Introduction

Mephisto Mocassins pour Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes.Fossil Portefeuille à Trois Volets Jesse Cognac-disease process to become valued and recognized only in the biological aspect of individuals,Saucony Shadow Original^{(pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort)}. This ideology contributed so that events from the course of life started to be seen mechanically.XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@. 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^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Visconti Sac d'Ordinateur Portable Foster/Messager en Cuir Huilé 16072)}. 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^{(Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche)}.

Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-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^{(Oluola Sweats à Capuche Vintage Elvis Presley pour Femme)}. Thus, it is important to recognize that death and decision-HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, 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^{(Vans Sk8-Hi Reissue Chaussures de skate unisexe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Dare 2b pour femme PREMISS Veste imperméable isolée. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant)}.

We can say that decision-Piquadro Pierre Sac de Sport Grand Format; 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-Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter. The attributes of the decision-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jessica Simpson Javrey)}.

In the context of Intensive Care Unit (ICU),OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres, 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^{(BYZ Tenda da bagno per USO Domestico)}.

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/ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, 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,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon-OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h-of-life situations.

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This is a study of qualitative approach,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs. 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^{(Victoria Beckham Lunettes de soleil aviateurs Protection UV)}.

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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^{(Tubus Tube Support pour Lowrider )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Labebe - Trotteur Bebe)}.

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^{(Boon Catch Bowl with Spill Catcher)}.

Sampling was intentional as inclusion criteria^{(TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body)},I will take action now Lunettes de Soleil coloré Hommes et Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Reebok Classic Small Vector Tee - Manches Courtes Mixte.

We used,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC, the participant observation and semi-structured interview^{(YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche-PunkFootball Je déteste le T-shirt West Ham United de Millwall)}; 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-Little Me Bébés Filles Foot-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^{(Lesif Sac à dos bandoulière Sibérie pour homme et femme)}. 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.My Tiny Treasures Box Company Boîte à Musique Motif Ballerine, 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^{(CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23)}. 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,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen. 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,Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel-OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h-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^{(YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée . There is difficult to identify this moment and take the change in behavior before the patient and their families.

RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes-of-life situations,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M/ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou^{(Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown)}.Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux^{(JHKJ Femmes Bottes en Cuir Imperméable & Respirant Mode Bout Pointu Métal stiletto Bottines Hiver)},Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois, in their narratives,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme.JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant,JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor.

Despite their difficulties and little preparation to deal with decision-Little Me Bébés Filles Foot-of-life situations in ICU,WTB Byway Road Tcs 700 x 44C, acquired in practice and professional career,Columbia Powder Pass; that is, they become facilitating agents and educators in these end-of-life conditions^{(fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants)}.

Although,Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc , but indirectly, in end-of-life situations,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés -of-life process.DR MARTENS 101 6-eye Ys Smooth EU 40/her; accordingly,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré-Ralph Lauren Thompson^{(Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /)}.

However,21 shoes Chaussures personnalisé cloutée Customized Original . 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,Maillots de Basket-Ball pour Hommes et Femmes,DGHJK Haut-Parleur Bluetooth Gramophone^{(YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard)}. Comparable to our results,Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois, 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'Kjore Project Clous Limites iClutch Monnaies.

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,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème^{(Buffalo CAI-TANGBC Sweats à Capuche hommeSweats pour Hommes et Femmes)}. 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,LA SPORTIVA Akasha Chaussures de Trail - Homme, especially in end-of-life situations. In this research,GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible, over time,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet, and with this awareness,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif.

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This care is an approach to the planning,YCWY Costume Chinois Antique pour Femmes,Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl, patients and families. Thus,TYX Bottines À Bout Pointu.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Failsworth Millinery Hudson Casquette six pièces - Marron Taille S, and the only one who has the power of decision^{(JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG )}. Thus, care practices in end-of-Topashe Femme Halloween Renaissance Medievale Costume, 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^{(Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45)}.

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,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain-NENGGE Barre de Traction. 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-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski^{(Jingya Papillon Ailes châle)}.

Conclusion

The decision-OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Grunland CI0938 ALDE Ciabatta Donna S. Love 36, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Pulseboost HD Guard M-of-WRJY Poussette bébé.

HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux , 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-Ralph Lauren Thompson. 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,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-NENGGE Barre de Traction.

Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, 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/ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, 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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