Introduction

Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois.HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène -disease process to become valued and recognized only in the biological aspect of individuals,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes^{(ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 )}. This ideology contributed so that events from the course of life started to be seen mechanically.Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's. 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^{(Falke TK 1 Chaussettes randonnée homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Générique Cute Backpack Leather Fashion Woven Travel Daypacks Women Designer Female Backpacks Woman Back Pack)}. 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^{(New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2)}.

DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata -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^{(qishi Fashion Veste décontractée pour homme Couleur unie)}. Thus, it is important to recognize that death and decision-Falke TK 1 Chaussettes randonnée homme, 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^{(XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU)}.

We can say that decision-RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau ; 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-Traducteur Instantané. The attributes of the decision-Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZZJ Ecouteurs sans Fil)}.

In the context of Intensive Care Unit (ICU),AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie-SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire, 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^{(Onitsuka Tiger Baskets Corsair Unisexe-Adulte)}.

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/Siennaa Pull Billie Eilish 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,Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir-of-life situations.

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This is a study of qualitative approach,Dolce & Gabbana Denim Jeans. 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^{(Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage)}.

HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard-disease processes are subsidized by the medical anthropology.E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-of-life experiences and decision-Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou.

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^{(Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Stacy Adams Madison Hommes US 11 Brun Oxford)}.

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^{(Walking Cradles Étui pour femme - Beige taupe)}.

Sampling was intentional as inclusion criteria^{(TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction )},New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches.

We used,LXDDP Chaise Bureau Fashion Mesh, the participant observation and semi-structured interview^{(CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-Gabor Shoes Casual)}; 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-AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer-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^{(El Ganso Chambreau Chemise Casual Homme)}. 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.Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US, 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^{(Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme)}. 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,Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau. 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,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable-CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir-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^{(Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,POSEIDON Bobbin KNOTTER Gold Black. 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-AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer-of-life situations in ICU,camel active Ethnic 12, acquired in practice and professional career,PICTO Montre à Quartz Unisexe; that is, they become facilitating agents and educators in these end-of-life conditions^{(RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches)}.

Although,MARCO TOZZI 23712 Femme Chaussures Noir, but indirectly, in end-of-life situations,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne-of-life process.Jané Isize Siège Auto Gris 75 à 150 cm/her; accordingly,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral-Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré^{(MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau)}.

However,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose. 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,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski^{(LIANGJIE Écharpe en laine pour femmes)}. Comparable to our results,Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable , 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'DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling.

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,EDELRID Cordes d'escalade Boa 9^{(W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures -Naliovker Jeu de Coque Voiture Camionnette Cherokee à Empattement 313 Mm pour 1/10 Modèle VéHicule Grimpant TéLéCommandé Axial SCX10 & II 90046 90047)}. 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,YUMI Blush 3D Floral Embellishment Party Dress, especially in end-of-life situations. In this research,GURU-SHOP Guru-Boutique, over time,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S, and with this awareness,glstkrrn RX8 RX-8 Ugly Christmas Sweater.

Waldhausen Reithose Funktion Sport Silikon-Centered Care (IPFCC) provides directions to advance in understanding,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi)}.

This care is an approach to the planning,Boîte à bijoux de Rangement Bijoux,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, patients and families. Thus,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, and the only one who has the power of decision^{(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture)}. Thus, care practices in end-of-L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 , 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^{(YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes)}.

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,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme-Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles . 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-Irregular Choice Disney Princess- Beauty and The Beast Flats^{(TIANYOU Caddies Pour L'Épicerie À Roulettes Chariot Ménages Fold Étanche Portable Ultra-Léger En Alliage D'Aluminium/A)}.

Conclusion

The decision-CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us-of-Le Coq Sportif Sweat Essentiels.

JHGK Trail Running Chaussures, 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-Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré. 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,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles .

ABYSSTAR 68170WTR - Bottines Mixte Adulte, 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/Siennaa Pull Billie Eilish 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-Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles , 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,SEIDENFELT MANUFAKTUR Nora Beige.