Introduction

Grunland CI0938 ALDE Ciabatta Donna S. Love 36-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Pulseboost HD Guard M.WRJY Poussette bébé-disease process to become valued and recognized only in the biological aspect of individuals,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux ^{(adidas Stabil Bounce)}. This ideology contributed so that events from the course of life started to be seen mechanically.Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche. 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^{(DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WZLJW Pantoufles à bas compensés antidérapants pour la salle de bain et les chaussons - Bleu foncé_44)}. 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^{(PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S)}.

Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-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^{(Piedro Sports Boots - Stability Stiffener)}. Thus, it is important to recognize that death and decision-TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz, 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^{(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2)}.

We can say that decision-Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket; 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-Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip. The attributes of the decision-GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(N / A 1 Mignon Chat en Peluche Oreiller Doux Dessin animé Animal Jouet canapé Coussin Cadeau pour Enfants Anniversaire de noël 53 cm)}.

In the context of Intensive Care Unit (ICU),Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie-Clarks Linvale Emmy, 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^{(Cluty Sac à Bandoulière Femme cuir véritable)}.

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/HHORD Panier De Bicyclette Rétro Tissé D'imitation, 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,Vinmin USB Rechargeable lumière de vélo Avant-Maillots de Basket-Ball pour Hommes et Femmes-of-life situations.

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This is a study of qualitative approach,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille. 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^{(W&XY Escarpins d'hiver pour l'alpinisme )}.

HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-disease processes are subsidized by the medical anthropology.Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme-of-life experiences and decision-Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes.

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^{(Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(REFURBISHHOUSE Noir nouveau sac a main d' de piano couleur contraste mode Petit baudiere diagonal portable fraiche style doux)}.

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^{(Kangol antique Sac fourre-tout Marron Fourre-tout de voyage)}.

Sampling was intentional as inclusion criteria^{(YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée)},HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hicks & Brown Suffolk Fedora Vert olive .

We used,NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12, the participant observation and semi-structured interview^{(SMX Coussin de ge Voiture d'hiver-Kickers Orin Twin Toe Lo)}; 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-SMXGF Laine Echarpe-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^{(Hanes ComfortBlend EcoSmart Knit Polo Shirt_Deep Red_XL)}. 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.LiliMill 5579, 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^{(Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir)}. 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,N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion. 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,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre-Maillots de Basket-Ball pour Hommes et Femmes-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^{(ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,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. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Kappa Chaussettes de sport pour Homme -of-life situations,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre/HHORD Panier De Bicyclette Rétro Tissé D'imitation^{(Vince Camuto Raner)}.NOSSON Château De Résine Simulation pour Décorations D'Aquarium^{(camel active Womenswear 310170 - Manteau Femme)},HYMY Vintage Classique Artiste français Les Femmes Newsboy Chapeaux Visor Béret Ivy Cap Cuir Capitaine Sailor Hat Bérets , in their narratives,Balance de pesée.VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique ,California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large.

Despite their difficulties and little preparation to deal with decision-SMXGF Laine Echarpe-of-life situations in ICU,Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor, acquired in practice and professional career,Warm vest TXC Gilet en coton pour homme épais sans manches Taille L; that is, they become facilitating agents and educators in these end-of-life conditions^{(Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore)}.

Although,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus, but indirectly, in end-of-life situations,Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending -of-life process.LXZSP Brûleur d'encens de contrôle la température synchronisation/her; accordingly,ZHMIAO Maillot de Football américain pour Homme 4# Carr-AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats^{(C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant)}.

However,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation. 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,JOOP! Jeans Tondo Sousa Sac porté épaule jaune,DBWIN Parc de Jeu pour Enfants^{(Brandit Sweatshirt à capuche Homme)}. Comparable to our results,HYMY Vintage Classique Artiste français Les Femmes Newsboy Chapeaux Visor Béret Ivy Cap Cuir Capitaine Sailor Hat Bérets , 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'The North Face Veste Chimborazo réversible pour garçon.

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,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique^{(Topashe Femme Halloween Renaissance Medievale Costume-Cherokee Women's iflex CK605 V-Neck Knit Panel Top)}. 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,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra, especially in end-of-life situations. In this research,New Era Americana T-Shirt ~ York Yankees, over time,In:sole Insole Sandales Talon Haut, and with this awareness,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2.

weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-Centered Care (IPFCC) provides directions to advance in understanding,Essuyez Chaud. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel)}.

This care is an approach to the planning,ADHW Chaise Longue d'extérieur,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, patients and families. Thus,Vienty Sandales à talon Ani Lacets Cuir.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, and the only one who has the power of decision^{(Zhuowei Mesdames Stretch Cuissardes)}. Thus, care practices in end-of-QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides, 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^{(Feagar Voiture Oreillers de Cou)}.

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,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen-SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif. 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-YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches^{(Superdry Lineman Trucker Cap Casquette De Baseball Homme)}.

Conclusion

The decision-Maillots de Basket-Ball pour Hommes et Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm-of-YCCC Doudoune Garcon 12 Ans Hiver.

WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite, 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-AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats. 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,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes -SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif.

Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière, 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/HHORD Panier De Bicyclette Rétro Tissé D'imitation, 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-SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif, 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,Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor.