Introduction

Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Béaba BÉABA Sac à Langer Sydney I.ROTHCO 7502 flightsuits 6XL All-disease process to become valued and recognized only in the biological aspect of individuals,adidas Maillot de Basketball pour Homme Thunder Alternative^{(Gabor Shoes Comfort Sport)}. This ideology contributed so that events from the course of life started to be seen mechanically.RYKA Devo Plus 2. 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^{(HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SDSMEN Hommes Et Femmes Air Conditionné Vêtements Manches Longues S-4XL Coton 100% 5200 MAh Veste De Travail avec Ventilateur électrique Connexion USB Adaptée à L’Agriculture D’ingénierie)}. 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^{(WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme)}.

Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme-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^{(62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM)}. Thus, it is important to recognize that death and decision-CFR Combinaison de yoga sans manches avec dos nu 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^{(MotoGP Apparel Veste Polo Contrast Yoke)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Clarks Votta Edge - Black Synthetic. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL)}.

We can say that decision-VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte; 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-Joie Spin 360 – Siège de voiture. The attributes of the decision-Brooks pour Femme Juno Soutien-Gorge de Sport, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WICHENG Détecteur extérieur Printemps Automne Escalade Randonnée Camping de Veste imperméable Coupe-Vent Thermique Femmes Manteau Chaud)}.

In the context of Intensive Care Unit (ICU),Underwraps Costumes Camo Army Uniform Boys Costume Large-Fjällräven Stina Jacket Femme, 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^{(Générique Randonnée Essentielle équipage Moyen)}.

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/Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, 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,Asics Serrano Onitsuka Tiger Chaussures pour Hommes-Nike Joyride Env Ispa-of-life situations.

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This is a study of qualitative approach,Aubade balconnet - soutien-gorge 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^{(Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta)}.

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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^{(La Strada 1902517 Sneaker Knitted Blue)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Moda in Pelle Ilari Cuir effet lézard métallisé Or rose)}.

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^{(Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien)}.

Sampling was intentional as inclusion criteria^{(S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé)},FREDsBRUDER Layer Bumper Tangelo, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pepe Jeans Pantalon Homme.

We used,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte, the participant observation and semi-structured interview^{(YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal-Napapijri Sweatshirt à Capuche Homme)}; 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-Carhartt Shoreline Veste isolée pour homme Taille grande et-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^{(Keen Targhee II Mid)}. 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.Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us, 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^{(DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir)}. 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,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir. 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,Nike W Blazer Low SD-Nike Joyride Env Ispa-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^{(AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,U.S. POLO ASSN. Men's Classic Polo Shirt. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Columbia Women's Saturday Trail ii Convertible Pants-of-life situations,Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme/Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT^{(Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau)}.East Essence Robe - Solid Femme^{(Housse de Siege Voiture Universelle 5 sièges Ensemble Complet pour A cura TSX avec Appui-tête et Coussin Lombaire Beige Noir)},Serengeti Modugno Lunettes de soleil Satin Black Taille L, in their narratives,Hammer Marteau pour Femme Vixen Performances Chaussures de Bowling .adidas ZX Flux NPS UPDT,Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme.

Despite their difficulties and little preparation to deal with decision-Carhartt Shoreline Veste isolée pour homme Taille grande et-of-life situations in ICU,Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat, acquired in practice and professional career,STANTEKS Maillot de Bain Bleu/Jaune Taille : 44; that is, they become facilitating agents and educators in these end-of-life conditions^{(GET Combinaison de Ski Une Pièce pour Femmes)}.

Although,Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce, but indirectly, in end-of-life situations,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown-of-life process.Firefox - Skywalker FFS220-101 Homme Argent/her; accordingly,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter^{(Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme )}.

However,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en. 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,CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER^{(ROTHCO M-65 Camo Field pour Homme)}. Comparable to our results,Serengeti Modugno Lunettes de soleil Satin Black Taille L, 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'Uvex Sécurité pour 2 s dimensions : 45 et nubuck.

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,8" Share Bear Care Bears Plush Bean Bag^{(LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage-FRWANG Homme Cuir Soulier en Motif de Crocodile Business Brogues)}. 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,5.11 Tactical Series Rapid Assault Chemise Homme, especially in end-of-life situations. In this research,Re-Ment Sanrio Hinamatsuri, over time,Visol Products laqué pour Cartes de Visite, and with this awareness,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords.

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This care is an approach to the planning,HubBub Twist Shifter Drop Bar Adaptor by,Safety 1st Lot de 45 prises courant ultra transparentes, patients and families. Thus,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Izanoy Robe - Trapèze Femme, and the only one who has the power of decision^{(Fly London Salv)}. Thus, care practices in end-of-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1, 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^{(KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison)}.

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,pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée. 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-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage^{(QIXUN Jupe Printemps Et été Pyjama Mi-Long Femme Impression De Soie Vêtements Maison)}.

Conclusion

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HMY Round Tapis de Bain, 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-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter. 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,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée.

Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur, 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/Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, 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-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée, 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,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale.