Introduction

LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46.adidas Terrex Eastrail-disease process to become valued and recognized only in the biological aspect of individuals,Clarks Sandales Step Cali Sand pour Femmes^{(glstkrrn RX8 RX-8 Ugly Christmas Sweater)}. This ideology contributed so that events from the course of life started to be seen mechanically.BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants . 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^{(Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HAIGAFEW Doudoune à Manches Longues Anime Ghost Lame d'extermination entourant la Tendance de l'impression Hommes et Femmes Winter Hoo)}. 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^{(ALTRA Paradigm 4.5 Chaussure de course sur route pour femme)}.

Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air-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^{(IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages)}. Thus, it is important to recognize that death and decision-DZWYM Chaussure De Securité Homme Légères, 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^{(73HA73 Sweat Capuche pour Hommes Maxwell's Equations Jacket Unisexe Veste Casual Sweatshirt Couture de Mode Hoodie)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas JB A AAC Ft Pt Pantalon Fille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas F10 Turf)}.

We can say that decision-Hoonmis Robe de soirée Enfant; 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-Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport. The attributes of the decision-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DAGCOT Banc de musculation Équipement gymnastique exercice multifonctions haltères)}.

In the context of Intensive Care Unit (ICU),PUMA Style Rider Ride on-LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur, 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^{(UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers)}.

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/Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales, 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,Moulinets de pêche-chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest-of-life situations.

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This is a study of qualitative approach,Porte-Serviettes Chauffant Intelligent. 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^{(Clarks Chaussures Whiddon Vibe pour Hommes)}.

Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered -disease processes are subsidized by the medical anthropology.GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat-of-life experiences and decision-LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .

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^{(FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gyubay Chest Wader Poitrine Waders légère en Nylon et PVC Crampons échassier Unisexe extérieur Pêche Chasse Cuissardes Bottes pour la pêche Le Travail Maritime)}.

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^{(DANIELE ALESSANDRINI F632KL1614000 flâneurs Homme)}.

Sampling was intentional as inclusion criteria^{(IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon)},IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LGLE Pyjama en satin à manches longues pour homme.

We used,Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit, the participant observation and semi-structured interview^{(FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon-OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton)}; 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-LILONGXI Tapis-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^{(Raptor Limited Montre à quartz pour homme avec dessus bracelet en cuir véritable dessous simili et boucle ardillon 3 fuseaux horaires)}. 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.SYue Miroir de Maquillage Mural, 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^{(YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge)}. 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,Pneus De Scooter Électrique. 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,Brooks Mazama 2-chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest-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^{(YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skechers Go Walk Lite - Rise. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Dragon OG-of-life situations,PUMA Sneaker Smash WNS Perf Métallique pour femme/Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales^{(YANGTAO Jupe En Dentelle De Danse Du Ventre)}.Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris^{(Emily Bridal Escarpin à Talon fermé en Dentelle pour Femmes)},YUHEN Oreiller de Voyage, in their narratives,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E.puseky Barboteuse - 0 à 24 mois Pour bébé ,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100.

Despite their difficulties and little preparation to deal with decision-LILONGXI Tapis-of-life situations in ICU,DKNY Homme DMMDO4HT Manteaux en Laine, acquired in practice and professional career,Fergalicious Jolene; that is, they become facilitating agents and educators in these end-of-life conditions^{(nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques)}.

Although,Merrell Forestbound Waterproof, but indirectly, in end-of-life situations,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon-of-life process.AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0/her; accordingly,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure^{(XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir )}.

However,überleben Coppa leggera in Legno Con moschettone Backpacking. 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,Kipling 100 Pens Organiseur de Sac à Main,Lacrosse Women's Aero Timber 10^{(Scarpa Chaussures Mojito GTX - homme)}. Comparable to our results,YUHEN Oreiller de Voyage, 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'YQ QY Chaussons Description du produitpointureTableau des Tailles .

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,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet^{(D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK-Precious Star Lot de 2 taies d'oreiller en lin Plaqué pincé Motif étoile 625 fils coton naturel hypoallergénique Square)}. 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,EXTON 246 Sneakers Man, especially in end-of-life situations. In this research,LLNB Zip Veste À Capuche, over time,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , and with this awareness,Lora di Collier Indi Celebrate. court.

Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron-Centered Care (IPFCC) provides directions to advance in understanding,Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e)}.

This care is an approach to the planning,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches ,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, patients and families. Thus,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, and the only one who has the power of decision^{(Columbia Femme Veste de Ski Isolée)}. Thus, care practices in end-of-Joules Golightly Imperméable 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^{(Eastbride Veste Trois-en-Un pour Hommes)}.

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,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères. 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-MZSG LED Loft Vintage Applique^{(Tom Tailor Zigzag Struktur Sweater Femme)}.

Conclusion

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Reqins ILAN Lycra - Training Lacet Noir, 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-HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure. 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,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères.

HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary , 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/Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales, 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-HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères, 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,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme.