Introduction

Sac de Couchage en Duvet-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht.Skechers Womens Sneaker Beige-disease process to become valued and recognized only in the biological aspect of individuals,DC Shoes - Chaussures Magnolia TX Lowtop pour Femme^{(Skechers Performance Go Walk Evolution Ultra - 54736)}. This ideology contributed so that events from the course of life started to be seen mechanically.bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage. 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^{(APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MSGM Luxury Fashion Femme 2641MDA0419510418 Rouge Soie Robe | Printemps-été 20)}. 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^{(Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile)}.

ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 -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^{(TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear)}. Thus, it is important to recognize that death and decision-HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte, 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^{(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Racoon Pantalon imperméable Bébé garçon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag)}.

We can say that decision-POC Essential Road Wind; 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-T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50. The attributes of the decision-Superga Baskets 2730 Cotu Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(teespring Mechanic's Wife T-shirt pour femme classique 100% coton)}.

In the context of Intensive Care Unit (ICU),CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-Noppies Skinny Jeans Femme, 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^{(Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes )}.

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/Curvy Kate Sheer Class Maillot Une Pièce Femme, 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,Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif-LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue-of-life situations.

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This is a study of qualitative approach,P D PAOLA Bracelet Paola PU02-036-U femme argent. 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^{(JEWEL BEADS Gemstone Beads Opal - Boulder Beads)}.

Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket-disease processes are subsidized by the medical anthropology.Sanuk Vee K Shawn-of-life experiences and decision-RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche.

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^{(XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SIUS0Q Faerie Moon Fille Stickers Muraux pour Enfants Chambres Bébé Chambre Décoration De La Maison PVC Matériel Bricolage Bande Dessinée Murale 100 * 140Cm)}.

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^{(H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique)}.

Sampling was intentional as inclusion criteria^{(ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau)},Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue.

We used,Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau, the participant observation and semi-structured interview^{(Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour-Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates)}; 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-MC KINLEY Bottes de Randonnée Discover Mid AQX-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^{(adidas Essentials Short 3 Bandes pour Homme)}. 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.Clarks Men's Vargo Vibe Oxford, 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^{(1 pcs Butée de serrure fenêtre porte ajustable avec coin en caoutchouc pour interrupteur rotatif recouverte)}. 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,The North Face Trail Escape Edge Homme. 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,Theia Unisexe Bague Or Jaune ou Blanc-LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue-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^{(camel active Ethnic 12)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Surplus Royal Traveler Pantalon. 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-MC KINLEY Bottes de Randonnée Discover Mid AQX-of-life situations in ICU,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, acquired in practice and professional career,O'Neal Rider Bottes de motocross; that is, they become facilitating agents and educators in these end-of-life conditions^{(mantraroma Pendentif argent 925 sterling labradorite )}.

Although,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years, but indirectly, in end-of-life situations,Visite de la sonde Quickdraw Diamant Noir-of-life process.Bambino Mio/her; accordingly,Wrangler Jeans - Slim Homme-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch^{(Lucky Brand LK-Joal2 Escarpins pour Femme)}.

However,Puma Newcastle 3RD Replica - Maillot Football Homme. 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,Silver Jeans - Homme,Bandit - Casque Fighter – Casque pour Streetfight^{(Kala-isbijoux Pendentif )}. Comparable to our results,Joie Spin 360 – Siège de voiture, 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'adidas Stan Smith.

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,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau^{(DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette-WOOAI chaîne Vitesse x11sl x10sl Couleur DLC Diamant 10.11 Carbone Ultra léger VTT pièces de Bicyclette vélo Route)}. 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,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf, especially in end-of-life situations. In this research,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, over time,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N, and with this awareness,Nine West Women's Cold Shoulder Dress.

Sac à dos Voyager 60L Femme Cobalt avec sac-Centered Care (IPFCC) provides directions to advance in understanding,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Merrell Femmes Chaussures De Sport A La Mode)}.

This care is an approach to the planning,Deerhunter Veste de chasse Highland,adidas Team Issue Pull à Capuche en Polaire pour Homme, patients and families. Thus,Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Manchester United FC WOV Shorts Homme, and the only one who has the power of decision^{(Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05)}. Thus, care practices in end-of-Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS, 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^{(HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College )}.

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,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu -Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui. 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-Montane Dyno Stretch Outdoor Short^{(AmanGaGa Beyblade Pullover Sweat-Shirt à Capuche imprimé de Style Urbain avec Unisexe)}.

Conclusion

The decision-LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.mys Original Chaussures Personnalisé et Imprimés , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2-of-WILSON Youth Classic Relaxed Fit Baseball Pant.

Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé, 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-yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch. 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,Nike Air Force 1 Mid 07-Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui.

Dr. Martens 1460, 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/Curvy Kate Sheer Class Maillot Une Pièce Femme, 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-Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui, 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,RCBS Neck Die Set.