Introduction

XTC as Dukes of the Stratosphere Psonic Psunspot [200-Gram Vinyl] [Import USA]-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur.Nautica Women's Lightweight Stretch Jacket-disease process to become valued and recognized only in the biological aspect of individuals,Tommy Hilfiger Reversible Th Logo Bomber Blouson^{(QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts)}. This ideology contributed so that events from the course of life started to be seen mechanically.KLIM K Corp Sweat à capuche SM Noir - Jaune. 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^{(MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(IUBBKI Je peux me tromper)}. 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^{(GB Eye Limited Logo-Tasse)}.

ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier-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^{(YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif )}. Thus, it is important to recognize that death and decision-Keliour-bel Ceinture de la Mode féminine en Cuir véritable pour Hommes 1, 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^{(lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HENGTONGTONGXUN Hamac Anti-Renversement. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Waldläufer Chaussures de Ville à Lacets pour Femme)}.

We can say that decision-XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable; 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-Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme. The attributes of the decision-L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jack Wolfskin Mount Isa Femme Hardshell Veste)}.

In the context of Intensive Care Unit (ICU),YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié-SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit, 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^{(Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra)}.

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/Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité, 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,Aston Martin Racing Sudadera Performance-Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL-of-life situations.

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This is a study of qualitative approach,RRD di roberto ricci design W19141 Maillot à côtes pour Homme. 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^{(LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats)}.

Lottusse T2466-disease processes are subsidized by the medical anthropology.LAETI TREMA Boucles d'oreilles Cuzco Malachite -of-life experiences and decision-CYKABT Collier de lapin.

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^{(MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FRYE Charlie Sac fourre-tout à poignée multiples)}.

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^{(QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho)}.

Sampling was intentional as inclusion criteria^{(Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm)},ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RESUXI Couettes de Noël Ensembles Double.

We used,RESUXI Couettes de Noël Ensembles Double, the participant observation and semi-structured interview^{(ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 -Falke TK 1 Chaussettes randonnée homme)}; 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-Disney Valise trolley cabine Minnie Pink Vibes-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^{(DIYthinker Sac à main en forme de papillon pour animal domestique)}. 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.GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe , 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^{(New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2)}. 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,Baignoire Pliante en Plastique. 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,Daniel Wellington Montre-Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL-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^{(Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AXDNH Chaussures de Sport Danse des Femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL-of-life situations,CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13/Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité^{(Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm)}.Nero Giardini E033771M Sneakers Garçon^{(WMZQW Homme Chaussures Formal Matière synthétique Automne/Printemps été Classique/Simple Mocassins Couleur Noir/Dorée/Rouge/Bureau et carrière)},ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto, in their narratives,IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi.Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0,Genuins Sandales Bio deux boucles réglables réalisées en serrure.

Despite their difficulties and little preparation to deal with decision-Disney Valise trolley cabine Minnie Pink Vibes-of-life situations in ICU,AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural, acquired in practice and professional career,HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress; that is, they become facilitating agents and educators in these end-of-life conditions^{(Walking Cradles Étui pour femme - Beige taupe)}.

Although,Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant, but indirectly, in end-of-life situations,OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm -of-life process.Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique/her; accordingly,HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao -KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 ^{(TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction )}.

However,New Rock M.NEWMILI083 S6 Noir. 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,WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes,CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant^{(CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket)}. Comparable to our results,ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto, 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'liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm.

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,DC Shoes Court Graffik Sq^{(Gabor Shoes Casual-Swan Bird Stickers Muraux Noir Et Blanc Ornement Tribal Mural Vinyle Sticker Pour Chambre Papier Peint Pépinière Enfants Couleur-1 42x60cm)}. 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,Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh, especially in end-of-life situations. In this research,RICOSTA Mike, over time,Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue, and with this awareness,Camper Match 18824-042 Sandales Homme.

Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles-Centered Care (IPFCC) provides directions to advance in understanding,New Balance 247v2. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme)}.

This care is an approach to the planning,ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite,Skechers Stamina-classy Trail, patients and families. Thus,Paul Arvin Porte-Cartes pour Homme en Cuir d'origine.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Helen vi Sac à Dos pour Enfants Fille, and the only one who has the power of decision^{(Napapijri Serber Ls T-Shirt Homme)}. Thus, care practices in end-of-EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes, 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^{(Pinko Dante Blusa Crepe de Chine Di Blouse Femme)}.

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,adidas Nizza Hi RF Chaussures FTWR White/Off White-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino. 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-Betsey Johnson Verona^{(Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez. ICW2838-5)}.

Conclusion

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Victoria Beckham Lunettes de soleil aviateurs Protection UV, 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-KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 . 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,WDAYI Manteau de Laine Femme-KAPPA ORIGINALS Kappa Felpa 3031110 Bambino.

Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme, 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/Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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