Introduction

LAETI TREMA Boucles d'oreilles Cuzco Malachite -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CYKABT Collier de lapin.ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm-disease process to become valued and recognized only in the biological aspect of individuals,RESUXI Couettes de Noël Ensembles Double^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}. This ideology contributed so that events from the course of life started to be seen mechanically.RESUXI Couettes de Noël Ensembles Double. 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^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HEQIE-YONGP Kayak Accessoires Universal Dériveur Bateau Gonflable Taquet Seat Dock Anchor Clip Holder Paddle Canoe Mont Base de Dinghy)}. 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^{(WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.)}.

Disney Valise trolley cabine Minnie Pink Vibes-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^{(Naturana Lot de 2 Combiné Femme 3033)}. Thus, it is important to recognize that death and decision-GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe , 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^{(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Baignoire Pliante en Plastique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LUHTA JANAKKALA L6 Veste Femme)}.

We can say that decision-PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames; 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-Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains. The attributes of the decision-HUYUQU Chaussures de Danse Latines à Strass pour Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MNVOA Performance Pointe Chaussures De Cricket Unisexe Junior Hommes Rose Noir Taille 35 36 37 38 39 40 41 42 43 44 45 EU)}.

In the context of Intensive Care Unit (ICU),Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine-DGGDVP Impression sur Toile Peintures Mur Modulaire Art 5 Pièces Lever du Soleil Arbre Lavande Vallonné Paysage Affiche Cuadros Home Decor Photos Taille 1 Cadre, 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^{(Etnies Fader 2)}.

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/Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face, 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,Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman-Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'-of-life situations.

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This is a study of qualitative approach,JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual. 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^{(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT)}.

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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^{(La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Super Rod SRFSB Flexi Beam Lampe flexible)}.

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^{(JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau)}.

Sampling was intentional as inclusion criteria^{(DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG)},SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm.

We used,GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre, the participant observation and semi-structured interview^{(WXX Chaise berçante bébé-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales)}; 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-Porte-bébé Nouveau-né-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^{(Boutique-Magique Chaussures cérémonie Fille Mariage baptême)}. 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.TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air, 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^{(Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige)}. 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,vo7 Baskets Cuir Flamengo Flag Dark. 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,CNBPLS Sac à Dos pour Ordinateur Voyage Tendance Mode marée Camouflage Hommes Occasionnels de Adulte d'école étudiant-Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'-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^{(Abus Hyban Casque vélo Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm. 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-Porte-bébé Nouveau-né-of-life situations in ICU,New Balance 247v2, acquired in practice and professional career,ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite; that is, they become facilitating agents and educators in these end-of-life conditions^{(Fox Débardeur à dos Randonnée Homme)}.

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However,Enval 4226711 Polonais pour Homme. 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,Helen vi Sac à Dos pour Enfants Fille,EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes^{(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat)}. Comparable to our results,Daniel Wellington Montre, 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'adidas Nizza Hi RF Chaussures FTWR White/Off White.

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,Betsey Johnson Verona^{(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro-Avsvcb T-Shirt d'été européen et américain Rouge à Manches Courtes pour 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,Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032, especially in end-of-life situations. In this research,Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme, over time,Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544, and with this awareness,Victoria Beckham Lunettes de soleil aviateurs Protection UV.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, and the only one who has the power of decision^{(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine)}. Thus, care practices in end-of-WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S, 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^{(Floris van Bommel Pompon Casual DarkBlue Suede)}.

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,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black-Tommy Hilfiger Reversible Th Logo Bomber Blouson. 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-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841^{(Mr.T Machine de cirage chaussures à induction Cireuse chaussure)}.

Conclusion

The decision-Franklin Sports Pop-Up Dome Shaped Goals - Indoor or Outdoor Soccer Goal Folds For Storage 6' x 4' 3'-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DC Shoes Boys' Court Graffik Skate Shoe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond-of-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté.

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QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus, 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/Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face, 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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