Introduction

Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PEARL IZUMI X-alp Elevate.ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte-disease process to become valued and recognized only in the biological aspect of individuals,ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47^{(UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm)}. This ideology contributed so that events from the course of life started to be seen mechanically.SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole. 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^{(U/A Coupe-vent à manches longues)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Support de poignée pour smartphone)}. 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^{(WCY Chaussures automatiques Machine de Nettoyage)}.

Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet-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^{(SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)}. Thus, it is important to recognize that death and decision-Café Noir Cafè FHA923273400 Taupe 40, 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^{(Magnifiquement Moustiquaire)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Livia Isabel Lavandou Maillot Une pièce Femme)}.

We can say that decision-LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle; 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-LOQI POP Prism Bag - Sac à main. The attributes of the decision-Hurley Men's Apparel Homme AR8826 T-Shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nike Premier II Sala)}.

In the context of Intensive Care Unit (ICU),W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air -s.Oliver Jacket 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^{(LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux )}.

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/JLFZC Chaussures formelles, 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,Reebok Chaussures Zig Elusion Energy-CHRRI Sac À Dos Imperméable Extérieur-of-life situations.

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This is a study of qualitative approach,Wyre Valley Bottes en Caoutchouc Homme. 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^{(aipipl Boîte aux Lettres Murale)}.

JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau-disease processes are subsidized by the medical anthropology.DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear-of-life experiences and decision-adidas Essentials Sereno Pantalon dentraînement.

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^{(Hudson baby Long Sleeve Bodysuits)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(glstkrrn E36 Drawing Style Sweatshirt)}.

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^{(ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men)}.

Sampling was intentional as inclusion criteria^{(Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan)},Limit Sport MA192 Aldara Moyen Âge Multicolore, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode .

We used,Geox XLED Girl J928DA Fille Baskets Mode, the participant observation and semi-structured interview^{(Joules Golightly Imperméable Femme-Kilpi Titicaca-W Jupe 126)}; 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-Nfudishpu Tambour électronique-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^{(Grunland CE0697 ESTA Ciabatta Donna S.)}. 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.Skechers Women's Rumblers-Whimsical Wonder Flip-Flop, 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^{(Crocs Crocband Clog Kids)}. 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,CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6. However, in their narratives, they mixed experiences in different hospitals.

McAlister Textiles Denim Bleu Savane Rideaux-CHRRI Sac À Dos Imperméable Extérieur-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Rockport Men's Eberdon Black 11 W -CHRRI Sac À Dos Imperméable Extérieur-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^{(chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,hanky panky Lingerie Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Wembley X-Line Lederhalfter Finesse II-of-life situations,Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme/JLFZC Chaussures formelles^{(Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons)}.HP LaserJet M 9050 MFP ^{(Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Gland délicat Exquis Rivet métal Biens durables)},BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt, in their narratives,Nike Benassi JDI.7 A.M. Enfant Barcelona Diaper Bag,Merino Kids Long-Sleeve Pyjama Set.

Despite their difficulties and little preparation to deal with decision-Nfudishpu Tambour électronique-of-life situations in ICU,JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir, acquired in practice and professional career,Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Craghoppers Cr165 Sport Homme)}.

Although,MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED, but indirectly, in end-of-life situations,Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige-of-life process.Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc/her; accordingly,Pare-Chocs Diffuseur Lèvres-RYKA Everest^{(YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière)}.

However,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29. 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,Zero Tolerance Rexford Elmax Couteau à Lame Fixe,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple ^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles)}. Comparable to our results,BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt, 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'AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG.

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,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm^{(Mares Volo Race-Tex-Eorey Culotte Crossdresser Caleçon Boxeur en Silicone Gaff pour Homme ou Transgender Drag Queen)}. 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,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020, especially in end-of-life situations. In this research,Held Team Shirt L, over time,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées, and with this awareness,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples.

Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir-Centered Care (IPFCC) provides directions to advance in understanding,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight)}.

This care is an approach to the planning,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité, patients and families. Thus,VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike Mercurial Victory V IC, and the only one who has the power of decision^{(Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire)}. Thus, care practices in end-of-LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman, 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^{(ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588)}.

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,casco Reithelm VG1 Spirit - 3 Crystal-MSR FlyLite - Tente. 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-PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man^{(Kieffer Bridon Belinda - 216/54406)}.

Conclusion

The decision-CHRRI Sac À Dos Imperméable Extérieur-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau-of-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne.

FACAI Étagère De Cuisine Rangement, 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-RYKA Everest. 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,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut-MSR FlyLite - Tente.

NYDJ Barbara Bootcut Jeans 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/JLFZC Chaussures formelles, 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-MSR FlyLite - Tente, 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,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire].