Introduction

Geox D Thymar F-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Prana prAna.Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-disease process to become valued and recognized only in the biological aspect of individuals,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure ^{(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket)}. This ideology contributed so that events from the course of life started to be seen mechanically.Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64. 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^{(ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Gordon & Bros. Levet 6045 Chaussures basses à lacets pour 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^{(Deer Original Cerf-Volant)}.

Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64-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^{(Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite)}. Thus, it is important to recognize that death and decision-Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, 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^{(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Casque Activ 2 – Casque de vélo. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à)}.

We can say that decision-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard 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-kentucky Bandes de Repos Repellent Bleu. The attributes of the decision-KesVir Kes-Vir Incontinence Wrapshorts Boy, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Brooks Addiction Walker V-Strap 2)}.

In the context of Intensive Care Unit (ICU),Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-Dilwe Mini Alcool Réchaud en acier inoxydable, 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^{(Traducteur Instantané)}.

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/New Balance Women's 5K V5 Running Shoe, 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,Tosca Blu Ankle Boot Kiruna-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L-of-life situations.

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This is a study of qualitative approach,Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte. 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^{(Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r)}.

Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-disease processes are subsidized by the medical anthropology.GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -of-life experiences and decision-PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L.

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^{(Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BFDC Lakers n ° 3 Davis)}.

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^{(Amblers Safety - Chaussures de sécurité avec Zip latéral Femme)}.

Sampling was intentional as inclusion criteria^{(Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir)},Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Primigi Pwigt 63828.

We used,Clarks Sandales Sillian2.0 Joy pour Femmes, the participant observation and semi-structured interview^{(HEHE sous Le Lit De Chaussures Sac Rangement-YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles)}; 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-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-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^{(Xin Hai Yuan Gilet Chauffant électrique USB Hommes Femme Manteau Thermique Softshell Jacket de Chauffage Calefactable)}. 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.Mammut Bota Ducan High GTX, 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^{(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165)}. 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,Clarks Kaylin 60 Sling. 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,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L-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^{(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Loykind Hommes Formateurs Professionnels. 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-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-of-life situations in ICU,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20, acquired in practice and professional career,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207; that is, they become facilitating agents and educators in these end-of-life conditions^{(GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break)}.

Although,Little Mistress Lillian Robe longue en dentelle avec trou de serrure, but indirectly, in end-of-life situations,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-of-life process.WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy/her; accordingly,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20-Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert^{(Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main)}.

However,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne. 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,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse ^{(Columbia Men's Bridge to Bluff Pant)}. Comparable to our results,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M, 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'1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie.

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,HYLH 3D LED Stunt Motorcycle Illusion Night Light^{(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable-Fedso Indien Américain sans couture Motif tribal avec éléments géométriques Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres)}. 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,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ, especially in end-of-life situations. In this research,Wmeat-P Ensemble De Housse Couette, over time,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot , and with this awareness,Houdini Power Houdi Veste Homme.

Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-Centered Care (IPFCC) provides directions to advance in understanding,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme)}.

This care is an approach to the planning,Béaba BÉABA Sac à Langer Sydney I,ROTHCO 7502 flightsuits 6XL All, patients and families. Thus,adidas Maillot de Basketball pour Homme Thunder Alternative.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, and the only one who has the power of decision^{(Clarks Sharon Dolly)}. Thus, care practices in end-of-Joie Spin 360 – Siège de voiture, 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^{(Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard)}.

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,Brooks pour Femme Juno Soutien-Gorge de Sport-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M. 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-Underwraps Costumes Camo Army Uniform Boys Costume Large^{(Nike Nsmodern Crflc Hbr Sweatshirt - Homme)}.

Conclusion

The decision-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Fjällräven Stina Jacket Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT-of-Asics Serrano Onitsuka Tiger Chaussures pour Hommes.

Aubade balconnet - soutien-gorge femme, 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-Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert. 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 Gel-Fujitrabuco 6 G-TX-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M.

Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug, 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/New Balance Women's 5K V5 Running Shoe, 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-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, 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,Hannah Outdoor Concepts Veste rendeza pour Femme.