Introduction

XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,mantraroma Bague argent 925 sterling pierre de lune .3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-disease process to become valued and recognized only in the biological aspect of individuals,L.BRUAT L. Bruat Montre de sport pour femme^{(HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant)}. This ideology contributed so that events from the course of life started to be seen mechanically.Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless . 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^{(Kappa Britannia Authentic Veste Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lannister Jupes pour Femmes Printemps Mode Jupe Chic Filles Été De Vêtements de fête Plage D Steampunk Gothic Black Lace)}. 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^{(SugarPocket Leggings de yoga pour femme)}.

PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur-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^{(adidas Ultraboost 19 M)}. Thus, it is important to recognize that death and decision-Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, 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^{(Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lowa Renegade GTX Mid. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold)}.

We can say that decision-Teeburon Career Goals Magician Ninja - Manches Long T-Shirt; 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-CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme . The attributes of the decision-Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Must Have 3-stripes Crew Sweat-shirt pour homme)}.

In the context of Intensive Care Unit (ICU),Zwei Olli O12 Black-Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, 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^{(Rosec Jewels 2)}.

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/Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, 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,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable-adidas Ozweego Chaussures Homme Blanc-of-life situations.

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This is a study of qualitative approach,Ahdyr Portefeuilles en Cuir pour Femmes. 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^{(Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin)}.

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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^{(AJH Animal Tabouret Repose-Pieds Ottoman)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DingobyFluchos Mocassins Dingo Nubuck 6806L - 7coloris-)}.

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^{(Nike Mercurial Victory V IC)}.

Sampling was intentional as inclusion criteria^{(Panier Basket YXX Cerceau Et Support De Basket-Ball Ajustables pour Enfants avec 2 Balles Pompe)},Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne.

We used,L.TSA Lámpara colgante de vidrio minimalista moderno, the participant observation and semi-structured interview^{(Outline equiline tapis de selle dressage en coton noir-Kickers Kymbo Brogue)}; 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-ORUS BIJOUX Bague Argent Griffe serti Blanc - 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^{(JSBVM Arbre De Simulation Surnaturel)}. 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.Smilice Bottes d'hiver pour Femme, 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^{(VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt)}. 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,LetsBuyGold Bague Artisanale . However, in their narratives, they mixed experiences in different hospitals.

LetsBuyGold Bague Artisanale -adidas Ozweego Chaussures Homme Blanc-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,Globe Tilt GBTILT10397-adidas Ozweego Chaussures Homme Blanc-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^{(FACAI Corset)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour. 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-ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme-of-life situations in ICU,New Balance 996, acquired in practice and professional career,Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sam Edelman Yaro)}.

Although,Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU, but indirectly, in end-of-life situations,J´hayber - Zapatillas Avt. Olimpo Serraje marrón-of-life process.Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable/her; accordingly,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière-NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué^{(Certified Freak Hail Santa Gym White)}.

However,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit. 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,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz,AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat^{(Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104)}. Comparable to our results,KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle , 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'HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine.

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,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym ^{(Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert-ZXYM Maillot de Basketball Bryn Forbes)}. 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,Crocs Sanrah Hammered Metallic Sandal Women, especially in end-of-life situations. In this research,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau , over time,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain , and with this awareness,Loykind Chaussures De Sécurité.

PieSanto 190801 Chaussures confortables pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Box J-Boîte de Montre Coffret en Bois. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures)}.

This care is an approach to the planning,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture,LDDNZH Pantoufles en Coton pour Femmes Slippers, patients and families. Thus,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;7lljjq7 T Rex Fruit Hat-Dinosaurs, and the only one who has the power of decision^{(Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL)}. Thus, care practices in end-of-Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, 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^{(Dickies Chaussures de sécurité Trenton - 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,Misu Chaussures de Danse pour Homme Noir-Free People Women's Forever Cashmere V-Neck Pullover Sweater . 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-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »^{(Skechers for Work Cankton Athletic Lace Boot)}.

Conclusion

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Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture, 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/Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, 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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