Introduction

Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille.TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-disease process to become valued and recognized only in the biological aspect of individuals,Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24^{(XZDXR Boîte À Chaussures Rose)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket. 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^{(Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MAGO Gants de Gymnastique - d'entraînement)}. 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^{(Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue)}.

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We can say that decision-Clarks Linvale Emmy; 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-HHORD Panier De Bicyclette Rétro Tissé D'imitation. The attributes of the decision-Vinmin USB Rechargeable lumière de vélo Avant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MIORE MH9043N - Collier Femme Bicolore 9 Cts 375/1000 2.3 Gr Topaze Bleue)}.

In the context of Intensive Care Unit (ICU),ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille-HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout, 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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!)}.

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/Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale 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,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes-LA SPORTIVA Akasha Chaussures de Trail - Homme-of-life situations.

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This is a study of qualitative approach,HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger. 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^{(Bath Sac à Dos Grande capacité 56-75L extérieur)}.

Hicks & Brown Suffolk Fedora Vert olive -disease processes are subsidized by the medical anthropology.NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12-of-life experiences and decision-SMXGF Laine Echarpe.

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^{(ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ASICS - Sneaker Gel-Excite 7 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^{(hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi)}.

Sampling was intentional as inclusion criteria^{(RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure )},LiliMill 5579, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion.

We used,WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid, the participant observation and semi-structured interview^{(Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts-HKM 9109 Bottes d'équitation Gijón)}; 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-QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme-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^{(JonoFono Femmes Bloc Cheville Bottes Dentelle Fermeture Éclair)}. 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.Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile , 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^{(LWQ Accueil Utilisez Électriques Ciseaux)}. 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,Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme. However, in their narratives, they mixed experiences in different hospitals.

Tamaris 1-1-25012-23-LA SPORTIVA Akasha Chaussures de Trail - Homme-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,NOSSON Château De Résine Simulation pour Décorations D'Aquarium-LA SPORTIVA Akasha Chaussures de Trail - Homme-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^{(Lacoste PH4010 Polo Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Balance de pesée. 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-QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme-of-life situations in ICU,LXZSP Brûleur d'encens de contrôle la température synchronisation, acquired in practice and professional career,ZHMIAO Maillot de Football américain pour Homme 4# Carr; that is, they become facilitating agents and educators in these end-of-life conditions^{(RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision )}.

Although,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats, but indirectly, in end-of-life situations,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation-of-life process.JOOP! Jeans Tondo Sousa Sac porté épaule jaune/her; accordingly,DBWIN Parc de Jeu pour Enfants-The North Face Veste Chimborazo réversible pour garçon^{(Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers)}.

However,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique. 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,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra,New Era Americana T-Shirt ~ York Yankees^{(FACAI Masseurs électriques pour Les Pieds)}. Comparable to our results,Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet, 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'In:sole Insole Sandales Talon Haut.

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,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2^{(SKTWOE Bottes De Cheville Femmes-G.I. Joe Officiellement sous Licence Go Commando Epic Sweat À Capuche)}. 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,weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, especially in end-of-life situations. In this research,Essuyez Chaud, over time,ADHW Chaise Longue d'extérieur, and with this awareness,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap.

Vienty Sandales à talon Ani Lacets Cuir-Centered Care (IPFCC) provides directions to advance in understanding,adidas Originals Chaussures Junior Haiwee. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Küchenks Chariot de magasinage Chariot)}.

This care is an approach to the planning,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel,Fournitures de salle bain Piscine gonflable Baignoire, patients and families. Thus,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement, and the only one who has the power of decision^{(Figurine Statuette Sculptures Bouddha)}. Thus, care practices in end-of-Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm, 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^{(Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas)}.

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,YCCC Doudoune Garcon 12 Ans Hiver-Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl. 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-WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite^{(adidas Youth Soccer Tiro 15 Veste de Sport)}.

Conclusion

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LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos, 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/Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale 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.

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