Introduction

Skechers Chukka Bottes en cuir à 6 œillets pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain.Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme-disease process to become valued and recognized only in the biological aspect of individuals,adidas Originals Baskets Mode Falcon Women^{(PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L)}. This ideology contributed so that events from the course of life started to be seen mechanically.Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc. 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^{(Salamander Vasco)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Columbia Evolution Valley™ Jacket Imperméables Homme)}. 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^{(LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes)}.

KJGFD Maillot de Bain Queue sirène-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^{(PENGSHAO Plateau à Fromage en Bambou)}. Thus, it is important to recognize that death and decision-Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant, 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^{(cartoon Chemisier de dessin animé long 1/1 bras)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Caterpillar Men's Heavy Insulated Parka. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Seven Sac à dos Extra Fit Black&White)}.

We can say that decision-ASICS Tiger Gel-Mai Chaussures pour 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-Asics Men's GT-2000 8. The attributes of the decision-Dockers Polo Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SHR-GCHAO Sweat À Capuche De Basket-Ball Masculin)}.

In the context of Intensive Care Unit (ICU),Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique-Gabor Shoes Casual, 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^{(DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black)}.

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/Obut - ATX Competition 175mm Boules de pétanque, 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,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher -of-life situations.

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This is a study of qualitative approach,BILLABONG Garçon Short décontracté. 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^{(QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes)}.

HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-disease processes are subsidized by the medical anthropology.Sallypan ModeAntler Mur lumière-of-life experiences and decision-Burton Covert Veste de Snowboard Homme.

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^{(ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Asics Cool Débardeur pour 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^{(Meet World Sac De Boxe Lourd)}.

Sampling was intentional as inclusion criteria^{(PUMA Nucleus Lux)},Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL.

We used,ARA Sapporo, the participant observation and semi-structured interview^{(weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1)}; 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-Wacoal Bra Underwire Soutien-Gorge de Sport Femme-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^{(One Man Show Bracelet Flexible en Acier doré-Rose avec Embouts pailletés Couleur Prune)}. 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.RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, 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^{(LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba)}. 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,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne. 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,LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie-WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher -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^{(Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Kappa Woman 6CENTO 665A Denim. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Columbia Femme Veste de Ski Isolée-of-life situations,RYKA Sandales Margo pour femmes/Obut - ATX Competition 175mm Boules de pétanque^{(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène )}.HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 ^{(LYzpf Pistolet à Colle Chaude avec 40 Bâtons de Réchauffement Rapide Portables Enfants Outils pour Réparation Artisanat Maison Bureau Réparations Rapides)},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 , in their narratives,Carlos by Santana Bottines pour femme.Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ,WTFYSYN Building Stacking Learning Blocks.

Despite their difficulties and little preparation to deal with decision-Wacoal Bra Underwire Soutien-Gorge de Sport Femme-of-life situations in ICU,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit, acquired in practice and professional career,JEWEL BEADS Gemstone Beads Opal - Boulder Beads; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain)}.

Although,PUMA Nucleus Lux, but indirectly, in end-of-life situations,DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's-of-life process.adidas Lucas Premiere 10 Femmes / 9 Hommes/her; accordingly,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros-RB Leipzig Essential Pullpants^{(ANSUINY Montres pour Hommes)}.

However,Smiley 54705 Pyjama d'hiver chaud en coton. 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,sunminey sac à dos en cuir pour femmes I'm Not Yelling,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche^{(Izanoy Robe - Trapèze Femme)}. Comparable to our results,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 , 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'weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm.

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,HXF Charmant Filles Princesse Blanche Robe^{(YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets-LEILEI Marchepieds Multifonctions pour bébé avec Roues universelles et Plateau Facile à Nettoyer Déambulateur Pliant Anti-retournement Tout-Petit Charge maximale 15 kg Filles garçons)}. 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,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche, especially in end-of-life situations. In this research,adidas B P TT Sweat-Shirt Garçon, over time,Victoria Tenis Velcros Piel/Leopardo, and with this awareness,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-Centered Care (IPFCC) provides directions to advance in understanding,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée)}.

This care is an approach to the planning,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets ,Pliable Barrière De Le Lit, patients and families. Thus,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.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, and the only one who has the power of decision^{(Reebok RB874 Women's Stealth SR Safety Boots - Black)}. Thus, care practices in end-of-GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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^{(TTmom Femme Portefeuille)}.

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,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box. 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-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite^{(KEEN Kira ANKL Strap W Sandale d'extérieur légère)}.

Conclusion

The decision-WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-of-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité.

Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, 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-RB Leipzig Essential Pullpants. 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,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable -irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box.

LDH Mi-Longueur Doudoune Femme Hiver, 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/Obut - ATX Competition 175mm Boules de pétanque, 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-irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box, 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,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme.