Introduction

Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DPX-1 Hommes Death Row Records T-Shirt .Disney Femme Alice In Wonderland Retro Poster T-shirt-disease process to become valued and recognized only in the biological aspect of individuals,Columbia Sportswear Veste légère pour Homme^{(Applique murale rustique moderne pour chambre à coucher)}. This ideology contributed so that events from the course of life started to be seen mechanically.Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280. 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^{(AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JEWEL BEADS 1 Strand Mystic Labradorite Round Ball Smooth 13'' Long Gemstone Beads)}. 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^{(Under Armour Curry IV Sandale pour homme)}.

SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-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^{(FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune)}. Thus, it is important to recognize that death and decision-ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente, 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^{(AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(B/H Forme IrréGulier Manche Cosplay Maxi Robe)}.

We can say that decision-INVICTA Aviator 33292 Montre Homme - 51.5mm; 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-Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille. The attributes of the decision-WENZHEN Sac à Dos Langer bébé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Minetom 35L Tactique Voyage Anti-Pluie Sports Imperméable Sac À Dos Adulte Extérieur Randonnée Camping Sacs De Trekking)}.

In the context of Intensive Care Unit (ICU),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-Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile, 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^{(KAR 4)}.

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/Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, 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,Gabor Femme Ballerines-Mares Volo Race-of-life situations.

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This is a study of qualitative approach,BDHBB Lampe LED Lampes de Bureau Explosion Champignon. 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^{(DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes)}.

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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^{(Saucony Jazz Original)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LONDON FOG Manteau en laine à double revers pour femme avec ceinture)}.

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^{(Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes )}.

Sampling was intentional as inclusion criteria^{(Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant)},BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hush Puppies Athos.

We used,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, the participant observation and semi-structured interview^{(PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti-WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air)}; 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-YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues-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^{(TTZY Sacs à bandoulière Sac Main 4 en 1 épaule PU Casual Ladies Messenger Bag)}. 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.Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1, 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^{(Orchid Jewelry Naturel Améthyste)}. 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,TOUS 995960397. 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,GJQION Femmes Brassière-Mares Volo Race-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^{(Barre de son)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Free People Women's Forever Cashmere V-Neck Pullover Sweater . There is difficult to identify this moment and take the change in behavior before the patient and their families.

ProCook - Cocotte Faitout Ronde 24cm / 4-of-life situations,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So/Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen^{(Under Armour Men's UA Yard Low St Sneaker)}.COOLCEPT Femmes Bloc Talons Hauts Longue Bottes^{(Skechers Hommes Flex Advantage 3.0 Poids Léger De Plein Air Formateurs)},Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine, in their narratives,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables .Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe ,Polaroid Pld 6071/s/x.

Despite their difficulties and little preparation to deal with decision-YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues-of-life situations in ICU,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse, acquired in practice and professional career,SMITH Riot Masque de Ski; that is, they become facilitating agents and educators in these end-of-life conditions^{(hsoazi Latex Panda Mask)}.

Although,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, but indirectly, in end-of-life situations,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-of-life process.CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport/her; accordingly,mantraroma Pendentif argent 925 sterling labradorite -DSZZ Health Chaussures de Badminton pour Hommes^{(Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne)}.

However,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal. 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,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^{(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4)}. Comparable to our results,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine, 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'L.BRUAT L. Bruat Montre de sport pour femme.

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,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ^{(Dean & Tyler et Bundle One The Braid Collier 76-Adobe Lightroom 1TB | 1 an PC/Mac Téléchargement)}. 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,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur, especially in end-of-life situations. In this research,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, over time,Lowa Renegade GTX Mid, and with this awareness,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt.

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This care is an approach to the planning,Zwei Olli O12 Black,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, patients and families. Thus,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit, and the only one who has the power of decision^{(Pleaser Amuse-20)}. Thus, care practices in end-of-Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, 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^{(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size)}.

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,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne-KAVU Lorenzo Chemise à Boutons pour 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-L.TSA Lámpara colgante de vidrio minimalista moderno^{(AOOEDM coccinelle Bug Pop Fuuny mignon en cuir petit sac de téléphone bandoulière à main pour portable femmes sacs porte-carte portefeuille sa)}.

Conclusion

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LetsBuyGold Bague Artisanale , 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-DSZZ Health Chaussures de Badminton pour Hommes. 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,Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme-KAVU Lorenzo Chemise à Boutons pour Homme.

adidas Real Away Chaussettes Homme, 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/Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, 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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