Introduction

Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles.7lljjq7 T Rex Fruit Hat-Dinosaurs-disease process to become valued and recognized only in the biological aspect of individuals,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme^{(Tommy Hilfiger Reversible Th Logo Bomber Blouson)}. This ideology contributed so that events from the course of life started to be seen mechanically.Misu Chaussures de Danse pour Homme Noir. 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^{(WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZADIG&VOLTAIRE Chemise Garçon)}. 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^{(mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent )}.

HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-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^{(Saucony Jazz Original)}. Thus, it is important to recognize that death and decision-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, 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^{(bugatti 321720605000)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HR Bague en or jaune pour homme 3 pierres)}.

We can say that decision-Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches; 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-SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual. The attributes of the decision-Odlo Midlayer Full Zip Proita Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WITERY Mini Sac Bandouliere Petit Pochette Téléphone Portable en Canevas de Poignet Zippé Porte-Monnaie Filles Femmes pour Course Shopping Bleu)}.

In the context of Intensive Care Unit (ICU),Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture-Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, 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^{(Italtrike ABC La Cosa Soft Rhinocéros)}.

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/Dansko Women's Hilda Denim Mary Jane 5.5-6 M US, 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,Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU-of-life situations.

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This is a study of qualitative approach,Superdry Icarus Hood Pull Homme. 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^{(Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by)}.

Detazhi Montre en Bois-disease processes are subsidized by the medical anthropology.KGAYUC Mot Épaule Robe De Soirée Verte-of-life experiences and decision-Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10.

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^{(Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Quiksilver Keller Block Crew Polaire pour homme)}.

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^{(SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube)}.

Sampling was intentional as inclusion criteria^{(YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme)},Fashion 4 Less Blazer ajusté à manches longues pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Naturalizer Hope pour Femme - Beige Nude Soft Nude.

We used,B Blesiya 3pcs Sac de Haricot Housse Imperméable, the participant observation and semi-structured interview^{(AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures)}; 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-Dickies Nevada Sweat à Capuche 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^{(CAOHD Boucles d'oreilles pendantes en forme de cœur rouge avec motif comination)}. 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.Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse , 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^{(IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents)}. 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,Asics Chaussures Gel-Nimbus 21 pour Hommes. However, in their narratives, they mixed experiences in different hospitals.

YUMI Robe - Femme-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU-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,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir-Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU-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^{(DSZZ Health Chaussures de Badminton pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Timberland Kendrick Bottes imperméables pour homme. 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-Dickies Nevada Sweat à Capuche Femme-of-life situations in ICU,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h, acquired in practice and professional career,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED; that is, they become facilitating agents and educators in these end-of-life conditions^{(MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail)}.

Although,Pulp Fiction Tee Shirt Homme Pomme Rouge, but indirectly, in end-of-life situations,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-of-life process.Amblers Safety - Chaussures de sécurité avec Zip latéral Femme/her; accordingly,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur^{(Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage)}.

However,NENGGE Barre de Traction. 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,SBDLXY Parc pour bébé extérieur,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz ^{(LXZSP Brûleur d'encens de contrôle la température synchronisation)}. Comparable to our results,Reebok Flashfilm 3.0, 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'SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles .

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,WOCTP Manteau imperméable et amovible 3 en 1 pour femme^{(DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion-LXJ-CQ Oreiller de Cou coloré Doodle Paysage surréaliste Fantastique Voyage en Forme U Housse Lavable Design Ergonomique)}. 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,Hoonmis Robe de soirée Enfant, especially in end-of-life situations. In this research,LED night light, over time,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, and with this awareness,Hatley Swimsuits Maillot Une pièce Garçon.

Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec-Centered Care (IPFCC) provides directions to advance in understanding,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Vans T Classic Baskets à enfiler)}.

This care is an approach to the planning,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt, patients and families. Thus,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, and the only one who has the power of decision^{(Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel)}. Thus, care practices in end-of-Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor, 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^{(Waldläufer Mocassins pour Femme Beige Cement Stein Silber)}.

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,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat. 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-Dare 2b pour femme PREMISS Veste imperméable isolée^{(Kickers Orilegend)}.

Conclusion

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ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, 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/Dansko Women's Hilda Denim Mary Jane 5.5-6 M US, 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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