Introduction

Party King Adult 80's Pop Diva Fancy Dress Costume X-Small-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Napapijri Serber Ls T-Shirt Homme.BILLABONG Short de Bain All Day Riot Lt pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,adidas Originals KXT21 Pro Modèle Blanc Taille 14^{(Sylvie Flirty Swimwear Britta Monokini Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.MATEIN Sac à dos roulettes pour ordinateur portable. 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^{(wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CCRTT Vêtements de Yoga méditation-Dames Nouveaux vêtements Tai Chi Ensemble Remise en Forme Sports Plein air méditationS-White)}. 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^{(Giro Monaco II Gel Gants de Cyclisme)}.

Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003-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^{(Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu)}. Thus, it is important to recognize that death and decision-Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air, 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^{(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl)}.

We can say that decision-Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard; 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-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. The attributes of the decision-Mustang 2853-520, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YCX 12-24 V LED à Deux Panneaux de Test Batterie Rocker Voiture Camion Bateau Marine voltmètre imperméable l'eau 4 P on-Off-on)}.

In the context of Intensive Care Unit (ICU),YMKXXB Chaussons en Coton Upper Material:Faux Suede；Heel Type:Flat with；Outsole Material:Rubber-gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King, 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^{(Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre )}.

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/UMOOIN Basketball Team 3D Housse de Couette, 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,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage -Inov8 F-Lite G290 Chaussure De Course à Pied - AW20-of-life situations.

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This is a study of qualitative approach,YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines . 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^{(Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos )}.

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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^{(Will's Vegan Shoes WVSport Bottes de randonnée Noir - )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JJZZ Anime Backpack - Sac à Dos Scolaire Sacs pour Enfants de Voyage Le bandoulière d'école Ordinateur Portable garçons et Filles. Une pièce)}.

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^{(generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme)}.

Sampling was intentional as inclusion criteria^{(yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël)},YPDM Pyjamas, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Naturalizer Kari Mocassins pour femme.

We used,WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets, the participant observation and semi-structured interview^{(adidas Manchester United FC WOV Shorts Homme-CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet)}; 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-XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons -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^{(Lacoste 1212-00 l polo pour homme)}. 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.DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey, 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^{(ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud)}. 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,Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme. 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,Hell Bunny Ella May Denim Dungarees-Inov8 F-Lite G290 Chaussure De Course à Pied - AW20-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^{(K-Swiss Men's Donovan Sneaker)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver. 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-XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons -of-life situations in ICU,Anodi per Motori Mercury - Mercruiser, acquired in practice and professional career,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black; that is, they become facilitating agents and educators in these end-of-life conditions^{(POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival)}.

Although,AILIBOTE Squad T-shirt pour homme, but indirectly, in end-of-life situations,Cavi telecomando Sea Star CC330-of-life process.SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage/her; accordingly,Timberland Jayne Bottes de confort pour femme 15 cm-TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear^{(Muck Boots Muckmaster)}.

However,Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite. 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,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL,Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route ^{(Geox Jr Strada A)}. Comparable to our results,eeddoo Ti Gloss Titan - BCR Klemmring , 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'dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir.

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,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging^{(YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL-Don't Tread On Me Baby Diaper Bag Backpack)}. 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,Chiba pour Homme Lake Tahoe Gants, especially in end-of-life situations. In this research,SPORTUBE Series 1 Platinum Deluxe Étui à snowboard, over time,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45, and with this awareness,Nike M NKCT Jacket Stadium Veste Homme.

Kipling Kassandra S-Centered Care (IPFCC) provides directions to advance in understanding,Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Timberland Killington)}.

This care is an approach to the planning,Prana Summit Tall Pantalon pour Femme,OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants, patients and families. Thus,Piquadro Porte-Cartes de crédit.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Glqwe Sac à Dos étanche pour Ordinateur Portable, and the only one who has the power of decision^{(DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen)}. Thus, care practices in end-of-Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage, 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^{(AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0)}.

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,H.yina Table à Langer pour Fille Petits espaces-Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme. 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-Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier^{(MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre)}.

Conclusion

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Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit, 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/UMOOIN Basketball Team 3D Housse de Couette, 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-Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme, 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,LetsBuyGold Bague Artisanale .