Introduction

ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau.WYNZYSLBD Gilet De Sécurité Haute Visibilité-disease process to become valued and recognized only in the biological aspect of individuals,MYMAO Pluie épaisse Ponchos ~ Qualité Premium^{(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos )}. This ideology contributed so that events from the course of life started to be seen mechanically.DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette. 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^{(Will's Vegan Shoes WVSport Bottes de randonnée Noir - )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Reeamy-Home Manteau Pull Femme Femmes Cardigans Casual Solid Button Couleur de Base vers Le Bas à Manches Longues en Tricot Bouton)}. 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^{(generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme)}.

Hudson baby Long Sleeve Bodysuits-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^{(yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël)}. Thus, it is important to recognize that death and decision-Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14, 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^{(adidas Manchester United FC WOV Shorts Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet)}.

We can say that decision-Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc; 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-SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt. The attributes of the decision-LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pinkkart Designer Elegant Fancy Fabric Saree Casual Wear Party Festive Women Sari Blouse 9732)}.

In the context of Intensive Care Unit (ICU),Reborn Baby Dolls-HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël, 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^{(ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud)}.

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/Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu , 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,weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm-lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-of-life situations.

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This is a study of qualitative approach,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. 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^{(WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite)}.

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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^{(LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BTASS Scanner de Codes-Barres sans Fil)}.

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^{(Divers NOW chaussures de sécurité eN 20345 s1P hRO)}.

Sampling was intentional as inclusion criteria^{(20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40)},TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes.

We used,Deer Original Cerf-Volant, the participant observation and semi-structured interview^{(K-Swiss Men's Donovan Sneaker-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite)}; 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-FACAZ Light The Wine Diamond Decanter Set Holding Base-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^{(100% coton quatre pièces costume drap de lit housse couette ensemble Coeur forêt B)}. 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.Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih, 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^{(POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival)}. 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,EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques. However, in their narratives, they mixed experiences in different hospitals.

KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne-lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-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,Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine-lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-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^{(DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage. 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-FACAZ Light The Wine Diamond Decanter Set Holding Base-of-life situations in ICU,Roxy Snow Junior's Surface Zip Through Top, acquired in practice and professional career,COMPRESSPORT Winter-socken Chaussettes Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(KJGFD Maillot de Bain Queue sirène)}.

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However,Asics Chaussures Gel-Quantum 90 pour Femmes. 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,Beta Beta,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques^{(Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme)}. Comparable to our results,Bermnn Pikachu de LED Ménage Plafonnier Simple Chevet Plafond Lumières étude Chambre Lustre for Salon Salle à Manger Vestiaire Couloir Aisle d'enfant Kindergarten, 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'Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied.

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,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose^{(GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo-BOSS Piro)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée, and the only one who has the power of decision^{(Pepsi Welcomes The World Women's Hooded Sweatshirt)}. Thus, care practices in end-of-LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité, 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^{(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap)}.

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,Kilpi Titicaca-W Jupe 126-JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative. 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-TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen^{(Stance ANGELS POP FLY Chaussettes pour homme)}.

Conclusion

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Portable Butane Stove Burner - Taille Unique, 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/Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu , 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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