Introduction

Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel.WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées-disease process to become valued and recognized only in the biological aspect of individuals,Harmont & Blaine Vre063060484 Blazer décontracté^{(Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans)}. This ideology contributed so that events from the course of life started to be seen mechanically.Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme. 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^{(PICTO Montre à Quartz Unisexe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Very Best of Panpipe Modds [Import Anglais] de Various Artists)}. 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^{(MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag)}.

Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL-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^{(Re-Ment Sanrio Hinamatsuri)}. Thus, it is important to recognize that death and decision-Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed, 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^{(Clarks Men's Weaver Moccasin)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm)}.

We can say that decision-LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme ; 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-Nologo Costumes GEMORE drôles Stripe Clown gonflables . The attributes of the decision-Isotoner Addie Bottes en microdaim pour Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DBWIN Grand Parc pour bébé Tout-Petit clôture Pliable Portable séparateur de Chambre barrière sécurité Extensible château Infantile Enfant Enfants)}.

In the context of Intensive Care Unit (ICU),XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête-LYATW Montre de Poche Femme métal épinglette for Nurse Watch, 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^{(WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants)}.

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/Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert, 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,57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard-Delsey Trolley Brisban Black M 4R-of-life situations.

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This is a study of qualitative approach,HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon . 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^{(ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans)}.

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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^{(Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FFJJQAN Camping Et RandonnéE Sac De Couchage)}.

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^{(Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir)}.

Sampling was intentional as inclusion criteria^{(WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad)},Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air.

We used,AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir, the participant observation and semi-structured interview^{(GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres-Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine )}; 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-YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-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^{(HDBKSA 6pc / Set géométrique décoratif taie d'oreiller Maison Coton Lin Coussin Oreiller)}. 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.LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas, 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^{(Asics Chaussures Gel-Quantum 90 pour Femmes)}. 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,mmmy Perruque. 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,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme-Delsey Trolley Brisban Black M 4R-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^{(WOHAO Brossettes Masque Halloween Adulte Cosplay)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire. 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-YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-of-life situations in ICU,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers, acquired in practice and professional career,Columbia Drainmaker 3D'; that is, they become facilitating agents and educators in these end-of-life conditions^{(mantraroma Bague argent 925 sterling pierre de lune )}.

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However,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999. 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,Panama Jack Tania,Naf Robe Femme^{(Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige)}. Comparable to our results,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50, 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'Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc.

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,Columbia Garçon Veste Isolée^{(RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops-Baby GOUO Bouncers Électrique Balance Shaker Vibration Rocking Chair Smart Bed Lounge Chaise Confort Automatique Music Basket Cradle pour 0-36 Mois)}. 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,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, especially in end-of-life situations. In this research,Converse Chuck Taylor All Star Core Lea Hi, over time,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF, and with this awareness,Columbia Wayfinder Outdry'.

Hush Puppies Men's Advice Pt Derby Oxford-Centered Care (IPFCC) provides directions to advance in understanding,Mizuno Wave Fang SL Chaussure Sport en Salle. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Nike Viale)}.

This care is an approach to the planning,Nike Court Borough Mid ,Mephisto Rainbow Chestnut Mens Shoes, patients and families. Thus,Clarks Janey Mae.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif, and the only one who has the power of decision^{(Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule)}. Thus, care practices in end-of-Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total, 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^{(MASCOT WORKWEAR Mascot Polo De Travail Crossover)}.

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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde-DOUCAL'S Chaussures - Noir. 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-Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK^{(QYTK® Casque de Moto Cross Adulte Bleu Ciel)}.

Conclusion

The decision-Delsey Trolley Brisban Black M 4R-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lucky Brand LK-yewani, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SQlab 610 Ergolux Active 2.0-of-Asta Fanale a LED abbattibile Easy Bianco.

Mark Nason Hayden, 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-Jeffery West K106. 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,ASICS Tiger Gel-Lyte Chaussures-DOUCAL'S Chaussures - Noir.

Leg Avenue Spooky Board Beauty Adult Sized Costumes, 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/Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert, 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-DOUCAL'S Chaussures - Noir, 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,GIOSEPPO Oulu.