Introduction

HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway.COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant-disease process to become valued and recognized only in the biological aspect of individuals,OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting^{(Clarks Men's Weaver Moccasin)}. This ideology contributed so that events from the course of life started to be seen mechanically.QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes. 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^{(ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(The North Face Waterproof)}. 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^{(WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants)}.

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 -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^{(Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage)}. Thus, it is important to recognize that death and decision-WRJY Poussette pour bébé, 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^{(ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MARC JOSEPH NEW YORK Women's Driving Style Loafer. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey)}.

We can say that decision-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture; 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-Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage. The attributes of the decision-Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Livone Tapis enfants Happy Rugs PRÉ DE FLEURS rose 160x230cm)}.

In the context of Intensive Care Unit (ICU),RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -Dynafit Speed Insulation W Hooded VST44/38, 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^{(Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir)}.

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/GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage , 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,IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in-Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG-of-life situations.

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This is a study of qualitative approach,Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité. 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^{(GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres)}.

H.ZHOU Les Hommes de Football américain Sweats à Capuche-disease processes are subsidized by the medical anthropology.Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive -of-life experiences and decision-WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual.

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^{(Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Remo Gammella Collier lignes étoile Gold Argent 925 5 étoiles gammella Bijoux)}.

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^{(Asics Chaussures Gel-Quantum 90 pour Femmes)}.

Sampling was intentional as inclusion criteria^{(Naturalizer Hope pour Femme - Beige Nude Soft Nude)},DHNKW Boys Swimming Shorts Funny Printed, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap.

We used,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, the participant observation and semi-structured interview^{(SPORTUBE Series 1 Platinum Deluxe Étui à snowboard-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant)}; 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-WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260-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^{(JXILY Chaussures Femme en Maille Décontractées à Plateforme avec Paillettes Strass Respirantes)}. 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.Chariot pour Animaux de Compagnie, 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^{(MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet)}. 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,Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo . 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,luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag -Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG-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^{(Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme. 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-WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260-of-life situations in ICU,Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles, acquired in practice and professional career,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nike Viale)}.

Although,Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer, but indirectly, in end-of-life situations,Asics Gel-Kayano Trainer Evo-of-life process.Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures/her; accordingly,Trespass Clea-Sotala Jupe - Portefeuille Femme^{(Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011)}.

However,Roxy Femme ARJX403329 Bas de Bikini. 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,Skechers Terrabite Mens Randonnée Chaussure Lacets,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus^{(Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule)}. Comparable to our results,CXD Mâle/Femelle Hauts De Costume Tang Chinois, 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'Sanuk Women's Yoga Sling 2 Flip Flop .

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,ELTEN ^{(MASCOT WORKWEAR Mascot Polo De Travail Crossover-Fengbingl-cl Robe en Tricot pour Femme Couleur Unie Sexy V Profond Jupe Longue)}. 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,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, especially in end-of-life situations. In this research,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass, over time,Yakuza Men Hoodie Tatuajes Satanicos, and with this awareness,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice.

Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-Centered Care (IPFCC) provides directions to advance in understanding,Wand Massager Baguette Masseur Sans Fil. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WGE Mailles de 5 / 10cm)}.

This care is an approach to the planning,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans, patients and families. Thus,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;La Strada 1902517 Sneaker Knitted Blue, and the only one who has the power of decision^{(ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court)}. Thus, care practices in end-of-GJNVBDZSF Lavabo de Camping, 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^{(Prana Summit Tall Pantalon pour Femme)}.

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,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh-Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey. 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-P448 John Sneaker blanc et rouge^{(sufengshop Femelle Petit Popsicle Pendentif Chaîne Collier Opale Pour les cadeaux)}.

Conclusion

The decision-Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JHGK Haut-Top Chaussures De Basket-Ball Couple, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les-of-Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme.

Lola Cruz Bottines, 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-Sotala Jupe - Portefeuille Femme. 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,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches-Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey.

Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, 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/GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage , 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-Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey, 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,Olga Berg Pochette Femme Doré Ob2028.