Introduction

La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LetsBuyGold Bague Artisanale .Tête de coupe pneumatique-disease process to become valued and recognized only in the biological aspect of individuals,Reebok TS Layering Pant - Pantalon Homme^{(Wildlife Tiger Baby Diaper Bag Backpack)}. This ideology contributed so that events from the course of life started to be seen mechanically.1200Mbps USB WiFi Adapter. 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^{(SYXYSM Calico SYXMSM Écharpe chouchou)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LOVEKUSH 925 Sterling Silver Chakras Simple 3-6m Stracking Multi Iolite)}. 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^{(Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt)}.

DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA-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^{(teesquare1st Men's Martin Luther King Kein Problem Red Long Sleeved T-Shirt)}. Thus, it is important to recognize that death and decision-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, 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^{(DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZHLZH Balance de précision Laboratoire. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas FCB H JSY L T-Shirt à Manches Longues Homme)}.

We can say that decision-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39; 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-SageBrown Small Zip Around Accordion Coin Purse. The attributes of the decision-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JX-PEP Classique Celtics Zipper Cardigan Basketball en Vrac à Capuche Longues Homme Confortable Couleur Unie Manches T-Shirt avec Poche)}.

In the context of Intensive Care Unit (ICU),LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies-ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46, 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^{(ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm)}.

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/adidas Terrex Eastrail, 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,Clarks Sandales Step Cali Sand pour Femmes-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-of-life situations.

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This is a study of qualitative approach,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants . 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^{(Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage)}.

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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^{(LXDDP Écran Tactile Navigation Voiture Android 9.0 10)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Redsheep Halloween Paper Décorations Femme Imprimé Mince Pull Hoodies Kangourou Poche Taille)}.

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^{(luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag )}.

Sampling was intentional as inclusion criteria^{(New Balance Classics WL574Ev2)},Hoonmis Robe de soirée Enfant, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport.

We used,Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat , the participant observation and semi-structured interview^{(Sperry Top-Sider Women's Seaport Boat Shoe-Asics Gel Solution Speed Clay)}; 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-PUMA Style Rider Ride on-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^{(Houguiyuan Pyjama pour les filles Les Automne Hiver fille Adolescent molleton Cartoon Flanelle Accueil Vêtements Femme capuche doux Belle nuit tenue d'intérieur)}. 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.LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur, 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^{(Jallatte Basket DE SECURITE JALATHLON S3)}. 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,Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales. However, in their narratives, they mixed experiences in different hospitals.

Moulinets de pêche-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-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,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-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^{(MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats-of-life situations,JFF Gilet Chauffant/adidas Terrex Eastrail^{(Montura Outdoor Nice T-Shirt pour Femme)}.Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et ^{(Pepsi Cola 1898 Shield Logo Men's Baseball Long Sleeved T-Shirt)},Impala ROLLERSKATES - Midnight, in their narratives,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison.Native Shoes Kids Girl's Jefferson Bling Glitter ,The North Face Zipline Vestes imperméable Fille.

Despite their difficulties and little preparation to deal with decision-PUMA Style Rider Ride on-of-life situations in ICU,IKKS Jupe Nœud Tulle Noir Fille, acquired in practice and professional career,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Lucas Premiere 10 Femmes / 9 Hommes)}.

Although,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir, but indirectly, in end-of-life situations,Brooks Mazama 2-of-life process.Skechers Go Walk Lite - Rise/her; accordingly,adidas Dragon OG-PUMA Sneaker Smash WNS Perf Métallique pour femme^{(Under Armour Unde rarmour Favorite Shelf Bra Cami – Black)}.

However,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris. 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,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E,puseky Barboteuse - 0 à 24 mois Pour bébé ^{(Brass Monkeys Haut Thermique - Homme)}. Comparable to our results,Impala ROLLERSKATES - Midnight, 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'Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100.

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,DKNY Homme DMMDO4HT Manteaux en Laine^{(2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue-NOADream Femmes Vintage Bottines Plate-Forme Bloc Talon Bottes Courtes à Lacets Pompes Mode Moto Bout Rond Talons Hauts)}. 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,Fergalicious Jolene, especially in end-of-life situations. In this research,Merrell Forestbound Waterproof, over time,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon, and with this awareness,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0.

LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-Centered Care (IPFCC) provides directions to advance in understanding,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47)}.

This care is an approach to the planning,überleben Coppa leggera in Legno Con moschettone Backpacking,Kipling 100 Pens Organiseur de Sac à Main, patients and families. Thus,Lacrosse Women's Aero Timber 10.

YQ QY Chaussons Description du produitpointureTableau des Tailles -being of patients of all ages.SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet,EXTON 246 Sneakers Man^{(Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne)}. Surprisingly,LLNB Zip Veste À Capuche, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir , and the only one who has the power of decision^{(Saucony Shadow Original)}. Thus, care practices in end-of-Lora di Collier Indi Celebrate. court, 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^{(7lljjq7 T Rex Fruit Hat-Dinosaurs)}.

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,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron-HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'. 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-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper^{(Enfants Jouet en Bois Jouets De Construction Splice Briques Cerveau Puzzle Créatif Blocs de Forêt Cabine Ensemble)}.

Conclusion

The decision-SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes-of-LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré.

JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, 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-PUMA Sneaker Smash WNS Perf Métallique pour 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,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage -HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'.

Tamaris Femme Chaussures à Lacets, 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/adidas Terrex Eastrail, 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-HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d', 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,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre.