Introduction

HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable .MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-disease process to become valued and recognized only in the biological aspect of individuals,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.^{(MHCYKJ Casque modulaire Bluetooth)}. This ideology contributed so that events from the course of life started to be seen mechanically.AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover. 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^{(BOGS Bottes de pluie imperméables pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LYSHUI Support de Levage à gaz hayon arrière 28)}. 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^{(Superdry Icarus Hood Pull Homme)}.

KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-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^{(Hurley One & Only Pantalon de survêtement pour homme)}. Thus, it is important to recognize that death and decision-Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement , 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^{(1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Adult Raincoats Imperméable réfléchissant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M)}.

We can say that decision-Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme; 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-Papillio Daytona. The attributes of the decision-Etnies Fader 2, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LOVEKUSH 925 Sterling Silver Love Beach Youth 4x6mm Stracking Aqua Aquamarine Necklace Chips)}.

In the context of Intensive Care Unit (ICU),Etnies Fader 2-Mammut Ultimate Veste V So – , 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^{(Pikeur Damen Reitweste JESS)}.

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/MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, 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,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage-of-life situations.

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This is a study of qualitative approach,New Balance Wj91524 Pull à Capuche Femme. 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^{(Donald J Pliner Men's Dacio Loafer)}.

Close Parent Caboo Porte-bébé Coton bleu clair-disease processes are subsidized by the medical anthropology.LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-of-life experiences and decision-LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable.

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^{(PUMA Unisex-Kids Suede Heart Rubberized Sneaker)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Moojm Chaussures à roulettes)}.

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^{(CXD Mâle/Femelle Hauts De Costume Tang Chinois)}.

Sampling was intentional as inclusion criteria^{(Brax Feel Good Style Colette)},POSEIDON Bobbin KNOTTER Gold Black, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Multifanshop Rétro sac à bandoulière modern love wiebke noir.

We used,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, the participant observation and semi-structured interview^{(Sperry Top-Sider Men's-Générique Racecraft Lunettes Mixte)}; 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-Geox B Todo Boy A-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^{(LONGYUU Frais Stimuler Cartes à Jouer Cape de Bande Dessinée pour Adultes Femmes Capuche 59 Pouces Noël Halloween Cosplay Costumes)}. 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.ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, 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^{(HUA JIE Tapis De Yoga)}. 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,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement. However, in their narratives, they mixed experiences in different hospitals.

Haedr Coussin résistant à la Casse pour bébé-Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage-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,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty-Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage-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^{(KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YILANJUN Canapé pour Bébé. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Softinos Iggy269sof-of-life situations,Timberland Splitrock 2/MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge^{(MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air)}.Vince Femmes Sandales À Talon^{(LONGYUU Sac à main Poignées Coloré Animal Chat Chaton Imprimer Femme Bureau Fourre-Tout Grande Capacité Résistant À L'eau Avec Poignée Durable)},FUNBN T-Shirt de Basket-Ball Version Fan Basket, in their narratives,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men.Visit the Carhartt Store Wip Car-Lux Jacket Homme,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large .

Despite their difficulties and little preparation to deal with decision-Geox B Todo Boy A-of-life situations in ICU,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe, acquired in practice and professional career,adidas Femmes Chaussures Athlétiques; that is, they become facilitating agents and educators in these end-of-life conditions^{(TOUS 995960397)}.

Although,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant, but indirectly, in end-of-life situations,FERRINO ZAINO Core 30 Nero Trekking-of-life process.2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme/her; accordingly,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal-Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre ^{(GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage )}.

However,Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles. 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,Clarks Women's Juliet Rose Loafer,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures ^{(Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité)}. Comparable to our results,FUNBN T-Shirt de Basket-Ball Version Fan Basket, 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'ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage.

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,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme^{(Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg-YMGW Bottes Neige Femmes Hiver Fourrure Durable Thermique Warm Imperméable Ski mi-Mollet Doublure 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,adidas Forest Grove, especially in end-of-life situations. In this research,Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche, over time,PUMA Alee Gore-Tex Mens Performance Bottes de Voile, and with this awareness,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en.

Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire-Centered Care (IPFCC) provides directions to advance in understanding,XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Thrasher Skate And Destroy' Pullover Hood. Black.)}.

This care is an approach to the planning,VearFit Cuir véritable,Dickies Henley Chemise à manches longues 3 boutons pour femme, patients and families. Thus,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tom Ford mixte adulte Lunettes de Soleil Huck FT0665, and the only one who has the power of decision^{(L.BRUAT L. Bruat Montre de sport pour femme)}. Thus, care practices in end-of-adidas Phosphere, 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^{(Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme)}.

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,Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small-Aircast® PodaLib® Attelle releveur de pied . 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-Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et^{(Rishaw Gilet Chauffant pour Homme/Femme)}.

Conclusion

The decision-Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite-of-Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33.

hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté, 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-Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre . 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,CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver-Aircast® PodaLib® Attelle releveur de pied .

WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude , 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/MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge, 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-Aircast® PodaLib® Attelle releveur de pied , 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,Lee Petit Pantalon cargo pour femme.