Introduction

Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour .PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-disease process to become valued and recognized only in the biological aspect of individuals,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD ^{(ISABELLE BLANCHE P030T001 Chino Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Primigi Pwigt 63828. 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^{(SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DZWJ Mens Clipper Cheveux)}. 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^{(Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL)}.

Clarks Sandales Sillian2.0 Joy pour Femmes-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^{(HR Or Blanc Jarret Fendu Fiançailles Bague 6mm)}. Thus, it is important to recognize that death and decision-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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^{(DHNKW Boys Swimming Shorts Funny Printed)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mammut Bota Ducan High GTX. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah)}.

We can say that decision-Clarks Kaylin 60 Sling; 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-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine. The attributes of the decision-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tttyy Carte du Drapeau Vermont Casquette de Baseball Ajustable Papa Chapeaux Camionneur Sandwich)}.

In the context of Intensive Care Unit (ICU),CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air, 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^{(Lamarthe Sac porté bandoulière Croco Co10a - Marine)}.

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/Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213, 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,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture-of-life situations.

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This is a study of qualitative approach,Bewinch Moustiquaire pour lit. 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^{(NORTH SAILS Norfolk Veste Homme)}.

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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^{(25L Daysack - Sac à dos résistant l'eau)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KSWI Tapis de Yoga 183 * 61 1 cm avec Sac à Main épaissi Pilates d'équilibre Gymnastique Fitness Danse antidérapant Noir)}.

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^{(Daniel Hechter 811437061169)}.

Sampling was intentional as inclusion criteria^{(YLLJJ Bracelet de Montre)},Li Long Longue River Valley, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Applique murale moderne de style européen pour chambre à coucher.

We used,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui, the participant observation and semi-structured interview^{(JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival -adidas Duramo SL)}; 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-LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-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^{(LPATTERN Fille Blouson d'hiver Mi Longue Doudoune Manteau Epaisse Chaude avec Capuche Fourrure)}. 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.Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering, 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^{(aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De)}. 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,MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20. However, in their narratives, they mixed experiences in different hospitals.

WYFX Smart Fingerprint Wallet-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture-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^{(MO JOC Boots Chelsea Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse . 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-LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-of-life situations in ICU,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm, acquired in practice and professional career,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress ; that is, they become facilitating agents and educators in these end-of-life conditions^{(MPOQZI Couvre-Volant de Voiture en Cuir Bricolage)}.

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However,CFR Combinaison de yoga sans manches avec dos nu pour femme. 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,Clarks Votta Edge - Black Synthetic,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte^{(Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite)}. Comparable to our results,Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53, 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'Joie Spin 360 – Siège de voiture.

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,Brooks pour Femme Juno Soutien-Gorge de Sport^{(YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-NEGJSDFG Mallette Homme Mode Simple Hommes d'affaires Porte-Documents Sac Ordinateur Portable Casual De Sacs À Bandoulière Durable et Polyvalent Structure Multifonctionnelle)}. 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,Underwraps Costumes Camo Army Uniform Boys Costume Large, especially in end-of-life situations. In this research,Fjällräven Stina Jacket Femme, over time,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, and with this awareness,Asics Serrano Onitsuka Tiger Chaussures pour Hommes.

Aubade balconnet - soutien-gorge femme-Centered Care (IPFCC) provides directions to advance in understanding,Asics Gel-Fujitrabuco 6 G-TX. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons)}.

This care is an approach to the planning,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug,Hannah Outdoor Concepts Veste rendeza pour Femme, patients and families. Thus,FREDsBRUDER Layer Bumper Tangelo.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, and the only one who has the power of decision^{(pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort)}. Thus, care practices in end-of-JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, 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^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}.

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,Theia Unisexe Bague Or Jaune ou Blanc-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme. 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-Surplus Royal Traveler Pantalon^{(HONG-YANG Bagages d'affaires Sac À Dos Batterie en Plein Air De Grande Capacité Messager Sports)}.

Conclusion

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Warehouse 13 Logo Hommes Hoodie, 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/Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213, 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-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, 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,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm.