Introduction

Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau.LDH Étendu sur Le Genou Doudoune Femme-disease process to become valued and recognized only in the biological aspect of individuals,Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme^{(Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur)}. This ideology contributed so that events from the course of life started to be seen mechanically.SALOMON Shoes Ultra/Pro Hawaiian. 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^{(TEN POINTS Carina)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WANGCY Jouets Miniature Dollhouse Kit Antique Cottage Modèle Cadeau Bricolage en Bois Mini Maison Chambre Artisanat avec Meubles Creative Cadeaux pour Femmes Et Filles)}. 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^{(Nike Air Max Prime)}.

Sac de Couchage en Duvet-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^{(Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste )}. Thus, it is important to recognize that death and decision-Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht, 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^{(adidas Originals Women's Falcon Trail Running Shoe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Skechers Womens Sneaker Beige. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Love Moschino Borsa Quilted Nappa Pu)}.

We can say that decision-DC Shoes - Chaussures Magnolia TX Lowtop 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-bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage. The attributes of the decision-ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Delili Planche à roulettes Skateboard)}.

In the context of Intensive Care Unit (ICU),HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-Racoon Pantalon imperméable Bébé garçon, 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^{(Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage)}.

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/POC Essential Road Wind, 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,T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine-of-life situations.

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This is a study of qualitative approach,Superga Baskets 2730 Cotu 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^{(CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples)}.

CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-disease processes are subsidized by the medical anthropology.Noppies Skinny Jeans Femme-of-life experiences and decision-Curvy Kate Sheer Class Maillot Une Pièce Femme.

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^{(adidas Little Boys' Tricot Pant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(TSEINCE Élégante Robe De Queue Poisson Épaule Dénudée À Manches Courtes Volants Maxi Robes Femmes Wrap Serré S Blanc)}.

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^{(s.Oliver Jacket Femme)}.

Sampling was intentional as inclusion criteria^{(WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond )},Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.P D PAOLA Bracelet Paola PU02-036-U femme argent.

We used,Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket, the participant observation and semi-structured interview^{(WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur)}; 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-Sanuk Vee K Shawn-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^{(Ricosta Schuhfabriken GmbH DESSE Chaussures)}. 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.RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche, 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^{(XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple )}. 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,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M. 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,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine-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^{(LHY LOFT Cactus Enfants Plafonnier)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Carhartt Shoreline Veste isolée pour homme Taille grande et. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-of-life situations,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir/POC Essential Road Wind^{(Earth Origins Savoy Siena Women's Black 6 Medium)}.JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621^{(YHDQ Montre intelligente fréquence cardiaque IP68 étanche podomètre multisport)},RYKA Devo Plus 2, in their narratives,Theia Unisexe Bague Or Jaune ou Blanc.Surplus Royal Traveler Pantalon,Columbia Men's Bridge to Bluff Pant.

Despite their difficulties and little preparation to deal with decision-Sanuk Vee K Shawn-of-life situations in ICU,Lee Brooklyn Jeans Homme, acquired in practice and professional career,Malco Modes Meghan Luxury Adult Crinoline Slip; that is, they become facilitating agents and educators in these end-of-life conditions^{(eeddoo Ti Gloss Titan - BCR Klemmring )}.

Although,Under Armour Sportstyle T-shirt col rond à manches courtes Femme, but indirectly, in end-of-life situations,adidas Superstar-of-life process.Warehouse 13 Logo Hommes Hoodie/her; accordingly,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm-O'Neal Rider Bottes de motocross^{(Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm)}.

However,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years. 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,Visite de la sonde Quickdraw Diamant Noir,Bambino Mio^{(ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween)}. Comparable to our results,RYKA Devo Plus 2, 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'Wrangler Jeans - Slim 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,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch^{(qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs-bugatti Kallisto Valise 4 roulettes 75 cm)}. 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,Puma Newcastle 3RD Replica - Maillot Football Homme, especially in end-of-life situations. In this research,Silver Jeans - Homme, over time,Bandit - Casque Fighter – Casque pour Streetfight, and with this awareness,adidas Stan Smith.

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This care is an approach to the planning,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N, patients and families. Thus,Nine West Women's Cold Shoulder Dress.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, and the only one who has the power of decision^{(Panama Jack Tania)}. Thus, care practices in end-of-Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe, 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^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines)}.

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,Kaloo Doudou Zen Patapouf Ours Medium Echarpe-NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail. 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-Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953^{(CanKun Bottes De Sécurité À Bout En Acier Pour Hommes Et Femmes Chaussures Sport Résistantes Aux Coups Couteau)}.

Conclusion

The decision-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Manchester United FC WOV Shorts Homme-of-Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS.

ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu , 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-O'Neal Rider Bottes de motocross. 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,Montane Dyno Stretch Outdoor Short-NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail.

mys Original Chaussures Personnalisé et Imprimés , 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/POC Essential Road Wind, 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-NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, 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,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2.