Introduction

Nine West Women's Gramercy Bermuda Short-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Puma MAPM Laurel Cap Schwarz.Converse Chuck Taylor All Star Hiker Hi-disease process to become valued and recognized only in the biological aspect of individuals,KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations ^{(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure)}. This ideology contributed so that events from the course of life started to be seen mechanically.Cavi telecomando Sea Star CCX633. 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^{(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JIN Sécurité Durable Net Décoration Enfant Safety Net)}. 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^{(Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans)}.

VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase-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^{(adidas JB A AAC Ft Pt Pantalon Fille)}. Thus, it is important to recognize that death and decision-Shepherd Hugo 1201, 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^{(Head Ultimate Power 2020 Raquette de padel Verte)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm)}.

We can say that decision-JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils; 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-Hurley M Siege Anorak Jacket Blousons Homme. The attributes of the decision-SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MOOLFN Pyjamas d'hiver pour Hommes épaississement molletonnée Plus de Velours à Trois Couches Automne Peignoir Doudounes et l'hiver Service Domicile Flanelle)}.

In the context of Intensive Care Unit (ICU),Pinko LOVE STARRY LANIERE Femme Nero UNI-QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux, 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^{(Pleaser Flamingo 1050FS Bottines à talons hauts)}.

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/ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, 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,LYHY Blouson Cuir Homme-TIEON Uniformes de Baseball des Red Sox-of-life situations.

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This is a study of qualitative approach,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique. 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^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes)}.

jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-disease processes are subsidized by the medical anthropology.SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation-of-life experiences and decision-ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants.

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^{(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QINGQING Dragon Ball Z Night Light Son Goku Gohan VS cellulaire Figure Home Improvement Éclairage)}.

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^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}.

Sampling was intentional as inclusion criteria^{(GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette)},SOLE South Chaussures Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy.

We used,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm., the participant observation and semi-structured interview^{(SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements-mys Scarpe PersonalizzateOriginal )}; 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-Noch Wildgrass Beige by-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^{(CLUB OF COMFORT 7054 Pantalon Chino pour Homme Garvey)}. 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.MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme, 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^{(George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over)}. 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,adidas Deerupt Runner. 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,JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces-TIEON Uniformes de Baseball des Red Sox-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^{(Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pro Skateboard Cruiser Conseil de Penny 46. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin-of-life situations,Orquidea Sabine Boucles d'oreilles pour femme avec perles/ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud^{(ALTRA Escalante 2.0 Black)}.XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation^{(Vitila Les Femmes Pantalon Yoga Rouge Fitness Taille Haute Athlétique Running pour Joggeurs en Plein Air)},Carmens padova Baskets pour Femme Blanc Bianco, in their narratives,Bouilloire électrique en Verre.Kickers Kymbo Brogue,Scarpa Chaussures Mojito GTX - homme.

Despite their difficulties and little preparation to deal with decision-Noch Wildgrass Beige by-of-life situations in ICU,Cofra V415-0-05.Z60 Tecka Veste Softshell , acquired in practice and professional career,Livia Isabel Lavandou Maillot Une pièce Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal)}.

Although,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, but indirectly, in end-of-life situations,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU-of-life process.L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76/her; accordingly,PUMA Ignite Limitless 2-Pinko Dante Blusa Crepe de Chine Di Blouse Femme^{(Cofra V415-0-04.Z52 Tecka Veste Softshell )}.

However,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme. 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,EASTPAK Backpack Eastpak Orbit Glow Black 40T,Ion Combinaison en néoprène Base Semidry 4/3 BZ DL^{(SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation)}. Comparable to our results,Carmens padova Baskets pour Femme Blanc Bianco, 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'Geox J Flexyper D.

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,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme^{(LIUCHANG Trotteur-HOIH Copacabana discothèque Goodfellas Unisexe Taille de Course Packs Sac décontracté)}. 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,Hurley M Vedder Washed L/S Woven - Chemises Homme, especially in end-of-life situations. In this research,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt, over time,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court, and with this awareness,adidas Itavic.

Volcom Sweat Too Tone Fleece Noir Homme --Centered Care (IPFCC) provides directions to advance in understanding,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Roxy Femme ARJX403329 Bas de Bikini)}.

This care is an approach to the planning,Lucky Brand LK-Joal2 Escarpins pour Femme,Nike Revolution 5, patients and families. Thus,camel active Step 70.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas FCB H JSY L T-Shirt à Manches Longues Homme, and the only one who has the power of decision^{(Maier Sports Oberjoch Pantalon Fonctionnel pour Homme)}. Thus, care practices in end-of-ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags, 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^{(Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne)}.

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,Kipling Creativity Grande-generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme. 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-melissa Ultragirl Noir Doux Pompes spéciales^{(ZzheHou Robe De Danse Latine Femme Queue Poisson Perlée Sexy Indienne Soutien-Gorge Ensemble 3PCS Costume)}.

Conclusion

The decision-TIEON Uniformes de Baseball des Red Sox-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux-of-lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip .

mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent , 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-Pinko Dante Blusa Crepe de Chine Di Blouse 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,Heating Pads Coussin Chauffant Wrap-generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme.

Waldhausen Damen Vollbesatz Reithose Ava, 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/ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, 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-generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme, 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,Horloge murale murale.