Introduction

IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Polo Ralph Lauren Tee-Shirt col V pour Homme.Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage-disease process to become valued and recognized only in the biological aspect of individuals,HOIH Sac à dos pour ordinateur portable Pablo Cruise^{(LDH Mi-Longueur Doudoune Femme Hiver)}. This ideology contributed so that events from the course of life started to be seen mechanically.Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza. 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^{(LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LUCKFY 1 Paire Silicone Souple Lifesize Femme Jambe Modèle Pied Pieds pour Art Mannequin Afficher Chaussette Chaussures Sketch Jouets alternatifs)}. 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^{(Bewinch Moustiquaire pour lit)}.

Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-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^{(DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie)}. Thus, it is important to recognize that death and decision-DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux, 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^{(AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Wembley X-Line Lederhalfter Finesse II)}.

We can say that decision-JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie; 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-Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3. The attributes of the decision-MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YAOUFBZ Baignoire Pliante pour Enfants bébé Extra Large Pliable Seau de Bain Enfant)}.

In the context of Intensive Care Unit (ICU),Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport-Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton, 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^{(Tête de coupe pneumatique)}.

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/Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles, 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,CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités-KGAYUC Mot Épaule Robe De Soirée Verte-of-life situations.

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This is a study of qualitative approach,Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court. 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^{(NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles)}.

HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne -disease processes are subsidized by the medical anthropology.LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent-of-life experiences and decision-Amazon Essentials Midweight Bomber Jacket Homme.

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^{(Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(COCO ABRICOT Sandales Coco&Abricot-V1449A-4 Coloris-)}.

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^{(ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié)}.

Sampling was intentional as inclusion criteria^{(METZELDER Valise Souple Basic S Gros Volume Garantie 1 an )},Rieker 38434, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe.

We used,Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle , the participant observation and semi-structured interview^{(Misu Chaussures de Danse pour Homme Noir-OLYMP Luxor Chemise à col montant Blanc)}; 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-Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille-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^{(SR Real Leather Cypress Blouson Encapuchonné Nouveau pour Homme en Cuir d'agneau véritable Couleur Noir Style Hip Hop Casual Décontracté)}. 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.ylovego sweater Hoodies Men Casual Long Sleeve Hoodie Thin Sweatshirts Slim Zipper Hoody Sweatshirt Hooded Streetwear, 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^{(Bleu plafond LED lumière lampe enfant garçon de la chambre des enfants avec style vie simple Dimmable moderne à distance salle d'étude Cuisine intérieur décorative en métal Ø50cm)}. 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,DXG1 Cabas pour femme Couleur-2 M. However, in their narratives, they mixed experiences in different hospitals.

1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte-KGAYUC Mot Épaule Robe De Soirée Verte-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-KGAYUC Mot Épaule Robe De Soirée Verte-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^{(Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé. 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-Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille-of-life situations in ICU,Procase ProCase Trousse de Toilette Transparente Anti-Fuite, acquired in practice and professional career,Trevor Jones Bof Richard III; that is, they become facilitating agents and educators in these end-of-life conditions^{(Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président)}.

Although,I will take action now Lunettes de Soleil coloré Hommes et Femmes, but indirectly, in end-of-life situations,Reebok Classic Small Vector Tee - Manches Courtes Mixte-of-life process.GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC/her; accordingly,Little Me Bébés Filles Foot-My Tiny Treasures Box Company Boîte à Musique Motif Ballerine^{(TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 )}.

However,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen. 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,nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword,Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54^{(Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme)}. Comparable to our results,LED night light, 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'AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight.

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,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight^{(vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron-Smartwool Heathered Rib)}. 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,S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15, especially in end-of-life situations. In this research,Couverture pour bébé, over time,Camfosy Bottines Femme Cuir Talons, and with this awareness,Couverture pour bébé.

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This care is an approach to the planning,XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm ,Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde, patients and families. Thus,LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XFQ Sandales pour Dames en Plein air, and the only one who has the power of decision^{(Brooks pour Femme Juno Soutien-Gorge de Sport)}. Thus, care practices in end-of-Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme, 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^{(GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage )}.

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,Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by-Asics Chaussures Gel-Nimbus 21 pour Hommes. 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-Brand88 Wolf Mask^{(Confortable et chaleureuxYinuneronsty One Piece Blanket Luffy s Crew Chopper Anime Print Flanel Super Soft Comfortable Straw Hat Pirates Throw Blankets 59 × 78 IN can be customized)}.

Conclusion

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TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose, 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/Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles, 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-Asics Chaussures Gel-Nimbus 21 pour Hommes, 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,KEHUITONG Barre horizontale pour porte de sport.