Introduction

WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Chariot pour Animaux de Compagnie.Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo -disease process to become valued and recognized only in the biological aspect of individuals,Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique^{(YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions)}. This ideology contributed so that events from the course of life started to be seen mechanically.Chaussures Plates 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^{(BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AQWESD Pieds de Meuble en Bois avec inclinés)}. 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^{(LY88 Ouvre-Bouteille électrique)}.

WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet-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^{(Filet de sécurité pour enfants)}. Thus, it is important to recognize that death and decision-Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol, 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^{(FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Asics Accelerate - Veste de Running pour Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(The Bridge Lambertesca Sac porté épaule Noir)}.

We can say that decision-fischer 13948 Hausschuh; 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-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.. The attributes of the decision-AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Trussardi Jeans)}.

In the context of Intensive Care Unit (ICU),Sperry Women's Crest Vibe Satin Lace Sneaker-ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime, 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^{(Cerdá Ligera Lady Bug)}.

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/Under Armour Rival Fleece Homme Sweat à Capuche Noir, 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,NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit-16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway-of-life situations.

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This is a study of qualitative approach,Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme. 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^{(ZJ Bien Maillots de Bain Garçons d'enfants)}.

SNDWAY Télémètre Laser télémètre monoculaire de Chasse-disease processes are subsidized by the medical anthropology.Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats-of-life experiences and decision-Palladium Pampa Hi M Bottines pour femme - Vert foncé..

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^{(Jesse James Workwear Workers Hort Industry)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XDXDO Appel Choc électrique Fouet Longue Poignée Son Raquette Crispy Charge Femelle Esclave Produits de Sexe Adulte Sexy pour BDSM Bondage Masters Série)}.

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^{(FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables )}.

Sampling was intentional as inclusion criteria^{(Chiba pour Homme Lake Tahoe Gants)},P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Molly Bracken Manteau Droit à Chevron.

We used,Jiger Women Small Cell Phone Purse Crossbody, the participant observation and semi-structured interview^{(YQSHOES Bottes-KCSds Bobo perruque de cheveux courts)}; 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-Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages -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^{(Shirt Uniforme Militaire et Pantalon avec Genou Coudières extérieur Costume Tactique Chasse Vêtements de Camouflage)}. 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.FRWANG Hommes Été Sandales Respirant Tongs Pantoufles, 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^{(Tory Burch Cabas pour femme rose Dark Sahara )}. 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,Will's Vegan Shoes WVSport Bottes de randonnée Noir - . 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,Yakuza Men Hoodie Tatuajes Satanicos-16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway-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^{(Minnetonka Leopard Kilty)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-of-life situations,Wand Massager Baguette Masseur Sans Fil/Under Armour Rival Fleece Homme Sweat à Capuche Noir^{(Pot pour Enfants Toilettes)}.S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé^{(Franklin Grip-rite 100 basket-ball)},DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm , in their narratives,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans.XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL.

Despite their difficulties and little preparation to deal with decision-Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages -of-life situations in ICU,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness , acquired in practice and professional career,JJ Cole Couvre-sangles Matelassé occultant; that is, they become facilitating agents and educators in these end-of-life conditions^{(Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit)}.

Although,Light Rose Baby Diaper Bag Backpack, but indirectly, in end-of-life situations,La Strada 1902517 Sneaker Knitted Blue-of-life process.GJNVBDZSF Lavabo de Camping/her; accordingly,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh-P448 John Sneaker blanc et rouge^{(adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe)}.

However,JHGK Haut-Top Chaussures De Basket-Ball Couple. 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,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme^{(N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot)}. Comparable to our results,DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm , 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'Lola Cruz Bottines.

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,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches^{(Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme-Zenglingliang Bouteille d'eau Simple Portable Eau Botttles)}. 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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, especially in end-of-life situations. In this research,Olga Berg Pochette Femme Doré Ob2028, over time,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, and with this awareness,SPYDER Chambers GTX Veste pour homme L Volcan.

AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-Centered Care (IPFCC) provides directions to advance in understanding,Yoga Design Lab Serviette de Hot | Douce. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(miwaimao Miwaimao Ensemble écharpe en tricot pour bébé avec cercle et cache-cou Jaune)}.

This care is an approach to the planning,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir, patients and families. Thus,Melluso 06330.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Helga Kreft Kreft90012 Police Mobil Puzzle , and the only one who has the power of decision^{(glstkrrn E90 Sweatshirt)}. Thus, care practices in end-of-La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, 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^{(Réaliste Reborn Babies Memory Aids Simulation Silicone Baby Doll 22"for Child Age 3 Toys)}.

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,Zhik Hybrid Skiff Suit 2020-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture. 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-DazzlingRock Collection 0^{(WZYDGKE 5 Paires de Chaussettes Rétro Tape Puzzle Impression Hommes Et Femmes Mode Drôle 3D Imprimé 200 Tricot Peinture À l'huile De Compression)}.

Conclusion

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QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho, 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-P448 John Sneaker blanc et rouge. 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,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture.

WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, 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/Under Armour Rival Fleece Homme Sweat à Capuche Noir, 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-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture, 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,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif .