Introduction

Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures.YAOLAN 5D Diamant Peinture kit Complet-disease process to become valued and recognized only in the biological aspect of individuals,Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant^{(ARMADA Baxter Insulated Snow Jacket)}. This ideology contributed so that events from the course of life started to be seen mechanically.GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU. 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^{(love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Katana Sac à Main en Cuir KATANA - Noir)}. 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 Fall Pine Washed Crew Chemise Femme)}.

FANZIFAN Manteau de la Femme-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^{(ZJIIXON Sweat-Shirt imprimé en 3D)}. Thus, it is important to recognize that death and decision-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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^{(JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FRYE FRYE70663 - Billy Shootie Femme)}.

We can say that decision-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe ; 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-GCX Imperméable Poncho imperméable for Femmes en extérieur. The attributes of the decision-Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tabourets de bar Chaise salle à manger Fauteuils Tabouret échelle en bois massif multifonctionnel Repose-pieds / chaussures langer Chaises pliantes bain 2 mar)}.

In the context of Intensive Care Unit (ICU),Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel-Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass, 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^{(Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal)}.

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/SugarPocket Leggings de yoga pour femme, 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,Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -of-life situations.

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This is a study of qualitative approach,XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille . 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^{(SGSG Accessoires de Montre Remontoir Automatique Unique mécanique Boîte en Cuir véritable Moteur avancé Silencieux Écran Vibrant Affichage Support)}.

Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 -disease processes are subsidized by the medical anthropology.GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes-of-life experiences and decision-LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex.

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^{(HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HAOYF Electrostimulateur Musculaire)}.

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^{(Nike Court Royale Basket Femme Blanc 36 EU)}.

Sampling was intentional as inclusion criteria^{(WDDLD LumièRe CréAtive De MéDuse)},Reebok Chaussures Aztrek, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos.

We used,Bobux Zap, the participant observation and semi-structured interview^{(3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative)}; 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-Maui Jim Lunettes de soleil 543 Shallows-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^{(YMKXXB Chaussons en Coton Upper Outsole Lining Insole Material:PVC；Heel Type:Flat with)}. 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.Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis, 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^{(CMP Giacca Full Zip Wooltech Jacket Femme)}. 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,Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir. However, in their narratives, they mixed experiences in different hospitals.

LUHTA JANAKKALA L6 Veste Femme-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -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,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -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^{(Isotoner Addie Bottes en microdaim pour Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping . 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-Maui Jim Lunettes de soleil 543 Shallows-of-life situations in ICU,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique , acquired in practice and professional career,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers)}.

Although,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats, but indirectly, in end-of-life situations,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée-of-life process.Saucony Jazz Original/her; accordingly,Anna Cecere ACA 016 lime-Puma Men's Iconic MCS Tee^{(ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad)}.

However,Naturino See. 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,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure,Herschel Heritage^{(HubBub Twist Shifter Drop Bar Adaptor by)}. Comparable to our results,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, 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'Clarks Women's Linvale Sea Fashion Boot.

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,Clarks Women's Verona Rock Ankle Boot^{(Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main-Nlight Costume De Baignoire Gonflable Décalé Qualité Supérieure en Polyester Taille Adulte)}. 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,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, especially in end-of-life situations. In this research,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, over time,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz , and with this awareness,Mandarina Duck MD20 Sac bandoulière bleu.

GBY Sac à bandoulière pour femme - main tendance-Centered Care (IPFCC) provides directions to advance in understanding,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Odlo Energy Pantalon pour Femme x)}.

This care is an approach to the planning,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588,Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers, patients and families. Thus,John Deere Nothing Runs Like A Long Sleeve Printed Tee.

OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN-being of patients of all ages.Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille,Breed Racer Chronograph Bracelet Watch w/Date^{(Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250)}. Surprisingly,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9, 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;Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU, and the only one who has the power of decision^{(Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental)}. Thus, care practices in end-of-Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., 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^{(Gabor Shoes Jollys)}.

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,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. 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-KAR 4^{(Lavoro 1299.00 Run VI Range Avatar Baskets de sécurité pour homme/femme)}.

Conclusion

The decision-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XHH Échelle de Plante Support à Fleurs en Fer forgé, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Folding bath tub Baril de Baignoire Pliable-of-Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes.

Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été, 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-Puma Men's Iconic MCS Tee. 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,Fox Débardeur à dos Randonnée Homme-XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes.

Square Enix Figurine 'Super Street Fighter IV - Sakura, 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/SugarPocket Leggings de yoga pour femme, 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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