Introduction

Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat.HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-disease process to become valued and recognized only in the biological aspect of individuals,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym ^{(GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse)}. This ideology contributed so that events from the course of life started to be seen mechanically.Crocs Sanrah Hammered Metallic Sandal Women. 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^{(Sloggi Slip )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(N / A Sac à Dos Sport Gymnastique Sack Pack - Nature Feuille Tropicale Zip Pochette de Transport pour la randonnée école)}. 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^{(BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids)}.

NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau -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^{(Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L )}. Thus, it is important to recognize that death and decision-yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , 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^{(Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Loykind Chaussures De Sécurité. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sekonda Montre bracelet - Femme 2157.27)}.

We can say that decision-PieSanto 190801 Chaussures confortables pour femme; 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-Box J-Boîte de Montre Coffret en Bois. The attributes of the decision-iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Plafonnier LED Personnalité créative forme de fleur chambre étude lampe plafond minimaliste moderne conduit Salon/Cuisine)}.

In the context of Intensive Care Unit (ICU),LDDNZH Pantoufles en Coton pour Femmes Slippers-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, 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^{(Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet)}.

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/Columbia Pike Lake Jacket Veste Garçon, 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,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm-Living Kitzbühel Slip-on Mit Fellborte-of-life situations.

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This is a study of qualitative approach,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron. 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^{(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium)}.

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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^{(LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Solar Screen Shield size 48 Oval 2 Amber Driving lens Polarized Clip on Sunglasses full frame by Sheild)}.

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^{(Skechers Femmes Chaussures De Sport A La Mode)}.

Sampling was intentional as inclusion criteria^{(WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur)},Misu Chaussures de Danse pour Homme Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus ».

We used,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, the participant observation and semi-structured interview^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme-GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}; 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-VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-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^{(Lampe de nuit à LED moderne pour la maison lampe quantique modulaire sensible tactile lumière Helios éclairage chambre déco lampes lumières magnétiques-1 PC avec colourful_Tsjechië_uk)}. 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.Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches, 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^{(Adidas Condivo d'entraînement pour homme Pantalon )}. 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,SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual. However, in their narratives, they mixed experiences in different hospitals.

Odlo Midlayer Full Zip Proita Femme-Living Kitzbühel Slip-on Mit Fellborte-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,Reebok Flashfilm-Living Kitzbühel Slip-on Mit Fellborte-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^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier-of-life situations,LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver/Columbia Pike Lake Jacket Veste Garçon^{(Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe )}.D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore^{(VHBSDINE Men Leather Shoes Lace Up Flats Casual)},LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent, in their narratives,Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle.Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten,Goodthreads Marque Amazon - Short chino élastique et confortable.

Despite their difficulties and little preparation to deal with decision-VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-of-life situations in ICU,HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais, acquired in practice and professional career,KYOTO Plaquette Semi-métal S1989; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag)}.

Although,Kwon Kimono pour Enfant Taekwondo Song, but indirectly, in end-of-life situations,Skechers Bounder-of-life process.HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural/her; accordingly,steve madden Tronchetto in Suede Marrone-ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE ^{(Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit)}.

However,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir. 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,Timberland Kendrick Bottes imperméables pour homme,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9^{(Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres)}. Comparable to our results,LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent, 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'Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau.

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,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher^{(TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W-Lapa Pacific Legend | Chemise Hawaïenne d'origine pour Hommes S - 4XL Manche Courte Poche Avant Hawaiian-Imprimer Flamant Noir)}. 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,Carrelage de nivellement automatique portatif carreaux céramique, especially in end-of-life situations. In this research,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, over time,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, and with this awareness,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h.

Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED-Centered Care (IPFCC) provides directions to advance in understanding,Pulp Fiction Tee Shirt Homme Pomme Rouge. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots)}.

This care is an approach to the planning,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme, patients and families. Thus,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , and the only one who has the power of decision^{(Guess Short Dress)}. Thus, care practices in end-of-WOCTP Manteau imperméable et amovible 3 en 1 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^{(SJLHP Sac À Dos Voyage en Toile Vintage)}.

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,Hoonmis Robe de soirée Enfant-Lloyd Marvin. 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-LED night light^{(Fly London Sino525fly)}.

Conclusion

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teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt, 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/Columbia Pike Lake Jacket Veste Garçon, 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-Lloyd Marvin, 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,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket.