Introduction

ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard.Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes-disease process to become valued and recognized only in the biological aspect of individuals,Mustang 2853-520^{(Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman)}. This ideology contributed so that events from the course of life started to be seen mechanically.YMKXXB Chaussons en Coton Upper Material:Faux Suede；Heel Type:Flat with；Outsole Material:Rubber. 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^{(FANZIFAN Manteau de la Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Circus By Sam Edelman Cardigan pour femme)}. 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^{(Delsey Trolley Brisban Black M 4R)}.

gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King-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^{(DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres)}. Thus, it is important to recognize that death and decision-UMOOIN Basketball Team 3D Housse de Couette, 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^{(PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch)}.

We can say that decision-YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines ; 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-Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour. The attributes of the decision-Gabor Femme Bottines, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(KOOKABURRA Chaussures de Hockey Mixte pour Jeunes - Noir 5)}.

In the context of Intensive Care Unit (ICU),ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main-YPDM Pyjamas, 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^{(SGSG 10x Miroir de Maquillage Mural grossissant)}.

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/Naturalizer Kari Mocassins pour femme, 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,WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets-Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-of-life situations.

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This is a study of qualitative approach,XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons . 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^{(adidas EQT Cushion ADV)}.

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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^{(Hoonmis Robe de soirée Enfant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Yhjkvl Robes Fille Belle Fantaisie Junior Fleur Robe sans Manches Floral Rose Tulle Princesse Filles Tutu Arc De Mariage Fête d'anniversaire)}.

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^{(Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg)}.

Sampling was intentional as inclusion criteria^{(TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee)},JX-PEP Été Imprimer col Rond Manches Courtes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes .

We used,Pleaser Delight 1018, the participant observation and semi-structured interview^{(Gabor Shoes Basic-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude)}; 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-Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm -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^{(Replay Jondrill Hyperflex Jean couleur Noir)}. 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.Under Armour W HOVR Phantom Nc 3020976-6, 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^{(Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité)}. 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,ARIAT Skyline Mid H2o. 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,KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme-Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-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^{(TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Anodi per Motori Mercury - Mercruiser. 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-Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm -of-life situations in ICU,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite, acquired in practice and professional career,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL; that is, they become facilitating agents and educators in these end-of-life conditions^{(Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap)}.

Although,Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route , but indirectly, in end-of-life situations,dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir-of-life process.DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging/her; accordingly,Chiba pour Homme Lake Tahoe Gants-SPORTUBE Series 1 Platinum Deluxe Étui à snowboard^{(MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full )}.

However,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45. 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,Nike M NKCT Jacket Stadium Veste Homme,Kipling Kassandra S^{(CFR Combinaison de yoga sans manches avec dos nu pour femme)}. Comparable to our results,Champion Sweat à Capuche en Laine Polaire pour Homme, 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'Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie.

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,Prana Summit Tall Pantalon pour Femme^{(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre -Coach NY x Disney 101 Dalmations Medium Zip Autour Portefeuille - #91652)}. 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,OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants, especially in end-of-life situations. In this research,Piquadro Porte-Cartes de crédit, over time,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge, and with this awareness,zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit.

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This care is an approach to the planning,Glqwe Sac à Dos étanche pour Ordinateur Portable,Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage, patients and families. Thus,H.yina Table à Langer pour Fille Petits espaces.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having, and the only one who has the power of decision^{(Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220)}. Thus, care practices in end-of-Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit, 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^{(ASICS Tiger Gel-Mai Chaussures pour Homme)}.

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,Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit-FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby. 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-LetsBuyGold Bague Artisanale ^{(Brooks Adrenaline GTS 17)}.

Conclusion

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TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo, 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/Naturalizer Kari Mocassins pour femme, 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-FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby, 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,vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron.