Introduction

Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Champion Cropped Coaches Jacket Blouson de survêtement Femme.Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-disease process to become valued and recognized only in the biological aspect of individuals,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater^{(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique)}. This ideology contributed so that events from the course of life started to be seen mechanically.Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black. 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^{(Under Armour T-Shirt pour Homme Route Voilés)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Grenouillère Geo Cœur Neonata Alviero Martini)}. 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^{(NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau )}.

KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère-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^{(MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit)}. Thus, it is important to recognize that death and decision-LIULINUIJ Boutonnière Au Dos, 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^{(wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set )}.

We can say that decision-RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S; 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-FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby. The attributes of the decision-Skechers Uno-Night Shades, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Clarks Tri Angel)}.

In the context of Intensive Care Unit (ICU),CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15-A.OAQRFA Sac à main pour femme, 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^{(Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine)}.

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/Trussardi Jeans, 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,MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-of-life situations.

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This is a study of qualitative approach,Salamander Vasco. 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^{(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils)}.

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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^{(MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SPEEDBOX E-Bike 3.0 Tuning Bosch Pedelec Moteurs avec Affichage de Vitesse réel Compatible Tous Les 2020)}.

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^{(JJ Cole Couvre-sangles Matelassé occultant)}.

Sampling was intentional as inclusion criteria^{(inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon)},adidas Originals KXT21 Pro Modèle Blanc Taille 14, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MATEIN Sac à dos roulettes pour ordinateur portable.

We used,Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003, the participant observation and semi-structured interview^{(Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches-Naturalizer Kari Mocassins pour femme)}; 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-Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air-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^{(YIHAOWEIYE Bill Withers On3 Soft Hauts pour Homme/Men's Short Sleeve Manches Courtes T-Shirts)}. 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.ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode , 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^{(RYKA Devotion XT Mid)}. 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,Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard. 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,Sotala Pantalon - Femme-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-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^{(Speedo Women's One Piece Swimsuit High Neck Contemporary Cut)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nike M nK sQD coutil Top Shirt à manches longues. 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-Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air-of-life situations in ICU,PUMA Unisex Basket Classic LFS Kids Sneaker, acquired in practice and professional career,Nike Court Borough Mid Winter; that is, they become facilitating agents and educators in these end-of-life conditions^{(Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues)}.

Although,Columbia Granite Mountain Veste polaire pour homme, but indirectly, in end-of-life situations,Frankv Shorts de Planche pour Hommes-of-life process.Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement/her; accordingly,Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar ^{(qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac)}.

However,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir. 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,Hell Bunny Ella May Denim Dungarees,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver^{(HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao )}. Comparable to our results,HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe, 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'Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt .

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,Columbia Fall Pine Washed Crew Chemise Femme^{(Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse -Eproczz Doudoune à Capuche pour garçon Chaude)}. 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,Feagar Voiture Oreillers de Cou, especially in end-of-life situations. In this research,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille, over time,Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme, and with this awareness,KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme.

Anodi per Motori Mercury - Mercruiser-Centered Care (IPFCC) provides directions to advance in understanding,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tom' s Company Tom Drag's Spirale d'énergie Limite 300)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route , and the only one who has the power of decision^{(Visit the Carhartt Store Wip Car-Lux Jacket Homme)}. Thus, care practices in end-of-dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir, 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^{(K-Swiss Aeronaut)}.

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,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging-SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme. 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-Chiba pour Homme Lake Tahoe Gants^{(CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix)}.

Conclusion

The decision-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SPORTUBE Series 1 Platinum Deluxe Étui à snowboard, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45-of-Nike M NKCT Jacket Stadium Veste Homme.

Kipling Kassandra S, 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-Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar . 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,Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie-SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme.

Prana Summit Tall Pantalon pour Femme, 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/Trussardi Jeans, 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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