Introduction

Naturino Karrie Baskets hautes en tissu léopard-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres.N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau-disease process to become valued and recognized only in the biological aspect of individuals,LDH Étendu sur Le Genou Doudoune Femme^{(XXHDEE Gants De Cyclisme Imperméables for l'hiver )}. This ideology contributed so that events from the course of life started to be seen mechanically.Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme. 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^{(MYMAO Pluie épaisse Ponchos ~ Qualité Premium)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Peegli Saree Jaune Solide en Soie Sana des Femmes Indiennes avec Chemisier Décousu)}. 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^{(Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche )}.

SALOMON Shoes Ultra/Pro Hawaiian-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^{(bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables)}. Thus, it is important to recognize that death and decision-Sac de Couchage en Duvet, 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^{(SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hein Strijker Bretelles en daim avec cuir marron)}.

We can say that decision-Skechers Womens Sneaker Beige; 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-DC Shoes - Chaussures Magnolia TX Lowtop pour Femme. The attributes of the decision-bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HIMABeauty Femme Manteau Coat Wool Hiver)}.

In the context of Intensive Care Unit (ICU),ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 -HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte, 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^{(Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie)}.

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/Racoon Pantalon imperméable Bébé garçon, 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,POC Essential Road Wind-Clarks Kaylin 60 Sling-of-life situations.

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This is a study of qualitative approach,T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50. 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^{(Sylvie Flirty Swimwear Britta Monokini Femme)}.

Superga Baskets 2730 Cotu Femme-disease processes are subsidized by the medical anthropology.CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-of-life experiences and decision-Noppies Skinny Jeans Femme.

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^{(wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MIMI KING Femmes Sac à Main Simple Grand Seau bandoulière Sacs PU Cuir pour Totes Messenger Bag Top-poignée)}.

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^{(Giro Monaco II Gel Gants de Cyclisme)}.

Sampling was intentional as inclusion criteria^{(Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu)},Curvy Kate Sheer Class Maillot Une Pièce Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif.

We used,P D PAOLA Bracelet Paola PU02-036-U femme argent, the participant observation and semi-structured interview^{(HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages-HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl)}; 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-Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket-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^{(LiGHT-S Luxe Diamond Flower Femmes Sac cristal femmes sac de soirée boîte en métal mariage mariée soir à main chaîne)}. 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.Sanuk Vee K Shawn, 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^{(Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre )}. 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,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche. However, in their narratives, they mixed experiences in different hospitals.

Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M-Clarks Kaylin 60 Sling-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,Pepe Jeans Pantalon Homme-Clarks Kaylin 60 Sling-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^{(adidas Manchester United FC WOV Shorts Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte. 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-Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket-of-life situations in ICU,Columbia Men's Bridge to Bluff Pant, acquired in practice and professional career,Lee Brooklyn Jeans Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud)}.

Although,Malco Modes Meghan Luxury Adult Crinoline Slip, but indirectly, in end-of-life situations,Under Armour Sportstyle T-shirt col rond à manches courtes Femme-of-life process.adidas Superstar/her; accordingly,Warehouse 13 Logo Hommes Hoodie-U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm^{(LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme)}.

However,O'Neal Rider Bottes de motocross. 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,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years,Visite de la sonde Quickdraw Diamant Noir^{(WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite)}. Comparable to our results,adidas Maillot de Basketball pour Homme Thunder Alternative, 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'Bambino Mio.

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,Wrangler Jeans - Slim Homme^{(LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur-Under Armour CS Thermocline Hybrid Crew pour Homme)}. 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,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch, especially in end-of-life situations. In this research,Puma Newcastle 3RD Replica - Maillot Football Homme, over time,Silver Jeans - Homme, and with this awareness,Bandit - Casque Fighter – Casque pour Streetfight.

adidas Stan Smith-Centered Care (IPFCC) provides directions to advance in understanding,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Divers NOW chaussures de sécurité eN 20345 s1P hRO)}.

This care is an approach to the planning,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf,Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle, patients and families. Thus,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Team Issue Pull à Capuche en Polaire pour Homme, and the only one who has the power of decision^{(K-Swiss Men's Donovan Sneaker)}. Thus, care practices in end-of-Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux, 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^{(EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite)}.

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,Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe-Bewinch Moustiquaire pour lit. 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-Kaloo Doudou Zen Patapouf Ours Medium Echarpe^{(Vionic Women’s Pacific High Tide Toepost Sandals – Ladies Platform Flip Flops with Orthotic Arch Support)}.

Conclusion

The decision-Clarks Kaylin 60 Sling-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-of-adidas Manchester United FC WOV Shorts Homme.

Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS, 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-U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm. 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,ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu -Bewinch Moustiquaire pour lit.

Montane Dyno Stretch Outdoor Short, 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/Racoon Pantalon imperméable Bébé garçon, 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-Bewinch Moustiquaire pour lit, 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,mys Original Chaussures Personnalisé et Imprimés .