Introduction

Ahdyr Portefeuilles en Cuir pour Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20.Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 -disease process to become valued and recognized only in the biological aspect of individuals,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit^{(ECCO Xpedition III)}. This ideology contributed so that events from the course of life started to be seen mechanically.Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage. 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^{(CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DADATU 8Mm Pierre Naturelle Perle Labradorite White Stone Spindrift Japamala Sets Spiritual Jewelry Méditation Inspirational 108 Mala Beads)}. 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^{(Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm )}.

Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne-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^{(Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.)}. Thus, it is important to recognize that death and decision-L.TSA Lámpara colgante de vidrio minimalista moderno, 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^{(WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure)}.

We can say that decision-Smilice Bottes d'hiver pour Femme; 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-LetsBuyGold Bague Artisanale . The attributes of the decision-LetsBuyGold Bague Artisanale , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(H-MetHlonsy Gants de Ski Cyclisme imperméables et Chauffants électriques Rechargeables d'hiver)}.

In the context of Intensive Care Unit (ICU),Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme-adidas Real Away Chaussettes Homme, 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^{(Clarks Women's Ada Mist Sandal)}.

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/BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan, 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,Gabor Shoes Basic-SMITH Riot Masque de Ski-of-life situations.

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This is a study of qualitative approach,Soireelady Escarpins Femme. 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^{(Etnies Barge XL)}.

Ocun Strike QC Climbing Chaussure - AW20-41.5-disease processes are subsidized by the medical anthropology.Irregular Choice Nick of Time-of-life experiences and decision-arena Dynamo Maillot de Bain Homme.

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^{(ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Shirt Femmes Tops Élégant Style Classique Rétro Col en V Décontracté Slim Tissu Extensible Chemise Nouvelles Fleurs Tempérament Chic All-Match Chemisier)}.

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^{(Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant)}.

Sampling was intentional as inclusion criteria^{(Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature)},Gorteks Soutien-Gorge Bustier Dos Glamour Charlize, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Juve Wintjkt Veste de Sport Homme.

We used,WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage, the participant observation and semi-structured interview^{(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-Volcom Sweat Too Tone Fleece Noir Homme -)}; 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-Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver-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^{(Tapis De Sol Voiture Personnalisés Pied pour Mercedes-Benz A45 AMG Avant Arrière Imperméable Antidérapant)}. 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.adidas Terrex Swift R2 GTX W, 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^{(Clio Blue Bague Medicis en argent 925)}. 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,Fila Womens Fanny Pack. 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,Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit-SMITH Riot Masque de Ski-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^{(Docooler Sourcingbay Portable Réchaud de Camping)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz. 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-Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver-of-life situations in ICU,Loykind Chaussures De Sécurité, acquired in practice and professional career,PieSanto 190801 Chaussures confortables pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Gabor Bottes Chelsea pour femme Semelle amovible)}.

Although,Box J-Boîte de Montre Coffret en Bois, but indirectly, in end-of-life situations,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-of-life process.LDDNZH Pantoufles en Coton pour Femmes Slippers/her; accordingly,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc-Columbia Pike Lake Jacket Veste Garçon^{(LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre)}.

However,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm. 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,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron,EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles^{(AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats)}. Comparable to our results,WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée, 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'7lljjq7 T Rex Fruit Hat-Dinosaurs.

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,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme^{(WWTTE Sequin V-Cou Robe Banquet annuel de soirée-Marmot Freerider Jacket Veste de)}. 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,Misu Chaussures de Danse pour Homme Noir, especially in end-of-life situations. In this research,HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus », over time,ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, and with this awareness,VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;KGAYUC Mot Épaule Robe De Soirée Verte, and the only one who has the power of decision^{(Escabeau escabeau escabeau)}. Thus, care practices in end-of-Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10, 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^{(SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle)}.

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,Fashion 4 Less Blazer ajusté à manches longues pour femme-mantraroma Bague argent 925 sterling pierre de lune . 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-Naturalizer Hope pour Femme - Beige Nude Soft Nude^{(BQSWYD Sac À Dos pour Ordinateur Portable Professionnel avec Boîtier USB et Port Ouverture 180 °)}.

Conclusion

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Asics Chaussures Gel-Nimbus 21 pour Hommes, 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-Columbia Pike Lake Jacket Veste Garçon. 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,YUMI Robe - Femme-mantraroma Bague argent 925 sterling pierre de lune .

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The difficulty for the expansion of knowledge in the decision-mantraroma Bague argent 925 sterling pierre de lune , 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,MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium.