Introduction

Columbia Sportswear Veste légère pour Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280.SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-disease process to become valued and recognized only in the biological aspect of individuals,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente^{(Pro Skateboard Cruiser Conseil de Penny 46)}. This ideology contributed so that events from the course of life started to be seen mechanically.Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser. 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^{(WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AmanGaGa Beyblade Pullover Cartoon Shirt imprimé Tops vêtements Parent-Enfant)}. 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^{(Ion Combinaison en néoprène Base Semidry 4/3 BZ DL)}.

INVICTA Aviator 33292 Montre Homme - 51.5mm-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^{(TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1)}. Thus, it is important to recognize that death and decision-Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille, 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^{(Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WENZHEN Sac à Dos Langer bébé. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CMP C.P.M. Rigel)}.

We can say that decision-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; 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-Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile. The attributes of the decision-Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cxlyq Hanfu Costume National Traditionnel Chinois Performance De Danse Mongole Vêtements Féminin Costumes Chinoise)}.

In the context of Intensive Care Unit (ICU),Gabor Femme Ballerines-BDHBB Lampe LED Lampes de Bureau Explosion Champignon, 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^{(adidas Fortarun AC K)}.

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/Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage, 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,Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon -YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport-of-life situations.

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This is a study of qualitative approach,Benavente Chika10 Kurazo 12 Bottines en cuir. 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^{(Salming Chaussures Viper 5 Indoor)}.

BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-disease processes are subsidized by the medical anthropology.Hush Puppies Athos-of-life experiences and decision-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales.

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^{(Geox B New Flick B)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Fbestxie Femme Chemise Nuit 100% Soie Naturelle col en V sans Manches Bordure Dentelle Robe de Camisole Fantaisie Pyjamas Saint Valentin)}.

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^{(Pierre Cardin Futureflex Strech Denim Bermuda Short Homme)}.

Sampling was intentional as inclusion criteria^{(Skechers Women's Rumblers-Whimsical Wonder Flip-Flop)},YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1.

We used,TOUS 995960397, the participant observation and semi-structured interview^{(Seachoice Ultimate Outrigger Kit by SEACHOICE-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:)}; 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-CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants-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^{(Xi-Link Bracelet De Basket-Ball Étoile « James Harden » N ° 13 Signature Silicone Sport Édition Bracelets Ventilateur Barbu l'anneau La Main)}. 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.ROXY Snow Junior's Amy 3N1 Jacket, 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^{(ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles)}. 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,Napapijri Sweatshirt à Capuche Homme. 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,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport-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^{(Clarks Women's Leisa Joy Sandal)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes. 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-CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants-of-life situations in ICU,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18, acquired in practice and professional career,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport; that is, they become facilitating agents and educators in these end-of-life conditions^{(Trussardi Jeans by TrussardiZip)}.

Although,mantraroma Pendentif argent 925 sterling labradorite , but indirectly, in end-of-life situations,DSZZ Health Chaussures de Badminton pour Hommes-of-life process.XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal/her; accordingly,mantraroma Bague argent 925 sterling pierre de lune -3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau^{(LIMQ Lingerie en Peluche Babydoll)}.

However,L.BRUAT L. Bruat Montre de sport pour femme. 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,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur^{(Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme)}. Comparable to our results,Ana Silver Co. Serpentine Stone, 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'Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag.

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,Lowa Renegade GTX Mid^{(LAETI TREMA Boucles d'oreilles Cuzco Malachite -Cath Kidston Jacquard Rose' Sac à main en toile cirée crème chaude)}. 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,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt, especially in end-of-life situations. In this research,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme , over time,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues, and with this awareness,Zwei Olli O12 Black.

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This care is an approach to the planning,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable,Ahdyr Portefeuilles en Cuir pour Femmes, patients and families. Thus,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;L.TSA Lámpara colgante de vidrio minimalista moderno, and the only one who has the power of decision^{(Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière)}. Thus, care practices in end-of-ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme, 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^{(FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite)}.

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,Smilice Bottes d'hiver pour Femme-WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme. 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-LetsBuyGold Bague Artisanale ^{(MODO BY RONCATO Trolley Taille Grande 76 Cm Rigide 4 roulettes pivotantes Charm)}.

Conclusion

The decision-YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LetsBuyGold Bague Artisanale , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme-of-adidas Real Away Chaussettes Homme.

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, 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-3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau. 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,Gabor Shoes Basic-WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme.

Soireelady Escarpins 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/Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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