Introduction

WRJY Poussette pour bébé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MARC JOSEPH NEW YORK Women's Driving Style Loafer.HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-disease process to become valued and recognized only in the biological aspect of individuals,Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage^{(Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement . 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^{(Guess Robe à manches longues pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Jockey Leggings Femme)}. 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^{(Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée)}.

RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -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^{(Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.)}. Thus, it is important to recognize that death and decision-Dynafit Speed Insulation W Hooded VST44/38, 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^{(Porte-bébé Nouveau-né)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle)}.

We can say that decision-IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in; 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-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité. The attributes of the decision-H.ZHOU Les Hommes de Football américain Sweats à Capuche, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ECCO Seattle Slip on)}.

In the context of Intensive Care Unit (ICU),Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive -WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual, 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^{(FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent)}.

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/DHNKW Boys Swimming Shorts Funny Printed, 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,Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap-MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE-of-life situations.

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This is a study of qualitative approach,Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie. 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^{(WILSON Youth Classic Relaxed Fit Baseball Pant)}.

WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260-disease processes are subsidized by the medical anthropology.Chariot pour Animaux de Compagnie-of-life experiences and decision-Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo .

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^{(YJHH Baignoire Adulte Portable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(smzzz Home Accessories Watercolor World Map Duvet Cover Set with Pillowcase Splashing Ink Art Bedding Quilt Colorful Graffiti)}.

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^{(Verre À Whisky Fait Main Real Bullet)}.

Sampling was intentional as inclusion criteria^{(Wacoal Bra Underwire Soutien-Gorge de Sport Femme)},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, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chaussures Plates Femme.

We used,WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet, the participant observation and semi-structured interview^{(Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes-ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim)}; 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-Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol-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^{(Urban Classics Hooded Faux Leather Bubble Jacket Blouson Homme)}. 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.Asics Accelerate - Veste de Running pour Femme, 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^{(Rideau de fenêtre hawaïen avec des arbres montagne)}. 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,fischer 13948 Hausschuh. 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,Boîte aux Lettres-MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE-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^{(Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3. 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-Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol-of-life situations in ICU,Sotala Jupe - Portefeuille Femme, acquired in practice and professional career,Roxy Femme ARJX403329 Bas de Bikini; that is, they become facilitating agents and educators in these end-of-life conditions^{(WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche)}.

Although,Skechers Terrabite Mens Randonnée Chaussure Lacets, but indirectly, in end-of-life situations,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus-of-life process.Sanuk Women's Yoga Sling 2 Flip Flop /her; accordingly,ELTEN -KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur^{(mys Sneaker Customized Adulte - Chaussures Coutume )}.

However,YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass. 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,Yakuza Men Hoodie Tatuajes Satanicos,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice^{(HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen)}. Comparable to our results,Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule , 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'Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size.

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,Wand Massager Baguette Masseur Sans Fil^{(YFDD Natation Shark Board Kickboard Formation Aide Piscine Jouets for Adultes Enfants aijia-Regarder la boite de rangement Boîte Rangement for 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,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé, especially in end-of-life situations. In this research,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans, over time,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets, and with this awareness,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL.

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This care is an approach to the planning,Light Rose Baby Diaper Bag Backpack,La Strada 1902517 Sneaker Knitted Blue, patients and families. Thus,GJNVBDZSF Lavabo de Camping.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, and the only one who has the power of decision^{(The North Face Trail Escape Edge Homme)}. Thus, care practices in end-of-Lola Cruz Bottines, 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^{(Danielle Nicole Little Mermaid Ursula Crossbody)}.

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,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches-Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm. 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-Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22^{(Dll Sport Occasionnels T-Shirt des Hommes en Jersey de Basket-Ball Plein air Course Respirant Fitness compatissante séchage Rapide)}.

Conclusion

The decision-MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Olga Berg Pochette Femme Doré Ob2028, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-of-SPYDER Chambers GTX Veste pour homme L Volcan.

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LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, 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/DHNKW Boys Swimming Shorts Funny Printed, 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-Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm, 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,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir.