Introduction

KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement .Adult Raincoats Imperméable réfléchissant-disease process to become valued and recognized only in the biological aspect of individuals,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme^{(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté)}. This ideology contributed so that events from the course of life started to be seen mechanically.Papillio Daytona. 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^{(Hicks & Brown Suffolk Fedora Vert olive )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Converse Breakpoint Ox Unisex | Olive Submarine/Camo Green)}. 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^{(Columbia Pike Lake Jacket Veste Garçon)}.

Etnies Fader 2-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^{(HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm)}. Thus, it is important to recognize that death and decision-Etnies Fader 2, 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^{(Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mammut Ultimate Veste V So – . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets)}.

We can say that decision-MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge; 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-MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite. The attributes of the decision-New Balance Wj91524 Pull à Capuche Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Columbia Homme Steens MountainTM Big & Tall Demi-fermeture Éclair Manches Longues Pull)}.

In the context of Intensive Care Unit (ICU),Close Parent Caboo Porte-bébé Coton bleu clair-LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, 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^{(TYX Chaussures De Football Résistantes À l'usure Et Respirantes 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/LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable, 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,POSEIDON Bobbin KNOTTER Gold Black-cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière-of-life situations.

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This is a study of qualitative approach,Multifanshop Rétro sac à bandoulière modern love wiebke noir. 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^{(XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs)}.

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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^{(Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WOHAO Manche Courte Rétro Taille Lapel Robe imprimée)}.

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^{(Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier)}.

Sampling was intentional as inclusion criteria^{(GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable)},BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Haedr Coussin résistant à la Casse pour bébé.

We used,camel active Ethnic 12, the participant observation and semi-structured interview^{(adidas pour Homme Athletics Team problème Bomber-yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation)}; 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-PICTO Montre à Quartz Unisexe-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^{(YQ WHJB Apesanteur Chaise Inclinable avec Porte-Coupe d'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.MARCO TOZZI 23712 Femme Chaussures Noir, 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^{(Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne)}. 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,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne. 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,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men-cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière-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^{(925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Visit the Carhartt Store Wip Car-Lux Jacket Homme. 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-PICTO Montre à Quartz Unisexe-of-life situations in ICU,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal, acquired in practice and professional career,Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Asics Hyper LD 5 Synthétique Baskets)}.

Although,Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles, but indirectly, in end-of-life situations,Clarks Women's Juliet Rose Loafer-of-life process.W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures /her; accordingly,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme^{(mingliang Bottes Tactiques pour Hommes)}.

However,adidas Forest Grove. 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,Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche,PUMA Alee Gore-Tex Mens Performance Bottes de Voile^{(Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes)}. Comparable to our results,HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support , 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'Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en.

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,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire^{(Smiley 54705 Pyjama d'hiver chaud en coton-LEERAIN Trousse Maquillage)}. 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,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, especially in end-of-life situations. In this research,VearFit Cuir véritable, over time,Dickies Henley Chemise à manches longues 3 boutons pour femme, and with this awareness,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux .

JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman-Centered Care (IPFCC) provides directions to advance in understanding,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410)}.

This care is an approach to the planning,ZWF Boots Bottes De Cow-Boy Homme,Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, patients and families. Thus,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665.

adidas Phosphere-being of patients of all ages.Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et^{(Nike Lebron Xvii )}. Surprisingly,wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite, and the only one who has the power of decision^{(DSQQ Tapis pour Salon Maison Épaisse Chambre Shaggy Moelleux Canapé De Sol Chevet Et d'enfants)}. Thus, care practices in end-of-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33, 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^{(Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière )}.

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,hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté-CNAJOI-TDFY Lampe Frontale de vélo LED. 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-CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver^{(Magnifiquement Moustiquaire)}.

Conclusion

The decision-cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lee Petit Pantalon cargo pour femme-of-Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible.

Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm, 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-Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme. 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,D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-CNAJOI-TDFY Lampe Frontale de vélo LED.

Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue, 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/LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable, 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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