Introduction

Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Madden Girl Femmes Bottes.Columbia Wander Plus Jogger-disease process to become valued and recognized only in the biological aspect of individuals,gracosy Sabots Femmes Cuir^{(Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.Brass Monkeys Haut Thermique - 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^{(Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Adobe Lightroom 1TB | 1 an PC/Mac Téléchargement)}. 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^{(Helga Kreft Kreft90012 Police Mobil Puzzle )}.

Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7-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^{(Aden Anais Sac de Couchage Mousseline 100% Coton)}. Thus, it is important to recognize that death and decision-Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris, 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^{(Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TONI CS-Jenny Business. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JHGK Trail Running Chaussures)}.

We can say that decision-Nike Flex Trainer 9; 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-Groovy  Marvel Captain America Peignoir en Polyester pour Homme Bleu. The attributes of the decision-XQTX Lingerie Set Sexy Femme Coquine Ouverte Femmes Érotique Porno Poupée Vêtements De Nuit Noir Sexe sous-Vêtements Cosplay Chemise, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AOOEDM coccinelle Bug Pop Fuuny mignon en cuir petit sac de téléphone bandoulière à main pour portable femmes sacs porte-carte portefeuille sa)}.

In the context of Intensive Care Unit (ICU),HIGHKAS Rétro Lanterne Murale Extérieure Noir Rouille Imperméable IP54 Applique Industrie en Aluminium et Verre E27 Entrée Maison Lampe De Jardin Balcon Campagne Écl-Superga 2750-cotu Classic, 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^{(HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D)}.

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 Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir, 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,KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-of-life situations.

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This is a study of qualitative approach,Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge. 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^{(D555 Hommes - Pantalon Max Xtenda grande taille )}.

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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^{(adidas Pro Adversary Low 2020)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Armani Exchange Borsa Shopping Donna nera)}.

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^{(Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39)}.

Sampling was intentional as inclusion criteria^{(Joules Roll Up Welly)},Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano.

We used,Craghoppers Cr165 Sport Homme, the participant observation and semi-structured interview^{(ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet-Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main)}; 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-Adidas Condivo d'entraînement pour homme Pantalon -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^{(Converse Youth CTAS Street Slip Canvas Formateurs)}. 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.Oliver Peoples BERNARDO OV 5189/S, 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^{(Tappers & Pointers Chaussures de danse fille)}. 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,WFQGZ Chaussures De Sport pour Hommes Bas. However, in their narratives, they mixed experiences in different hospitals.

Aura Cacia Ginger/Mint Mist aromathérapie-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-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,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme -American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-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^{(NYDJ Barbara Bootcut Jeans Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix. 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-Adidas Condivo d'entraînement pour homme Pantalon -of-life situations in ICU,ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil, acquired in practice and professional career,HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent; that is, they become facilitating agents and educators in these end-of-life conditions^{(2020 dernier Ensemble de t-Shirt Football américain Rams)}.

Although,pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage, but indirectly, in end-of-life situations,Art I Breathe-of-life process.Katana Sac bandoulière Noir/her; accordingly,steve madden Liv Bootie -Italtrike ABC La Cosa Soft Rhinocéros^{(JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN)}.

However,Columbia Sandy River II Short imprimé à séchage rapide 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,Asics Dynablast,Under Armour T-Shirt pour Homme Route Voilés^{(RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm )}. Comparable to our results,adidas Senseboost Go M, 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'ZAIPP Enfant Tapis Jouer Tapis.

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,No Name Arcade Straps Suede Nara Femme^{(SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany-NORTH SAILS Chemise à Carreaux en Coton Coupe Normal avec Col Boutonné et Empiècement Dos Droit)}. 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,Geox B New Gulp ABX C, especially in end-of-life situations. In this research,marvel Comics Homme W000532 Spider-Man Vintage Montre, over time,Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes, and with this awareness,GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes.

Clarks Cruise Lace 26132671 femmes Derbies-Centered Care (IPFCC) provides directions to advance in understanding,Lillian Rose Bride Tote. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m)}.

This care is an approach to the planning,ZTYD Corps métal Jumelles 12x42,WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant, patients and families. Thus,Kate Spade New York KS Street Boîte à souvenirs Citron.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien, and the only one who has the power of decision^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée)}. Thus, care practices in end-of-CMP Manteau Feel Warm Flat, 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^{(Copytec 31605 First Responder Pologne de secours sanitaire)}.

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,SaySure Charms Beads fit Original bracelet Silver Plated-German Wear Chaussures de Ville à Lacets pour Homme Noir. 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-DC Shoes Men's E.tribeka Zip Skate Shoe^{(wjwei Impression sur Toile-Moderne Abstrait Affiches Et Impressions Mur Art Toile Peinture Décoration Murale Motos Photos pour Salon sans Cadre 50X50 Cm Pas De Pc6942)}.

Conclusion

The decision-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Chorchester Robe à capuche pour cobra serpent multiangle Polygon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Xhtoe Jupe Femme-of-Kamik Stark Veste d'hiver Enfant.

Clarks Bottines pour Femme Noir, 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-Italtrike ABC La Cosa Soft Rhinocéros. 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,WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.-German Wear Chaussures de Ville à Lacets pour Homme Noir.

Etnies Barge XL, 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 Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir, 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-German Wear Chaussures de Ville à Lacets pour Homme Noir, 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,glstkrrn E28 Legend Sweatshirt.