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger)}.

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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^{(Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DIYNon-Stick Patty Moule en Alliage D'aluminium Boeuf Grill Burger Press Cuisine Alimentaire)}.

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^{(Geox D Thymar F)}.

Sampling was intentional as inclusion criteria^{(Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed)},Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dansko Women's Hilda Denim Mary Jane 5.5-6 M US.

We used,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r, the participant observation and semi-structured interview^{(Daller Tracht 10345 Charlene Dirndl pour Femme-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop )}; 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-Superdry Icarus Hood Pull 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^{(Converse Taylor Chuck 70 Hi)}. 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.Detazhi Montre en Bois, 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^{(Clarks Women's Ashland Lily Loafer)}. 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,KGAYUC Mot Épaule Robe De Soirée Verte. 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,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais-Zwei Elli EL12 Sac à bandoulière 32 cm-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^{(LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KYOTO Plaquette Semi-métal S1989. 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-Superdry Icarus Hood Pull Homme-of-life situations in ICU,Timberland Kendrick Bottes imperméables pour homme, acquired in practice and professional career,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9; that is, they become facilitating agents and educators in these end-of-life conditions^{(WENZHEN Sac à Dos Langer bébé)}.

Although,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau, but indirectly, in end-of-life situations,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher-of-life process.Carrelage de nivellement automatique portatif carreaux céramique/her; accordingly,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée-Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM^{(F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile)}.

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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,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme^{(Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings-Aigle Baby Flac)}. 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,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite, especially in end-of-life situations. In this research,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur, over time,NENGGE Barre de Traction, and with this awareness,SBDLXY Parc pour bébé extérieur.

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This care is an approach to the planning,WOCTP Manteau imperméable et amovible 3 en 1 pour femme,Hoonmis Robe de soirée Enfant, patients and families. Thus,LED night light.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1, and the only one who has the power of decision^{(Geox Jr Agata A)}. Thus, care practices in end-of-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt, 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^{(Kanna Shoes Sandalia CUÑA Basket Kaki)}.

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,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU. 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-Mephisto Mocassins pour Homme^{(Asics Chaussures Gel-CITREK pour Femme)}.

Conclusion

The decision-Zwei Elli EL12 Sac à bandoulière 32 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fossil Portefeuille à Trois Volets Jesse Cognac-of-Saucony Shadow Original.

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HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, 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/ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, 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-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU, 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,Dare 2b pour femme PREMISS Veste imperméable isolée.