Introduction

VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Minoura AB-100-4.5 Powder Coated Water Bottle Cage.RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51-disease process to become valued and recognized only in the biological aspect of individuals,UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King ^{(Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W )}. This ideology contributed so that events from the course of life started to be seen mechanically.UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller. 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^{(Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HANG-FAN Ventilateurs de Refroidissement)}. 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^{(Microphone À Condensateur Kit)}.

Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave-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^{(NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott)}. Thus, it is important to recognize that death and decision-HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage 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^{(GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YAOLAN 5D Diamant Peinture kit Complet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nike Air Max 95 Essential)}.

We can say that decision-Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant; 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-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU. The attributes of the decision-FANZIFAN Manteau de la Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SYXYSM Cyclisme Maillots Manches Longues Hommes Quick-Dry Spring Mountain Bike Vêtements Respirant Faire du Vélo)}.

In the context of Intensive Care Unit (ICU),YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers, 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^{(Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat)}.

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/YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe , 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,GCX Imperméable Poncho imperméable for Femmes en extérieur-Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon-of-life situations.

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This is a study of qualitative approach,Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt. 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^{(Utility Diadora Veste Sail Gris gris M)}.

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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^{(Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Parc Intérieur pour Enfants Bébé Tapis Rampant Enfant en Bas Âge Clôture De Protection Sécurité À La Maison Ventouse Fixe Poussoir Matériel sans Odeur)}.

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^{(LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand)}.

Sampling was intentional as inclusion criteria^{(LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant)},Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille .

We used,Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , the participant observation and semi-structured interview^{(Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme-XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport)}; 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-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-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^{(8bayfa Caoutchouc Naturel Tapis de Yoga Anti-dérapant Sport Sit-up Formation Fitness Mat Convient for Les Hommes et Femmes débutants Accueil Salle Yoga.1211)}. 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.LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex, 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^{(Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus)}. 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,Reebok Chaussures Aztrek. 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,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon-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^{(PME Legend 550 Curtis Runway Chaussures de course Gris)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet. 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-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-of-life situations in ICU,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle, acquired in practice and professional career,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole; that is, they become facilitating agents and educators in these end-of-life conditions^{(DYHQQ Brancard de Chaussure)}.

Although,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym, but indirectly, in end-of-life situations,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches-of-life process.Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual /her; accordingly,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique -CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt^{(French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt)}.

However,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats. 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,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée,Saucony Jazz Original^{(Under Armour ColdGear Legging ajusté pour Homme)}. Comparable to our results,Saucony Guide Iso, 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'Anna Cecere ACA 016 lime.

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,Puma Men's Iconic MCS Tee^{(Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel-Mantis Synthetic Plus Tennis String - 200m Reel)}. 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,Naturino See, especially in end-of-life situations. In this research,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure, over time,Herschel Heritage, and with this awareness,Clarks Women's Linvale Sea Fashion Boot.

Clarks Women's Verona Rock Ankle Boot-Centered Care (IPFCC) provides directions to advance in understanding,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole)}.

This care is an approach to the planning,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz , patients and families. Thus,Mandarina Duck MD20 Sac bandoulière bleu.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;John Deere Nothing Runs Like A Long Sleeve Printed Tee, and the only one who has the power of decision^{(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia)}. Thus, care practices in end-of-OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN, 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^{(American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003)}.

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,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable. 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-Breed Racer Chronograph Bracelet Watch w/Date^{(Broderie 81 Kessel Maillots Pittsburgh Penguins Hockey Jersey Noir Sweat-Shirt Respirant Sport T-Shirt à Manches Longues Gilet)}.

Conclusion

The decision-Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU-of-Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique..

HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, 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-CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt. 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,KAR 4-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable.

XHH Échelle de Plante Support à Fleurs en Fer forgé, 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/YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe , 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-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable, 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,Folding bath tub Baril de Baignoire Pliable.