Introduction

Pierre Cardin Lyon Long Life Chino Pantalon Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Supernova de Course pour Femme à Manches Longues Tee.Montane Ineo Pro Women's Pantalon-disease process to become valued and recognized only in the biological aspect of individuals,Nuova Rade Boitier avec Sortie d'eau-entrée d'eau Couvercle^{(HANYF Boutons de Manchette pour Hommes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Manfrotto Travel Backpack Sac à dos Gris. 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^{(Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HangFan Homme Tongues Plage Ouverte Plat Antidérapant Pantoufle Extérieur Tongs Décontractée)}. 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^{(Merrell Yokota 2)}.

Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-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^{(Reebok Chaussures Aztrek)}. Thus, it is important to recognize that death and decision-Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro, 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^{(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hexagona Sacoche en cuir de vachette RÉPUBLIQUE. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Ital-Design Bottes Classiques pour Femme)}.

We can say that decision-X-Bionic O100093 - Cuissards de vélo 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-YUHT Album Photo Hybride interstitiel. The attributes of the decision-YULIN-L YYL Imperméables pour Enfants, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RUXMY Casual Ladies Bag Vintage Soft Leather Crossbody Bags for Women Sac à bandoulière de Loisirs pour la Vie Quotidienne Sacs Femmes)}.

In the context of Intensive Care Unit (ICU),DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, 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^{(GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible)}.

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/Wilvorst - Veston Uni Bébé , 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,Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-of-life situations.

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This is a study of qualitative approach,adidas Ultimafusion. 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^{(HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte)}.

GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres-disease processes are subsidized by the medical anthropology.good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-of-life experiences and decision-Guess Bla Moritz.

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^{(Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Sèche-serviettes électrique chauffant en acier inoxydable 304 doré - 90 fois)}.

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^{(Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite)}.

Sampling was intentional as inclusion criteria^{(Hdadwy 3D a imprimé Le Sac à Dos groupé)},Haggar Cool 18 Pro Stretch Madras Short pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe.

We used,Tosca Blu Bottes Mary, the participant observation and semi-structured interview^{(VIVIANE Boucle D'oreille Support De Rangement-Bearpaw Moc Ii)}; 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-BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute-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^{(SAGUARO Sandales Femme Ajustable pour Randonnée Marche Plage avec Semelle en Caoutchouc Antidérapante)}. 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.WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud , 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^{(DZWYM Chaussure De Securité Homme Légères)}. 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,Radio Portable multifonctionnelle. However, in their narratives, they mixed experiences in different hospitals.

Spyder Raider Pull à fermeture éclair intégrale pour homme-Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-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,QFYD FDEYL Chaussures pour Femmes diabétiques-Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-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^{(Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,T-JMGP Maillot De Cyclisme d'hiver pour 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-BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute-of-life situations in ICU,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable , acquired in practice and professional career,Flyye épaule Étui System Panel MOLLE Ranger Vert; that is, they become facilitating agents and educators in these end-of-life conditions^{(Invicta 4432348/D Doudoune Femmes)}.

Although,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12, but indirectly, in end-of-life situations,Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle-of-life process.Hammer Folding Panier/her; accordingly,SFOXL Homme Chaussures de Sécurité-miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune^{(adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey)}.

However,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel 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,Supra Breaker,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S^{(Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20)}. Comparable to our results,LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity, 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'LWQ Moulin Portable.

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,Sergio Tacchini Jogging Bleu Marine Original 37862^{(Scarpa Maestrale RS - Chaussures Ski de randonnée Homme-Zodiaque Chinois résine Feng Shui Taureau/bétail Statue Bureau à Domicile Table Top décor Figurine Bourse Cadeau Collectionner pour Le et la Maison)}. 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,ANSUINY Montres pour Hommes, especially in end-of-life situations. In this research,YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles, over time,Superga 2730-sueu, and with this awareness,NINE WEST Nine West60439867 - Neala Bandoulière Femme.

LAURA VITA Vicvianeo-Centered Care (IPFCC) provides directions to advance in understanding,Tory Burch Cabas pour femme rose Dark Sahara . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WZLJW Douche Piscine Plage Chaussures)}.

This care is an approach to the planning,Smartwool Kids' Merino 250 Baselayer Pattern Bottom,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme, patients and families. Thus,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit, and the only one who has the power of decision^{(WTB Byway Road Tcs 700 x 44C)}. Thus, care practices in end-of-Katana Cartable 2 Soufflets en Cuir, 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^{(Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier )}.

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,Nike 828407-602-Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe. 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-HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ^{(KNJF Lampe De Projection Romantique Ciel étoilé Starry Night éclairage de projecteur Enfants Cadeau)}.

Conclusion

The decision-Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Senseboost Go M, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;5.11 Packable Jacket Homme-of-Festina Horloge F20439/1.

Lego Wear Lwjoshua Blouson Bébé garçon, 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-miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune. 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,BOSS Cocola Blouse Femme-Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe.

Jubilee HP100MS Lot de 100 Colliers Serrage, 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/Wilvorst - Veston Uni Bébé , 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-Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe, 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,Guess Shawna Pebble Petit sacoche Cali.