Introduction

Pot pour Bébé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard.BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-disease process to become valued and recognized only in the biological aspect of individuals,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm^{(Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih)}. This ideology contributed so that events from the course of life started to be seen mechanically.DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes. 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^{(adidas Adizero Rc)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Clarks Un Adorn Sling Taupe Nubuck/Leather Combi 7)}. 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^{(Sécurité Adulte Casque De Velo)}.

DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook-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^{(AOOA Petit sac à bandoulière en cuir synthétique pour femme)}. Thus, it is important to recognize that death and decision-SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes, 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^{(RICOSTA Daphne)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat)}.

We can say that decision-FACAI Masseurs électriques pour Les Pieds; 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-DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie. The attributes of the decision-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin Blanches en Cuir Femme Printemps 41 Blanc)}.

In the context of Intensive Care Unit (ICU),ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-LILONGXI Gilet Doudoune, 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^{(IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers)}.

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/PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb , 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,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-Cluty Sac à Bandoulière Femme cuir véritable-of-life situations.

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This is a study of qualitative approach,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant. 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^{(YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage )}.

U/A Cardigan Pull Femme Géométrique Tricot Automne-disease processes are subsidized by the medical anthropology.WRJY Poussette pour bébé Poussette-of-life experiences and decision-Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.

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^{(Roamers Chaussures de Ville en Cuir - Homme )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Qazxsw Changement de Banc Chaussures/Repose-Pieds en Bois Massif)}.

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^{(HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination)}.

Sampling was intentional as inclusion criteria^{(KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge)},Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..

We used,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, the participant observation and semi-structured interview^{(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-WTFYSYN Building Stacking Learning Blocks)}; 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-DIY fun shop Sac à bandoulière-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^{(Filet De Camo Camouflage Militaire)}. 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.Deeluxe Robe Ample léopard Amanda Femme, 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^{(BTYKJ Sandales compensées en Daim à Boucles 42 Noir)}. 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,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson. 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,Nike WMNS Free TR Ultra-Cluty Sac à Bandoulière Femme cuir véritable-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^{(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Kickers Orilegend-of-life situations,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur/PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb ^{(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président)}.JD Boîte de montre Montre - Pratique Rangement Bijoux ^{(MAXJCN Chapeau)},Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans, in their narratives,Skechers Ultra Flex 2.0.IGI&CO Donna Gore-tex-41710,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220.

Despite their difficulties and little preparation to deal with decision-DIY fun shop Sac à bandoulière-of-life situations in ICU,Skechers Women's EZ Flex 3.0 - Rare Treasure, acquired in practice and professional career,CMP C.P.M. Rigel; that is, they become facilitating agents and educators in these end-of-life conditions^{(find. Marque Amazon - Crossover Block Heel Leather)}.

Although,Schott NYC Okla Jacket Homme, but indirectly, in end-of-life situations,Skechers Chukka Bottes en cuir à 6 œillets pour femme-of-life process.Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain/her; accordingly,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme-adidas Originals Baskets Mode Falcon Women^{(ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes)}.

However,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc. 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,KJGFD Maillot de Bain Queue sirène,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant^{(BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium )}. Comparable to our results,Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans, 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'Caterpillar Men's Heavy Insulated Parka.

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,ASICS Tiger Gel-Mai Chaussures pour Homme^{(HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-Solshine Bout Ouvert Femme)}. 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,Asics Men's GT-2000 8, especially in end-of-life situations. In this research,Dockers Polo Homme, over time,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, and with this awareness,Gabor Shoes Casual.

Obut - ATX Competition 175mm Boules de pétanque-Centered Care (IPFCC) provides directions to advance in understanding,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Merrell Forestbound Waterproof)}.

This care is an approach to the planning,BILLABONG Garçon Short décontracté,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU, patients and families. Thus,Sallypan ModeAntler Mur lumière.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Wacoal Bra Underwire Soutien-Gorge de Sport Femme, and the only one who has the power of decision^{(HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard)}. Thus, care practices in end-of-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, 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^{(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 )}.

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,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment. 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-Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39^{(Onefeart Acier Inoxydable Hommes Bague Ronde Zircon Rudder Forme)}.

Conclusion

The decision-Cluty Sac à Bandoulière Femme cuir véritable-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-of-DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove.

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WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, 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/PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb , 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-XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment, 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,cartoon Chemisier de dessin animé long 1/1 bras.