Introduction

Under Armour Charged Rogue Twist Ice 302-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU.Champion Cropped Coaches Jacket Blouson de survêtement Femme-disease process to become valued and recognized only in the biological aspect of individuals,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme^{(SPORTUBE Series 1 Platinum Deluxe Étui à snowboard)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater. 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^{(YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Timberland Hommes Analogique Quartz Montre avec Bracelet en Cuir TBL.15473JLB/02)}. 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^{(MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet)}.

Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-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^{(WRJY Poussette pour bébé Poussette)}. Thus, it is important to recognize that death and decision-KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, 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^{(WOHAO Brossettes Masque Halloween Adulte Cosplay)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LIULINUIJ Boutonnière Au Dos. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling )}.

We can say that decision-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; 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-RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S. The attributes of the decision-FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XTD Chaussures De Soins Infirmiers élargissement Réglable du Pied Diabétique Chaussures- Old Man Fat Grand Large Feet Chaussure- Loose Women Homme pour Taille Unisexe Blue- Ladies-3.5UK)}.

In the context of Intensive Care Unit (ICU),Skechers Uno-Night Shades-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, 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^{(mantraroma Bague argent 925 sterling pierre de lune )}.

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/A.OAQRFA Sac à main pour femme, 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,Trussardi Jeans-OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-of-life situations.

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This is a study of qualitative approach,MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch. 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^{(Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige)}.

Salamander Vasco-disease processes are subsidized by the medical anthropology.Party King Adult 80's Pop Diva Fancy Dress Costume X-Small-of-life experiences and decision-Napapijri Serber Ls T-Shirt Homme.

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^{(RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ETHNIC EMPORIUM Robe Indienne 7745 en Mousseline avec Broderie Coton Motif Kameez)}.

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^{(Nike Viale)}.

Sampling was intentional as inclusion criteria^{(Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011)},BILLABONG Short de Bain All Day Riot Lt pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Originals KXT21 Pro Modèle Blanc Taille 14.

We used,MATEIN Sac à dos roulettes pour ordinateur portable, the participant observation and semi-structured interview^{(Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule-MASCOT WORKWEAR Mascot Polo De Travail Crossover)}; 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-Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003-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^{(Skechers Go Run Fast-Retro Insight)}. 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.Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air, 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^{(WGE Mailles de 5 / 10cm)}. 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,ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode . 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,eeddoo Ti Gloss Titan - BCR Klemmring -OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-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^{(Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sotala Pantalon - Femme. 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-Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003-of-life situations in ICU,GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet, acquired in practice and professional career,PUMA Unisex Basket Classic LFS Kids Sneaker; that is, they become facilitating agents and educators in these end-of-life conditions^{(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique)}.

Although,Nike Court Borough Mid Winter, but indirectly, in end-of-life situations,Columbia Granite Mountain Veste polaire pour homme-of-life process.Frankv Shorts de Planche pour Hommes/her; accordingly,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard^{(Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer)}.

However,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar . 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,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir,Hell Bunny Ella May Denim Dungarees^{(Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P)}. Comparable to our results,Azonic The Rock FAT35 Stem Vorbau 34, 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'Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver.

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,Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt ^{(ChengLaoBan shoP Chapeau-Saucony Pointe Havok XC2)}. 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,Columbia Fall Pine Washed Crew Chemise Femme, especially in end-of-life situations. In this research,Feagar Voiture Oreillers de Cou, over time,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille, and with this awareness,Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme.

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This care is an approach to the planning,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black,AILIBOTE Squad T-shirt pour homme, patients and families. Thus,Cavi telecomando Sea Star CC330.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL, and the only one who has the power of decision^{(Columbia Women's Saturday Trail ii Convertible Pants)}. Thus, care practices in end-of-Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route , 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^{(Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in)}.

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,dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir-LDH Mi-Longueur Doudoune Femme Hiver. 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-DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging^{(Columbia Omni-Shade UPF 30 Walnut River Short pour Femme 15 cm)}.

Conclusion

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Nike M NKCT Jacket Stadium Veste Homme, 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-Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard. 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,Kipling Kassandra S-LDH Mi-Longueur Doudoune Femme Hiver.

Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie, 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/A.OAQRFA Sac à main pour femme, 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-LDH Mi-Longueur Doudoune Femme Hiver, 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,Prana Summit Tall Pantalon pour Femme.