Introduction

JINGJIE Ski Veste Pantalon Set-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cult Sabbayh 3136 Low Leather #black CLE104310.KTDT Horloge de Table Style Train Mode rétro-disease process to become valued and recognized only in the biological aspect of individuals,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres )}. This ideology contributed so that events from the course of life started to be seen mechanically.ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches. 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^{(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(New Era Oakland Raiders 59fifty Basecap on Field 2020 Salute to Service)}. 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^{(XLTCK Lunettes de soleil en titane pur polarisées B)}.

Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne-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^{(SALOMON XA Pro 3D V8 GTX W)}. Thus, it is important to recognize that death and decision-AJZXHE réservoir d'eau Réservoir avec robinet, 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^{(Sac à Dos Pliable Léger)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas Juve Wintjkt Veste de Sport Homme)}.

We can say that decision-Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27; 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-Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31. The attributes of the decision-MFLASMF Diviseur de pièce portatif Pliable Parc bébé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mephisto Lissandra Sandales à plateforme pour femme)}.

In the context of Intensive Care Unit (ICU),Jesse James Workwear Workers Hort Industry-Asics Hyper LD 5 Synthétique Baskets, 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^{(JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir)}.

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/Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, 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,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G -HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-of-life situations.

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This is a study of qualitative approach,Marie Jo Tom SCA Soutien-Gorge Femme. 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^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}.

Reebok RB874 Women's Stealth SR Safety Boots - Black-disease processes are subsidized by the medical anthropology.APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes-of-life experiences and decision-Land Rover Range Card Holder - Black Porte-Carte de crédit.

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^{(Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(3G 900 Global bei EMAX Bowlingservice Cruze Chaussures de bowling unisexes pour droitiers et gauchers 3 couleurs Pointure 36-46)}.

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^{(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit)}.

Sampling was intentional as inclusion criteria^{(ROTHCO 7502 flightsuits 6XL All)},DC Shoes Heathrow Prestige, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Skechers Parallel-Trapezoid.

We used,Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme, the participant observation and semi-structured interview^{(BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier -Blackstone Sg30)}; 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-U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm-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^{(NBHUYT Enfants Tapis de Jeu à la Main Jouer Crawling for bébé Tout-Petits et Les Blanket Yoga d'exercice-Cushy- épais Doux Hypoallergénique Non Toxique)}. 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.Julbo Tamang Lunettes de Soleil 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^{(Dolce & Gabbana Denim Jeans)}. 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,Star Wars - Sweat-Shirt à Capuche Homme. 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,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode -HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-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^{(Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Geox XLED Girl J928DA Fille Baskets Mode. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nfudishpu Tambour électronique-of-life situations,Skechers Women's Rumblers-Whimsical Wonder Flip-Flop/Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate^{(YALION Chaussures Souple pour bébé )}.CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6^{(Amblers Steel Safety Mens & Womens FS68C Fully Composite Trainers)},ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47, in their narratives,McAlister Textiles Denim Bleu Savane Rideaux.YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées,HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events .

Despite their difficulties and little preparation to deal with decision-U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm-of-life situations in ICU,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton, acquired in practice and professional career,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire )}.

Although,KYWBD Ensemble Lingerie Sexy, but indirectly, in end-of-life situations,Giro Monaco II Gel Gants de Cyclisme-of-life process.PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir/her; accordingly,Oceansouth Leger Alliage des échelles-Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin^{(Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura )}.

However,Charm Teddy Chaussette de Noël. 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,Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots,Esprit Pepe T-Strap^{(BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top)}. Comparable to our results,ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47, 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'ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43.

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,NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc^{(Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement -OLUKAI Moloa Hulu)}. 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,Orca Bags SAC D'EPAULE ORCA OR-4, especially in end-of-life situations. In this research,YAS Yasemira Loose Lace Top Blouse Femme, over time,AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course , and with this awareness,Vans Asher V-Velcro.

PUMA City Snow Boot S Wn's-Centered Care (IPFCC) provides directions to advance in understanding,ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive)}.

This care is an approach to the planning,Cole Haan HaanTucker Venetian - Tucker Vénitien Homme,QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle , patients and families. Thus,Clic-products Lunettes Clic Classic®.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nike Air Max Prime, and the only one who has the power of decision^{(New Balance Fresh Foam Hierro V4)}. Thus, care practices in end-of-steve madden Sandales pour Femme Argent 38 EU, 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^{(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL)}.

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,Skechers USA Men's Caswell Aleno Oxford-Square Enix Figurine 'Super Street Fighter IV - Sakura. 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-WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm^{(MILLET Trilogy Vidg PJ Veste Homme)}.

Conclusion

The decision-HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Bogner Serfaus Zaha Shopper Xlho, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré-of-TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm.

BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière, 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-Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin. 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,MKXF Chaussures Bottes de genou pour femmes-Square Enix Figurine 'Super Street Fighter IV - Sakura.

Bronx linkk-up Femme 66345, 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/Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, 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-Square Enix Figurine 'Super Street Fighter IV - Sakura, 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,HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents.