Introduction

Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige .DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-disease process to become valued and recognized only in the biological aspect of individuals,Restyle Split Tunic - Robe à col roulé Noire et Gothique^{(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT)}. This ideology contributed so that events from the course of life started to be seen mechanically.GAUDI` Bronze Scarpa Donna Tronchetto 66330. 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^{(La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AdronQ S-Forme Naturelle Grenat Anneaux Clip Boucles d'oreilles Pierres précieuses 925 en Argent Sterling Grenade Fine Ensemble de Bijoux pour Les Femmes)}. 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^{(JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau)}.

Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans-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^{(DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG)}. Thus, it is important to recognize that death and decision-Db Shoes Mary Janes pour Femme, 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^{(WXX Chaise berçante bébé)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Bog Death Grip Clamping Carbon Tripod Shooting Stick. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales)}.

We can say that decision-Craghoppers Kiwi Pro TRS Pantalon De Costume Homme; 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-FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière. The attributes of the decision-OOPP Jouets pour Le Bain de pêche magnétiques en Bois, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZYFXZ Heavy Duty d'hiver d'homme Chaussures de Sport)}.

In the context of Intensive Care Unit (ICU),Mam'zelle Chaussures NAELI-WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher , 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^{(Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige)}.

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/ALTRA Kayenta - Chaussures Running Homme, 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,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté-of-life situations.

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This is a study of qualitative approach,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele. 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^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492)}.

RICOSTA Fille Sandales à lanières ANA 7020900-disease processes are subsidized by the medical anthropology.Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme-of-life experiences and decision-HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw.

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^{(LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Illusion d'optique 3D Lion Night Light 7 Couleurs changeantes USB Power Touch Switch Décor Lampe LED Table Bureau Brithday Enfants Noël Cadeau)}.

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^{(LLSS Poussette pour bébé légère Landaus)}.

Sampling was intentional as inclusion criteria^{(Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU)},irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Cole Haan Morris Wing Ox:Java Oxford pour Homme.

We used,Buffalo CAI, the participant observation and semi-structured interview^{(Abus Hyban Casque vélo Homme-Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet)}; 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-Nike WMNS Free TR Ultra-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^{(idcommerce Beach Guard Fan Tribute T-Shirt pour Hommes)}. 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.Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm, 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^{(Fox Débardeur à dos Randonnée Homme)}. 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,Kickers Orilegend. 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,YAOLAN Raindrop Lampe de Table en Cristal-Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté-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^{(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes. 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-Nike WMNS Free TR Ultra-of-life situations in ICU,FEZD Jersey Pistons 0# Drummond Jersey, acquired in practice and professional career,GFPR Arithmétique Abacus Comptage; that is, they become facilitating agents and educators in these end-of-life conditions^{(Failsworth Cheval marron événements Chapeau)}.

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However,LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins. 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,LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs ,Saucony Shadow Original^{(Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana)}. Comparable to our results,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, 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'LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur.

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,FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor^{(HURRISE Masque de sommeil en jade naturel-Chaco Men's Zcloud Sport Sandal)}. 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,qazxsw Lumières Miroir de courtoisie, especially in end-of-life situations. In this research,Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09, over time,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany, and with this awareness,Tom Ford Lunettes de Soleil Mixte.

Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge-Centered Care (IPFCC) provides directions to advance in understanding,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie, and the only one who has the power of decision^{(JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière)}. Thus, care practices in end-of-Kappa Woman 6CENTO 665A Denim, 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^{(Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr)}.

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,Columbia Femme Veste de Ski Isolée-Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672. 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-RYKA Sandales Margo pour femmes^{(YBWEN Ladies Beach Cover Up Femmes Creux Crochet Tops Maillots de Bain sans Manches Bikini Cover-ups Net Maillot Beachwear Dissimulations et Sarongs)}.

Conclusion

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WTFYSYN Building Stacking Learning Blocks, 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-Daesar Rideau Lot de 2. 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,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit-Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672.

JEWEL BEADS Gemstone Beads Opal - Boulder Beads, 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/ALTRA Kayenta - Chaussures Running Homme, 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-Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, 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,PUMA Nucleus Lux.