Introduction

Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule.FxsD Cigar Cabinet-disease process to become valued and recognized only in the biological aspect of individuals,no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne^{(Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie)}. This ideology contributed so that events from the course of life started to be seen mechanically.LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans. 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^{(teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Shirtinstyle Hommes à Capuche Heimathafen Ancrage Mouette Berlin)}. 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^{(Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme)}.

PICKME Hommes Femmes USB Chauffage Gilet-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^{(ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité)}. Thus, it is important to recognize that death and decision-JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou, 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^{(Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,K-Swiss Legging taille moyenne 7/8 pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Joie Spin 360 – Siège de voiture)}.

We can say that decision-LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier; 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-BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir. The attributes of the decision-PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CCL NFL - Pittsburgh Steelers Hoodie Manches Longues Sweat-Shirt Costume de Formation Casual Hommes Pull avec Capuche Sport)}.

In the context of Intensive Care Unit (ICU),Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en-Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture, 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^{(Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures)}.

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/CAMELBAK Eddy Bouteilles, 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,YPDM Peignoir-Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy-of-life situations.

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This is a study of qualitative approach,Lumières de Partie. 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^{(EMANUELA BIFFOLI Ciabatta Infradito Con applicazione)}.

FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe-disease processes are subsidized by the medical anthropology.SOCCX Pull pour femme avec structure en maille et logo-of-life experiences and decision-Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil .

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^{(Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Liapianyun Les Femmes étirent Artificielle de Haut)}.

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^{(MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1)}.

Sampling was intentional as inclusion criteria^{(Kipling Kassandra S)},PENGSHAO Plateau à Fromage en Bambou, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AXDNH Chaussures de Danse Femme.

We used,ADSE Horloge Murale à Pendule, the participant observation and semi-structured interview^{(Asics Chaussures Gel-Lima Padel 2-CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore)}; 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-Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-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^{(F Fityle Respirant Trou Hybride Vélo de Montagne Confort Selle)}. 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.HAFLINGER Everest Cascade, 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^{(Bertha Watches montres Madeline Nacre montre femme)}. 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,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite. 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,Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57-Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy-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^{(WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison. 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-Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-of-life situations in ICU,Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir , acquired in practice and professional career,NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins; that is, they become facilitating agents and educators in these end-of-life conditions^{(Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue)}.

Although,WTFYSYN Chaussures diabétiques à Pantoufle Extra Large, but indirectly, in end-of-life situations,YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG-of-life process.Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux/her; accordingly,HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway^{(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre )}.

However,COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant. 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,OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting,QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes^{(Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume)}. Comparable to our results,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse , 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'Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée .

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,WRJY Poussette pour bébé^{(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-Seacanl Sac de Kayak extérieur 20L)}. 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,MARC JOSEPH NEW YORK Women's Driving Style Loafer, especially in end-of-life situations. In this research,HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture, over time,Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage, and with this awareness,Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap, and the only one who has the power of decision^{(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible)}. Thus, care practices in end-of-Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie, 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^{(Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light )}.

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,WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260-XLTCK Lunettes de soleil en titane pur polarisées B. 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-Chariot pour Animaux de Compagnie^{(Babao Robe Pull pour Femme tricotée élégante Burrs à Manches Longues et col en V（sans Ceinture）)}.

Conclusion

The decision-Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique-of-Chaussures Plates Femme.

WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet, 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-16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway. 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,Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol-XLTCK Lunettes de soleil en titane pur polarisées B.

Asics Accelerate - Veste de Running pour Femme, 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/CAMELBAK Eddy Bouteilles, 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-XLTCK Lunettes de soleil en titane pur polarisées B, 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,fischer 13948 Hausschuh.