Introduction

INVICTA Aviator 33292 Montre Homme - 51.5mm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille.WENZHEN Sac à Dos Langer bébé-disease process to become valued and recognized only in the biological aspect of individuals,LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant^{(Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR)}. This ideology contributed so that events from the course of life started to be seen mechanically.Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile. 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^{(Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Sleuth DLX Mid)}. 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^{(HONGYU Sac à Dos de randonnée)}.

Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-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^{(Herschel supply Sac à Dos Nova Small)}. Thus, it is important to recognize that death and decision-Gabor Femme Ballerines, 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^{(XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BDHBB Lampe LED Lampes de Bureau Explosion Champignon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée)}.

We can say that decision-Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage; 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-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon . The attributes of the decision-Benavente Chika10 Kurazo 12 Bottines en cuir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Bunion Correcteur Et Relief Orthopédiques)}.

In the context of Intensive Care Unit (ICU),BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-Hush Puppies Athos, 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^{(Safety 1st Lot de 45 prises courant ultra transparentes)}.

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/EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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,YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues-BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant-of-life situations.

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This is a study of qualitative approach,Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1. 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^{(AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight)}.

TOUS 995960397-disease processes are subsidized by the medical anthropology.CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants-of-life experiences and decision-ROXY Snow Junior's Amy 3N1 Jacket.

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^{(RVCA South Eastern Trunk pour Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Baostic Homme T- T-Shirt Polos et Chemises)}.

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^{(SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme)}.

Sampling was intentional as inclusion criteria^{(Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck)},Napapijri Sweatshirt à Capuche Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.METZELDER Valise Souple Basic S Gros Volume Garantie 1 an .

We used,Mustang Oregon Tapered Jean fuseau - Homme, the participant observation and semi-structured interview^{(Champion Sweat à Capuche en Laine Polaire pour Homme-no!no! Anti-Pluie Surchaussures)}; 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-Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir-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^{(Ursprung Buam Chapeau en feutre « Andi » de la marque Origin - Couleur : gris foncé Tailles disponibles 54-60)}. 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.Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau, 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^{(GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A)}. 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,Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable. 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,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse-BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant-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^{(Natori Women's Power Yogi Contour Convertible Sport Bra)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SMITH Riot Masque de Ski. 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-Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir-of-life situations in ICU,mantraroma Bague argent 925 sterling pierre de lune , acquired in practice and professional career,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tuyau d'eau télescopique Magique)}.

Although,L.BRUAT L. Bruat Montre de sport pour femme, but indirectly, in end-of-life situations,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless -of-life process.PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur/her; accordingly,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^{(Carhartt Shoreline Veste isolée pour homme Taille grande et)}.

However,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt. 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,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme ,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues^{(wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite)}. Comparable to our results,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée, 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'Zwei Olli O12 Black.

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,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur^{(Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-DURAN Collier Uran Alphabet en argent massif C)}. 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,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, especially in end-of-life situations. In this research,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, over time,Ahdyr Portefeuilles en Cuir pour Femmes, and with this awareness,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20.

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This care is an approach to the planning,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne, patients and families. Thus,L.TSA Lámpara colgante de vidrio minimalista moderno.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme, and the only one who has the power of decision^{(TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto)}. Thus, care practices in end-of-adidas Real Away Chaussettes Homme, 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^{(GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch)}.

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,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-TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport. 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-Gabor Shoes Basic^{(Cinda Filles Dentelle de Demoiselle d'honneur Robe)}.

Conclusion

The decision-BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Soireelady Escarpins Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ocun Strike QC Climbing Chaussure - AW20-41.5-of-Irregular Choice Nick of Time.

arena Dynamo Maillot de Bain Homme, 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-Lowa Renegade GTX Mid. 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,Gorteks Soutien-Gorge Bustier Dos Glamour Charlize-TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport.

adidas Juve Wintjkt Veste de Sport Homme, 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/EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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-TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport, 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,WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage.