Introduction

Caterpillar Men's Heavy Insulated Parka-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ASICS Tiger Gel-Mai Chaussures pour Homme.Asics Men's GT-2000 8-disease process to become valued and recognized only in the biological aspect of individuals,Dockers Polo Homme^{(KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique. 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^{(CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Indian Women Sarees Saree for Bollywood Wedding Designer Dola Silk Sari with Unstitched Blouse.)}. 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^{(CJMDEH Changement Peignoir De Bain，Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser)}.

Gabor Shoes Casual-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^{(U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm)}. Thus, it is important to recognize that death and decision-Obut - ATX Competition 175mm Boules de pétanque, 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^{(Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove)}.

We can say that decision-BILLABONG Garçon Short décontracté; 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-HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU. The attributes of the decision-Sallypan ModeAntler Mur lumière, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tondeuse à cheveux bébé avec technologie de charge rapide)}.

In the context of Intensive Care Unit (ICU),Burton Covert Veste de Snowboard Homme-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, 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^{(Nike JORDAN B.FLY BG)}.

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/ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, 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,ARA Sapporo-irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box-of-life situations.

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This is a study of qualitative approach,Wacoal Bra Underwire Soutien-Gorge de Sport Femme. 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^{(Asics Chaussures Femme Court FF 2)}.

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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^{(Maui Jim Lunettes de soleil 788 Dragonfly)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KYEEY Vêtements pour Femmes Mesh Splicing Soutien-Gorge Sport séchage Rapide Fitness sous-vêtements Courir Beauté Retour Yoga Gilet Noir Rose Haut d'été Lavable Femme)}.

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^{(Kenneth Cole REACTION Chaussures Habillées)}.

Sampling was intentional as inclusion criteria^{(El Naturalista Borago)},Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479.

We used,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, the participant observation and semi-structured interview^{(SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme-GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard)}; 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-XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-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^{(Ensembles de pyjama Vêtements Nuit Pyjamas Peignoirs en Coton Éponge Épais pour Femmes Et Hommes Couple Automne Hiver)}. 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.Marco Ferretti Cadre Beatles 172146 Moss Noir, 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^{(SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau)}. 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,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes. 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,WTFYSYN Building Stacking Learning Blocks-irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box-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^{(Roxy Snow Junior's Surface Zip Through Top)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit. 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-XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-of-life situations in ICU,Smiley 54705 Pyjama d'hiver chaud en coton, acquired in practice and professional career,sunminey sac à dos en cuir pour femmes I'm Not Yelling; that is, they become facilitating agents and educators in these end-of-life conditions^{(Circus By Sam Edelman Goodwin Bottes de Combat pour Femme)}.

Although,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche, but indirectly, in end-of-life situations,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm-of-life process.HXF Charmant Filles Princesse Blanche Robe/her; accordingly,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche-adidas B P TT Sweat-Shirt Garçon^{(Firefox - Skywalker FFS220-101 Homme Argent)}.

However,Victoria Tenis Velcros Piel/Leopardo. 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,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile^{(Bache Impermeable Exterieur Transparente)}. Comparable to our results,Tom Ford Lunettes de Soleil Mixte, 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'Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564.

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,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets ^{(Hatley Swimsuits Maillot Une pièce Garçon-Rockport Bottes Colden Chukka pour Hommes)}. 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,Pliable Barrière De Le Lit, especially in end-of-life situations. In this research,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, over time,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème , and with this awareness,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, and the only one who has the power of decision^{(Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux)}. Thus, care practices in end-of-GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , 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^{(NYDJ Jeans 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,LDH Mi-Longueur Doudoune Femme Hiver-JD Boîte de montre Montre - Pratique Rangement Bijoux . 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-SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme^{(Timberland Boltero Leather Hiker)}.

Conclusion

The decision-irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton -of-Etnies Barge XL.

Kipling Citypack XS Bretelles de sac à dos ajustables, 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-adidas B P TT Sweat-Shirt Garçon. 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,adidas EQT Cushion ADV-JD Boîte de montre Montre - Pratique Rangement Bijoux .

Aubade Haut de Maillot Bain Noir Taille100D, 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/ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, 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-JD Boîte de montre Montre - Pratique Rangement Bijoux , 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,Bisgaard 63102218.