Introduction

PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag.Lowa Renegade GTX Mid-disease process to become valued and recognized only in the biological aspect of individuals,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt^{(jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.)}. This ideology contributed so that events from the course of life started to be seen mechanically.CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités 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^{(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Flowlot Drop Me AWP T-Shirt Homme)}. 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^{(ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg)}.

Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues-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^{(YANGTAO Ressacs Projecteur De Lumière Nuit)}. Thus, it is important to recognize that death and decision-Zwei Olli O12 Black, 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^{(DSZZ Health Chaussures de Badminton pour Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WONDER WOMAN DC Comics Maillots Une pièce Fille)}.

We can say that decision-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man; 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-LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable. The attributes of the decision-Ahdyr Portefeuilles en Cuir pour Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TAPESTRYDA Haikyuu Kageyama Tobio Aoba Johsai Sweats à Capuche pour Homme Femme Pull Hoodie Casual Garçon Fille Veste)}.

In the context of Intensive Care Unit (ICU),Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20-Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , 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^{(MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail)}.

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/Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit, 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,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -of-life situations.

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This is a study of qualitative approach,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne. 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^{(LXZSP Brûleur d'encens de contrôle la température synchronisation)}.

L.TSA Lámpara colgante de vidrio minimalista moderno-disease processes are subsidized by the medical anthropology.ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme-of-life experiences and decision-Smilice Bottes d'hiver pour 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^{(DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Carlos by Santana Amara 6 Sandales pour Femme)}.

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^{(Vans T Classic Baskets à enfiler)}.

Sampling was intentional as inclusion criteria^{(axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir)},LetsBuyGold Bague Artisanale , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LetsBuyGold Bague Artisanale .

We used,Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme, the participant observation and semi-structured interview^{(Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel-Waldläufer Mocassins pour Femme Beige Cement Stein Silber)}; 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-adidas Real Away Chaussettes Homme-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^{(Giow Personnalité Creative Chelsea Team Round Clock Accueil Montre Tendance à Quartz)}. 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.BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan, 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^{(Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son )}. 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,Gabor Shoes Basic. 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,Parker Femme P8HRRD10 Robe-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -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^{(ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm. 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-adidas Real Away Chaussettes Homme-of-life situations in ICU,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière, acquired in practice and professional career,NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué; that is, they become facilitating agents and educators in these end-of-life conditions^{(HMY Round Tapis de Bain)}.

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However,Crocs Sanrah Hammered Metallic Sandal Women. 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,NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau ,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain ^{(Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste)}. Comparable to our results,teesquare1st Men's Martin Luther King Injustes Red Long Sleeved T-Shirt, 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'Loykind Chaussures De Sécurité.

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,PieSanto 190801 Chaussures confortables pour femme^{(Kaloo Doudou Zen Patapouf Ours Medium Echarpe-nadamuSum Maillots de Bain Musulman Femmes Filles Maillot Muslim Swimwear Dames Modeste Couverture complète Beachwear Burqini Burkini)}. 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,Box J-Boîte de Montre Coffret en Bois, especially in end-of-life situations. In this research,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture, over time,LDDNZH Pantoufles en Coton pour Femmes Slippers, and with this awareness,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc.

Columbia Pike Lake Jacket Veste Garçon-Centered Care (IPFCC) provides directions to advance in understanding,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb )}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine, and the only one who has the power of decision^{(suneagle Semelles éLectriques)}. Thus, care practices in end-of-Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches, 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^{(KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité)}.

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,SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe . 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-Odlo Midlayer Full Zip Proita Femme^{(DIMPLEYA 58 Pouces 18-21 Oz 12)}.

Conclusion

The decision-Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-of-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US.

Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r, 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-Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym . 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,Superdry Icarus Hood Pull Homme-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe .

Detazhi Montre en Bois, 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/Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit, 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-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe , 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,KGAYUC Mot Épaule Robe De Soirée Verte.