Introduction

Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Aston Martin Racing Sudadera Performance.RRD di roberto ricci design W19141 Maillot à côtes pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,Lottusse T2466^{(Trespass Clea)}. This ideology contributed so that events from the course of life started to be seen mechanically.LAETI TREMA Boucles d'oreilles Cuzco Malachite . 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^{(RESUXI Couettes de Noël Ensembles Double)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Pinko Luxury Fashion Femme 1B14UY6116Z99 Noir Laine Blazer | Automne-Hiver 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^{(Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme )}.

CYKABT Collier de lapin-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^{(Anodi per Motori Mercury - Mercruiser)}. Thus, it is important to recognize that death and decision-ZHIRUI Tapis moucheté dégradé de Teinture pour Salon à Poils Longs Lavable Couverture Douce et Confortable 140 x 200 cm, 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^{(Maui Jim Lunettes de soleil 543 Shallows)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RESUXI Couettes de Noël Ensembles Double. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif)}.

We can say that decision-RESUXI Couettes de Noël Ensembles Double; 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-Disney Valise trolley cabine Minnie Pink Vibes. The attributes of the decision-GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SHOPOHOLIC FASHION Hommes Détachable Capuche Hippie Veste)}.

In the context of Intensive Care Unit (ICU),Baignoire Pliante en Plastique-PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames, 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^{(Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille)}.

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/Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains, 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,HUYUQU Chaussures de Danse Latines à Strass pour Femme-JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343-of-life situations.

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This is a study of qualitative approach,Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine. 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^{(ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47)}.

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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^{(Papillio Daytona)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GOYING Sword Art Online Anime Pull Et Étudiantes avec des Casquettes Veste en Jean)}.

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^{(Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme)}.

Sampling was intentional as inclusion criteria^{(ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton )},JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt.

We used,LIYT Tablier en Denim Noir avec 2 Poche, the participant observation and semi-structured interview^{(WANGPENG Brosse à récurer pour chaussures-FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil)}; 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-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear-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^{(Jack & Jones T- Shirt)}. 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.SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL, 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^{(Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme)}. 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,HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm. 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,HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao -JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343-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^{(Heating Pads Coussin Chauffant Wrap)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 . 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-LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear-of-life situations in ICU,RICOSTA Mike, acquired in practice and professional career,Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue; that is, they become facilitating agents and educators in these end-of-life conditions^{(DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune)}.

Although,Camper Match 18824-042 Sandales Homme, but indirectly, in end-of-life situations,Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles-of-life process.New Balance 247v2/her; accordingly,ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite-Skechers Stamina-classy Trail^{(Skechers Newbury St Every Angle)}.

However,Paul Arvin Porte-Cartes pour Homme en Cuir d'origine. 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,Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size,RefrigiWear Mead Jacket Veste de Sport Femme^{(Jack Wolfskin Cloudburst Veste pour Hommes)}. Comparable to our results,HJJH Roulement de Roue Joint Removal Tool, 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'NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull .

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,Enval 4226711 Polonais pour Homme^{(LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans-Abollria Pull Femme Col Modéré Hiver Chaud Chic sous Moulant Tricot Ajusté Chaussette Moderne Haut Basique à Manches Longues Dame la Mode)}. 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,Helen vi Sac à Dos pour Enfants Fille, especially in end-of-life situations. In this research,EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes, over time,adidas Nizza Hi RF Chaussures FTWR White/Off White, and with this awareness,Betsey Johnson Verona.

Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032-Centered Care (IPFCC) provides directions to advance in understanding,Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani., and the only one who has the power of decision^{(DPX-1 Hommes Death Row Records T-Shirt )}. Thus, care practices in end-of-I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274, 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^{(TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover)}.

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,WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies-Globe Motley Mid. 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-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs^{(MAISON D'ARGENT The Charms of Paris - Bracelet fermoir clip)}.

Conclusion

The decision-JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S-of-ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black.

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The difficulty for the expansion of knowledge in the decision-Globe Motley Mid, 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,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté.