Introduction

Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LUHTA JANAKKALA L6 Veste Femme.WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet -disease process to become valued and recognized only in the biological aspect of individuals,ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette ^{(Puma Newcastle 3RD Replica - Maillot Football Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32. 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^{(Failsworth Millinery Hudson Casquette six pièces - Marron Taille S)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HARLEY-DAVIDSON Official Women's 3D Mesh Accent Tee)}. 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^{(ALTRA Superior 4.0 Black)}.

Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle-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^{(HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux)}. Thus, it is important to recognize that death and decision-TOOSD Pantalon De Jogging pour Jambe Conique Hommes, 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^{(Shepherd Hugo 1201)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TYX Bottines À Bout Pointu)}.

We can say that decision-TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable ; 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-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme. The attributes of the decision-Roxy Life is Sweeter - Short pour Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tabouret Pratique Rembourré Velours Coiffeuse Ronde Base en Métal pour Chambre Salon Gris)}.

In the context of Intensive Care Unit (ICU),Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir-DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements, 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^{(LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires)}.

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/Columbia Wind Prougeector Novelty Veste Polaire pour Hommes , 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,GJQGYY Sèche-Chaussures électrique 2 rétractable-Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-of-life situations.

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This is a study of qualitative approach,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme 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^{(Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match)}.

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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^{(Ana Silver Co. Serpentine Stone)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ECCO Biom Mini Sandal)}.

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^{(EASTPAK Backpack Eastpak Orbit Glow Black 40T)}.

Sampling was intentional as inclusion criteria^{(FB Fashion Boots C3099)},YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et.

We used,Harnais de sécurité d'escalade, the participant observation and semi-structured interview^{(HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear)}; 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-Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école-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^{(Superdry Intarsia Slouch Knit Womens Sweater)}. 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.qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, 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^{(ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ)}. 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,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif. 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,GBY Sac à bandoulière pour femme - main tendance-Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-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^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN . 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-Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école-of-life situations in ICU,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9, acquired in practice and professional career,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU; that is, they become facilitating agents and educators in these end-of-life conditions^{(Puma MAPM Laurel Cap Schwarz)}.

Although,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., but indirectly, in end-of-life situations,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-of-life process.KAR 4/her; accordingly,XHH Échelle de Plante Support à Fleurs en Fer forgé-Folding bath tub Baril de Baignoire Pliable^{(arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back)}.

However,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes. 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,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été,Fox Débardeur à dos Randonnée Homme^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle)}. Comparable to our results,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual , 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'Square Enix Figurine 'Super Street Fighter IV - Sakura.

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,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable^{(Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women-Stacy Adams Cicero Perfed MOC Toe Slip-on)}. 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,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , especially in end-of-life situations. In this research,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas, over time,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection, and with this awareness,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）.

Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes-Centered Care (IPFCC) provides directions to advance in understanding,Wildlife Tiger Baby Diaper Bag Backpack. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une)}.

This care is an approach to the planning,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe, patients and families. Thus,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Cult Sabbayh 3136 Low Leather #black CLE104310, and the only one who has the power of decision^{(Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe)}. Thus, care practices in end-of-KTDT Horloge de Table Style Train Mode rétro, 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^{(Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme)}.

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,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque-Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt. 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-ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches^{(Polydeer Doudoune Max Long Épais À Capuche Parka d'hiver en Duvet Végétalien aux Femmes)}.

Conclusion

The decision-Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;AJZXHE réservoir d'eau Réservoir avec robinet-of-Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L .

Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27, 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-Folding bath tub Baril de Baignoire Pliable. 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,Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31-Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt.

MFLASMF Diviseur de pièce portatif Pliable Parc bébé, 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/Columbia Wind Prougeector Novelty Veste Polaire pour Hommes , 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-Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt, 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,Jesse James Workwear Workers Hort Industry.