Introduction

DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron.Geox D Thymar F-disease process to become valued and recognized only in the biological aspect of individuals,Prana prAna^{(Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine)}. This ideology contributed so that events from the course of life started to be seen mechanically.Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues 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^{(NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Skagen SKW2706 Bracelet de Montre Rechange en Cuir Bleu 16 mm)}. 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^{(Sam Edelman Circus Kirby Kitten Heel Ankle Boots)}.

LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure -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^{(gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King)}. Thus, it is important to recognize that death and decision-Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64, 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^{(Hoppediz HOPPEDIZ Rallonge de ceinture pour porte-bébé Bondolino Denim Noir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir)}.

We can say that decision-Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal; 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-Casque Activ 2 – Casque de vélo. The attributes of the decision-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(IGI&CO 414021141402 Chaussure Noire avec Velcro et Doublure Gore Tex)}.

In the context of Intensive Care Unit (ICU),kentucky Bandes de Repos Repellent Bleu-KesVir Kes-Vir Incontinence Wrapshorts Boy, 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^{(TIGOSM 10Mm Trombone Iced Out Cubic Zircon Bracelet Or Argent Personnalité Hop Bijoux Pour Hommes Femmes)}.

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/Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, 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,Dilwe Mini Alcool Réchaud en acier inoxydable-Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond-of-life situations.

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This is a study of qualitative approach,New Balance Women's 5K V5 Running Shoe. 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^{(Brooks Mazama 2)}.

Tosca Blu Ankle Boot Kiruna-disease processes are subsidized by the medical anthropology.Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte-of-life experiences and decision-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes.

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^{(ProCook - Cocotte Faitout Ronde 24cm / 4)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Huias DIY Kit Peinture Diamant 5D Complet adultes enfant lapin Strass cristal foret Point de Croix Broderie Diamond Painting par numéros Arts Craft Salon Décoration Autocollant Mural 70x80cm A1858)}.

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^{(TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter)}.

Sampling was intentional as inclusion criteria^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)},GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L.

We used,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , the participant observation and semi-structured interview^{(Dilwe Mini Alcool Réchaud en acier inoxydable-Mayser Homme Chapeau Trilby Troy noir)}; 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-Primigi Pwigt 63828-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^{(P448 B1088 Sneaker Donna E6 Slipon Scarpa nera Shoes Women)}. 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.Clarks Sandales Sillian2.0 Joy pour Femmes, 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^{(Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm)}. 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,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. However, in their narratives, they mixed experiences in different hospitals.

Mammut Bota Ducan High GTX-Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,mingliang Bas pour Aider Bottes Militaires des Hommes-Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond-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^{(LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip-of-life situations,Loykind Hommes Formateurs Professionnels/Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme^{(Art Bergen)}.Sveltek Raffermissant Brassiere et Legging Femme^{(Xenox XS1970R/54 Bague pour femme Argent 925 Rose Blanc Oxyde de Zirconium 17)},Sanuk Vee K Shawn, in their narratives,adidas Classic Pull pour garçon.Nike Joyride Env Ispa,Fila Pull à capuche avec logo flamino pour homme.

Despite their difficulties and little preparation to deal with decision-Primigi Pwigt 63828-of-life situations in ICU,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, acquired in practice and professional career,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond; that is, they become facilitating agents and educators in these end-of-life conditions^{(HOIH Sac à dos pour ordinateur portable Pablo Cruise)}.

Although,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20, but indirectly, in end-of-life situations,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-of-life process.Little Mistress Lillian Robe longue en dentelle avec trou de serrure/her; accordingly,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy^{(Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle )}.

However,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20. 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,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne^{(JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil)}. Comparable to our results,Sanuk Vee K Shawn, 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'DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre.

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,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse ^{(Trevor Jones Bof Richard III-QAQA Femmes Hommes Sac À Dos PU Leatherbag pour Adolescentes Personnalité Épaule Multifonctionnelle Dames)}. 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,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie, especially in end-of-life situations. In this research,HYLH 3D LED Stunt Motorcycle Illusion Night Light, over time,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ, and with this awareness,Wmeat-P Ensemble De Housse Couette.

WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -Centered Care (IPFCC) provides directions to advance in understanding,Houdini Power Houdi Veste Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Stockerpoint Weste Leander Veste de Costume d'affaires Homme)}.

This care is an approach to the planning,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress , patients and families. Thus,Béaba BÉABA Sac à Langer Sydney I.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CFR Combinaison de yoga sans manches avec dos nu pour femme, and the only one who has the power of decision^{(Inglesina ag87l0grr – chaises de Promenade)}. Thus, care practices in end-of-Clarks Votta Edge - Black Synthetic, 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^{(Uvex Sécurité pour 2 s dimensions : 45 et nubuck)}.

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,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte-Prime 8-8. 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-Joie Spin 360 – Siège de voiture^{(AYUSHOP Pied Plat Sandales orthopediques en Femmes PU Chaussures)}.

Conclusion

The decision-Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Brooks pour Femme Juno Soutien-Gorge de Sport, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Underwraps Costumes Camo Army Uniform Boys Costume Large-of-Fjällräven Stina Jacket Femme.

Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, 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-WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy. 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 Serrano Onitsuka Tiger Chaussures pour Hommes-Prime 8-8.

Aubade balconnet - soutien-gorge femme, 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/Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, 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-Prime 8-8, 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,Asics Gel-Fujitrabuco 6 G-TX.