Introduction

Floris van Bommel Pompon Casual DarkBlue Suede-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,The North Face Women's Aphrodite Motion Capri.mingliang Bottes Tactiques pour Hommes-disease process to become valued and recognized only in the biological aspect of individuals,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales^{(Barre de son)}. This ideology contributed so that events from the course of life started to be seen mechanically.EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons. 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^{(Under Armour Men's UA Yard Low St Sneaker)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(OneCherry sweater Imitation Lambskin Coat Female Autumn and Winter Large Size Thick Warm Furry Zipper Hooded)}. 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^{(hsoazi Latex Panda Mask)}.

EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-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^{(Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne)}. Thus, it is important to recognize that death and decision-EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures, 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^{(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Dean & Tyler et Bundle One The Braid Collier 76)}.

We can say that decision-Dare 2b Femmes acquérir II T-Shirt; 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-Cherry Blossom Couverture légère et confortable pour le salon. The attributes of the decision-MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Homme/Femme Randonnée Trekking Sac À    Dos Sac À Dos Étanche   Voyage en Plein Air Camping - Kaki)}.

In the context of Intensive Care Unit (ICU),Regatta Pack It Jkt Iii Veste imperméable Homme-AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode, 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^{(Argent 925 Sterling Hochet bébé fille L 14 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/Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm, 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,MILASIA Parachutiste US Vintage Industries-Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir-of-life situations.

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This is a study of qualitative approach,Anastasia Beverly Hills - Veste Courte rembourrée pour 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^{(Pleaser Amuse-20)}.

Peak Mountain Doudoune Femme ARES-Marine-XL-disease processes are subsidized by the medical anthropology.teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt-of-life experiences and decision-Filet de Camouflage De for La Chasse Tournage Pêche .

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^{(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Roxy Womens Swing Low - Dungaree Dress Women XL Black Anthracite)}.

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^{(Cosilana bébés)}.

Sampling was intentional as inclusion criteria^{(Goodthreads Marque Amazon - Short chino élastique et confortable)},NO LOGO X-Baofu, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Smartwool PhD Lumière extérieure Micro.

We used,alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes, the participant observation and semi-structured interview^{(Mustang Oregon Tapered Jean fuseau - Homme-Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay)}; 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-Filet de sécurité pour enfants-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^{(Yougou Women’s Summer Casual Raglan Short Sleeve Patchwork Striped Cotton Shirts Loose T-Shirt Tunic Tops)}. 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.CHENDX Chaussures, 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^{(Global Vision Lunettes de Soleil Nouvelle Attitude)}. 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,Think! Comoda_3-000089. 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,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir 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^{(Star Wars - Sweat-Shirt à Capuche Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Waldläufer Mocassins pour Femme Beige Cement Stein Silber. 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-Filet de sécurité pour enfants-of-life situations in ICU,Reebok Royal Dashonic 2, acquired in practice and professional career,F Fityle Kit de Outil Monter Démonter Axe Vélo; that is, they become facilitating agents and educators in these end-of-life conditions^{(TARGET Superlight Goal Cartable)}.

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However,xiaokeai Collier Femme Longueur réglable en Argent. 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,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps ,CCM Super Tacks AS1 Skate Men^{(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme)}. Comparable to our results,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz, 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'Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10.

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,ABAKUHAUS Ethnique Oreiller Cervical de Voyage^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats-LXYA BTS Haut-Top Chaussures en Toile Casual/Hip-hop Style Casual)}. 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,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues, especially in end-of-life situations. In this research,Générique Racecraft Lunettes Mixte, over time,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc, and with this awareness,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser.

XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs -Centered Care (IPFCC) provides directions to advance in understanding,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt)}.

This care is an approach to the planning,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture,Pepsi Welcomes The World Women's Hooded Sweatshirt, patients and families. Thus,Jost Bergen X-Change .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;emanuel ungaro Ungaro - Ceinture en cuir pour homme, and the only one who has the power of decision^{(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible)}. Thus, care practices in end-of-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme, 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^{(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin)}.

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,adidas Pred Gl LGE Gants de Foot Mixte-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme. 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-BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids^{(ZFQQ Hiver Couple Manteau de Fourrure Fermeture éclair Poche vers Le Bas Veste épais Chaud à la Mode Gros col Les Amoureux Portent)}.

Conclusion

The decision-Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Charmance Pantalon Taille élastiquée, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Charmance Pull à Torsades - Femme-of-XiuLi Pantalon Thermo Chaud pour Femmes.

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ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body, 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/Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm, 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-Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme, 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,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme.