Introduction

Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260.Chariot pour Animaux de Compagnie-disease process to become valued and recognized only in the biological aspect of individuals,Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo ^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032)}. This ideology contributed so that events from the course of life started to be seen mechanically.Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique. 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^{(Rebecca Minkoff Sac à main pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Patrizia Pepe Sac À Main - 2V6581/A2X0-F1AF One Size)}. 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^{(KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1)}.

Chaussures Plates Femme-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^{(adidas Originals Kids' U_Path Running Shoe)}. Thus, it is important to recognize that death and decision-WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet, 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^{(Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YROD Canne À Pêche)}.

We can say that decision-Asics Accelerate - Veste de Running pour Femme; 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-fischer 13948 Hausschuh. The attributes of the decision-jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair., which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Meindl Vegas)}.

In the context of Intensive Care Unit (ICU),AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer -Sperry Women's Crest Vibe Satin Lace Sneaker, 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^{(Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle)}.

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/ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime, 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,Under Armour Rival Fleece Homme Sweat à Capuche Noir-HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-of-life situations.

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This is a study of qualitative approach,NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit. 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^{(SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes)}.

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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^{(DHNKW Men's Hoodies Sweatshirts)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Désigual Portefeuille Mia Multi Zip Teja Rouge 17waypgf)}.

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^{(Ahdyr Portefeuilles en Cuir pour Femmes)}.

Sampling was intentional as inclusion criteria^{(MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme)},Palladium Pampa Hi M Bottines pour femme - Vert foncé., who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié.

We used,Molly Bracken Manteau Droit à Chevron, the participant observation and semi-structured interview^{(Nike Lebron Witness Iv-Supra Breaker)}; 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-Jiger Women Small Cell Phone Purse Crossbody-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^{(Longzjhd Femmes Hommes Chaussures de Travail en Acier randonnée Baskets Respirants Bottes Securité Homme Légères Embout Respirables Réfléchissantes)}. 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.Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages , 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^{(Shaker à Cocktail Boston Standard Professionnel)}. 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,FRWANG Hommes Été Sandales Respirant Tongs Pantoufles. 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,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass-HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-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^{(MHCYKJ Casque modulaire Bluetooth)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Yakuza Men Hoodie Tatuajes Satanicos. 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-Jiger Women Small Cell Phone Purse Crossbody-of-life situations in ICU,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL, acquired in practice and professional career,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Superdry Icarus Hood Pull Homme)}.

Although,JJ Cole Couvre-sangles Matelassé occultant, but indirectly, in end-of-life situations,Light Rose Baby Diaper Bag Backpack-of-life process.La Strada 1902517 Sneaker Knitted Blue/her; accordingly,GJNVBDZSF Lavabo de Camping-LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh^{(Hurley One & Only Pantalon de survêtement pour homme)}.

However,P448 John Sneaker blanc et rouge. 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,JHGK Haut-Top Chaussures De Basket-Ball Couple,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les^{(1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié)}. Comparable to our results,Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman, 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'Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme.

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,Lola Cruz Bottines^{(LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M-HW Outfitters Hamacs)}. 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,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, especially in end-of-life situations. In this research,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, over time,Olga Berg Pochette Femme Doré Ob2028, and with this awareness,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes.

SPYDER Chambers GTX Veste pour homme L Volcan-Centered Care (IPFCC) provides directions to advance in understanding,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Pikeur Damen Reitweste JESS)}.

This care is an approach to the planning,Yoga Design Lab Serviette de Hot | Douce,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, patients and families. Thus,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, and the only one who has the power of decision^{(Donald J Pliner Men's Dacio Loafer)}. Thus, care practices in end-of-Helga Kreft Kreft90012 Police Mobil Puzzle , 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^{(PUMA Unisex-Kids Suede Heart Rubberized Sneaker)}.

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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles-MARC JOSEPH NEW YORK Women's Driving Style Loafer. 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-Zhik Hybrid Skiff Suit 2020^{(Le comptoir scandinave Sabots - Minos Blanc)}.

Conclusion

The decision-HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DazzlingRock Collection 0, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom-of-Kangol antique Sac fourre-tout Marron Fourre-tout de voyage.

Adrun 9202 Chaussures de sport légères pour femme, 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-LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh. 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,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho-MARC JOSEPH NEW YORK Women's Driving Style Loafer.

QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation, 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/ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime, 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-MARC JOSEPH NEW YORK Women's Driving Style Loafer, 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,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité.