Introduction

XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif.Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron-disease process to become valued and recognized only in the biological aspect of individuals,Geox D Thymar F^{(ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 )}. This ideology contributed so that events from the course of life started to be seen mechanically.Prana prAna. 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^{(Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Silfer Shoes Sabots en cuir véritable de nappa Orange)}. 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^{(Anastasia Beverly Hills - Veste Courte rembourrée pour Femme)}.

Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-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^{(Rieker 30921)}. Thus, it is important to recognize that death and decision-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , 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^{(WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print)}.

We can say that decision-Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64; 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-Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal. The attributes of the decision-Casque Activ 2 – Casque de vélo, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WYZDQ Bottes en Cuir pour Hommes Non-Slip Casual Bottines Fur Lined Randonnée Comfy Hiver Au Chaud Plein Air De Neige Chaussures)}.

In the context of Intensive Care Unit (ICU),Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme-kentucky Bandes de Repos Repellent Bleu, 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^{(THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir)}.

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/KesVir Kes-Vir Incontinence Wrapshorts Boy, 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,Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-DC Shoes Boys' Court Graffik Skate Shoe-of-life situations.

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This is a study of qualitative approach,Dilwe Mini Alcool Réchaud en acier inoxydable. 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^{(Dare 2b Cloud Burst Veste pour Fille)}.

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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^{(Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(NCNC Short de Sport Basket-Ball Sixers à séchage Rapide)}.

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^{(MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale)}.

Sampling was intentional as inclusion criteria^{(DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz)},Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour .

We used,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L, the participant observation and semi-structured interview^{(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant-Happiness Leggings Serpent)}; 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-Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -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^{(Frieed Sacs Retro Gym Voyage Hommes Toile De Remise en Forme Sac À Main Bagages Femmes Homme Bandoulière Épaule Paquet Fourre-Tout Sport Outdoor pour Toi)}. 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.Primigi Pwigt 63828, 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^{(Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables )}. 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,Clarks Sandales Sillian2.0 Joy pour Femmes. 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,OBEY Drop out sling pack-DC Shoes Boys' Court Graffik Skate Shoe-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^{(Clair de Lune Doublure en polaire pour couffin osier Rose)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,mingliang Bas pour Aider Bottes Militaires des Hommes. 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-Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -of-life situations in ICU,Fila Pull à capuche avec logo flamino pour homme, acquired in practice and professional career,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M; that is, they become facilitating agents and educators in these end-of-life conditions^{(Décoration de la Maison Figures géométriques Statue Sculpture)}.

Although,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond, but indirectly, in end-of-life situations,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20-of-life process.DC Shoes Court Graffik - Baskets pour Garçon ADBS100207/her; accordingly,Little Mistress Lillian Robe longue en dentelle avec trou de serrure-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée^{(Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et )}.

However,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy. 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,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert^{(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage)}. Comparable to our results,Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket, 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'Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne.

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,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre^{(Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-Nike WMNS Benassi JDI Print)}. 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,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse , especially in end-of-life situations. In this research,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie, over time,HYLH 3D LED Stunt Motorcycle Illusion Night Light, and with this awareness,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ.

Wmeat-P Ensemble De Housse Couette-Centered Care (IPFCC) provides directions to advance in understanding,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(B Blesiya 3pcs Sac de Haricot Housse Imperméable)}.

This care is an approach to the planning,Houdini Power Houdi Veste Homme,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm, patients and families. Thus,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, and the only one who has the power of decision^{(Huber Romi Veste en Tricot pour Femme Bleu Clair)}. Thus, care practices in end-of-CFR Combinaison de yoga sans manches avec dos nu pour femme, 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^{(Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7)}.

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,Clarks Votta Edge - Black Synthetic-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues. 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-VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte^{(Giro Empire SLX Road)}.

Conclusion

The decision-DC Shoes Boys' Court Graffik Skate Shoe-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Joie Spin 360 – Siège de voiture, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Brooks pour Femme Juno Soutien-Gorge de Sport-of-Underwraps Costumes Camo Army Uniform Boys Costume Large.

Fjällräven Stina Jacket 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-wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée. 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,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues.

Asics Serrano Onitsuka Tiger Chaussures pour Hommes, 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/KesVir Kes-Vir Incontinence Wrapshorts Boy, 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-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues, 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,Aubade balconnet - soutien-gorge femme.