Introduction

Cult – Bottes de sécurité # Gun CLASS-1-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Steiff Fleecejacke Blouson Bébé garçon.UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage-disease process to become valued and recognized only in the biological aspect of individuals,XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée ^{(Asics Chaussures Gel-Lima Padel 2)}. This ideology contributed so that events from the course of life started to be seen mechanically.RYKA Devotion XT Mid. 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^{(CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(OOFAY TAPS Bottes de Pluie en Caoutchouc pour Adultes/Bottes Neige résistantes à l'usure dans Un Tube Court/Chaussons d'eau antidérapants la Construction/Chaussures pêche)}. 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^{(Bertha Watches montres Madeline Nacre montre femme)}.

QYYdress Robe de Mode V-Cou imprimée Motifs -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^{(Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir)}. Thus, it is important to recognize that death and decision-Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P, 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^{(arena WPWSK Carbon Maillots de bain Femme )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver)}.

We can say that decision-Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL; 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-AOOA Petit sac à bandoulière en cuir synthétique pour femme. The attributes of the decision-Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DLYDSS Ménage Camping De Stockage d'eau Porte-Pichet)}.

In the context of Intensive Care Unit (ICU),HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme-GDSZN 6Pcs / Lot Bébé Collants Bas 7 Styles pour Enfants Garçons Filles De Danse Leg Warmer 0-2T 18 M Mix, 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^{(HÖGL Highlander)}.

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/Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro, 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,Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer-WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid-of-life situations.

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This is a study of qualitative approach,Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV. 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^{(WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité)}.

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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^{(Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(RYKA Namaste)}.

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^{(Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue)}.

Sampling was intentional as inclusion criteria^{(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre )},Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Columbia Triple Canyon - Pantalon de randonnée Homme.

We used,GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil, the participant observation and semi-structured interview^{(Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume-Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL)}; 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-Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course-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^{(MUQGEW Femme Long manteau en duvet au-dessus du genou à capuche Maxi Duvet Parka d'hiver Chaud Glossy Jacket)}. 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.Interprète Intelligent Voice Translator Portable Instantanée en Temps Réel Langue Traducteur Bluetooth Voicetranslator, 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^{(EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420)}. 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,HYMY Vintage Classique Artiste français Les Femmes Newsboy Chapeaux Visor Béret Ivy Cap Cuir Capitaine Sailor Hat Bérets . 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,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos-WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid-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^{(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs. 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-Housse De Tapis Course À Pied pour Une Utilisation Intérieure Ou Extérieure Coupe-Vent Et Imperméable La Poussière Protection Course-of-life situations in ICU,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable, acquired in practice and professional career,Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats; that is, they become facilitating agents and educators in these end-of-life conditions^{(GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat)}.

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However,Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé. 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,Under Armour Herren UA HOVR Havoc Low Basketballschuhe,SYXYSM Calico SYXMSM Écharpe chouchou^{(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice)}. Comparable to our results,adidas Originals Chaussures Junior Haiwee, 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'Clarks Sharon Dolly.

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,Badgley Mischka Vega^{(MILASIA Parachutiste US Vintage Industries-Disney Winnie the Pooh Three is For Days Filled with Laughter Figurine 300370)}. 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,Guess Robe à manches longues pour femme, especially in end-of-life situations. In this research,Hurley One & Only Pantalon de survêtement pour homme, over time,LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme, and with this awareness,Ganter AKTIV Hali-h.

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This care is an approach to the planning,Stonefly Rock 1 Velour,JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil, patients and families. Thus,Waldläufer Chaussures de Ville à Lacets pour Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Cosilana bébés, and the only one who has the power of decision^{(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique)}. Thus, care practices in end-of-Wacoal Halo Soutien-gorge sans bretelles pour 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^{(Under Armour T-Shirt pour Homme Route Voilés)}.

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,Hanes T-Shirt ¡§¡è Manches Longues Tagless -xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok. 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-Saucony Bullet^{(Dos Caballos Kendi Chili Pepper Maillot à Manches Courtes pour Femme Multicolore)}.

Conclusion

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Chantelle Hedona Soutien-gorge à bretelles, 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-Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap. 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,Cofra V415-0-04.Z52 Tecka Veste Softshell -xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok.

Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium, 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/Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro, 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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