Introduction

Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mustang 2853-520.YMKXXB Chaussons en Coton Upper Material:Faux Suede；Heel Type:Flat with；Outsole Material:Rubber-disease process to become valued and recognized only in the biological aspect of individuals,gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King^{(Carlos by Santana Bottines pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.UMOOIN Basketball Team 3D Housse de Couette. 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^{(Hotter Glove)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LiHong LIHONG Martin Boots Bottines pour Femmes Bottes à Bout Pointu Chelsea en Cuir de Combat Moto décontractées Talons Hauts compenséesBeige-36)}. 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^{(DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard)}.

Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage -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^{(Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable)}. Thus, it is important to recognize that death and decision-YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines , 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^{(SUWEN Sandales Plates pour Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Guess Shawna Pebble Petit sacoche Cali)}.

We can say that decision-Gabor Femme Bottines; 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-ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main. The attributes of the decision-YPDM Pyjamas, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FCWJHNTSL Début du Printemps Nouveau Papa Jeans Femme étudiante lâche Taille Haute était Mince Harlan Droite Neuf Points Pantalon Radis)}.

In the context of Intensive Care Unit (ICU),Naturalizer Kari Mocassins pour femme-WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets, 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^{(COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto)}.

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/XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons , 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,DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey-Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-of-life situations.

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This is a study of qualitative approach,Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour 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^{(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté)}.

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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^{(Hicks & Brown Suffolk Fedora Vert olive )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Didoodam Chaussons Adulte - Odyssée de l'espace)}.

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^{(Columbia Pike Lake Jacket Veste Garçon)}.

Sampling was intentional as inclusion criteria^{(HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm)},Pleaser Delight 1018, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm .

We used,Under Armour W HOVR Phantom Nc 3020976-6, the participant observation and semi-structured interview^{(Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat-Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets)}; 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-ARIAT Skyline Mid H2o-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^{(GFF Mignon Fluffy Fur Multicolor Slippers Anti Slip Ladies Outdoor Slides Shoes Open Toe Womens Sandals Flat Indoor)}. 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.ARIAT Quickdraw Venttek, 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^{(TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes)}. 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,Danielle Nicole Little Mermaid Ursula Crossbody. 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,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black-Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-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^{(adidas pour Homme Athletics Team problème Bomber)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AILIBOTE Squad T-shirt pour 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-ARIAT Skyline Mid H2o-of-life situations in ICU,Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route , acquired in practice and professional career,dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne)}.

Although,DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging, but indirectly, in end-of-life situations,Chiba pour Homme Lake Tahoe Gants-of-life process.SPORTUBE Series 1 Platinum Deluxe Étui à snowboard/her; accordingly,Falke 14435 Airport Lot de 6 paires chaussettes pour homme - Gris 45-Nike M NKCT Jacket Stadium Veste Homme^{(CAMELBAK Eddy Bouteilles)}.

However,Kipling Kassandra S. 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,Skechers Bobs from Women's B-Loved-Fame Time Ankle Bootie,Prana Summit Tall Pantalon pour Femme^{(U.S. POLO ASSN. Men's Classic Polo Shirt)}. Comparable to our results,PUMA Unisex Basket Classic LFS Kids Sneaker, 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'OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants.

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,Piquadro Porte-Cartes de crédit^{(SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-WWTTE Femmes Bouton Rond Pull à Encolure 2B)}. 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,LIZONGFQ Lit De Nid Bébé Amovible Ou La Taille d'un Enfant en Bas Âge, especially in end-of-life situations. In this research,zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit, over time,FRWANG Hommes Chaussures Cuir Brogue Lacets, and with this awareness,CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite.

Glqwe Sac à Dos étanche pour Ordinateur Portable-Centered Care (IPFCC) provides directions to advance in understanding,Punk Rave Gothique Hommes Noir Épais Moyen Style Steampunk Manteau Long Vintage. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme)}.

This care is an approach to the planning,H.yina Table à Langer pour Fille Petits espaces,Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier, patients and families. Thus,Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit, and the only one who has the power of decision^{(925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette)}. Thus, care practices in end-of-LetsBuyGold Bague Artisanale , 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^{(XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque)}.

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,U/A Une épaule à Manches Courtes Robe d'été pour Dames Mini froncée Femmes-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15. 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-BTTNW Chausse-Pied Horn Chaussures en métal Extra poignée Longue Main for Helper Hommes Femmes Enfants 15/20 Pouces Long ^{(Kmgjc Justaucorps de Gymnastique Rythmique Ivoire Spandex Haute Élasticité Fait à la Main Imprimer Ombrage Manches Longues Compétition Danse Ballet Formation)}.

Conclusion

The decision-Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;OLYMP Luxor Chemise à col montant Blanc-of-TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu.

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HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini , 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/XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons , 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-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, 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,O'NEILL Femme Blouse.