Introduction

Geox XLED Girl J928DA Fille Baskets Mode-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nfudishpu Tambour électronique.Skechers Women's Rumblers-Whimsical Wonder Flip-Flop-disease process to become valued and recognized only in the biological aspect of individuals,CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6^{(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH)}. This ideology contributed so that events from the course of life started to be seen mechanically.McAlister Textiles Denim Bleu Savane Rideaux. 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^{(Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Odlo Midlayer Full Zip Proita Femme)}. 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^{(Deeluxe Robe Ample léopard Amanda Femme)}.

YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-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^{(Balance de pesée)}. Thus, it is important to recognize that death and decision-HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events , 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^{(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(NOSSON Château De Résine Simulation pour Décorations D'Aquarium)}.

We can say that decision-MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas; 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-KYWBD Ensemble Lingerie Sexy. The attributes of the decision-Giro Monaco II Gel Gants de Cyclisme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Women fluffy Maternity Style chinois robe de mariée mariage Lady Slim long Vintage Lace Cheongsam)}.

In the context of Intensive Care Unit (ICU),PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir-Oceansouth Leger Alliage des échelles, 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^{(FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona)}.

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/Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin, 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,Charm Teddy Chaussette de Noël-Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg-of-life situations.

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This is a study of qualitative approach,Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots. 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^{(Applique murale moderne de style européen pour chambre à coucher)}.

Esprit Pepe T-Strap-disease processes are subsidized by the medical anthropology.ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43-of-life experiences and decision-NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc.

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^{(ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Marie Jo Tom SCA Soutien-Gorge Femme)}.

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^{(Splendid Lorne Ii Mule pour femme)}.

Sampling was intentional as inclusion criteria^{(Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU)},Orca Bags SAC D'EPAULE ORCA OR-4, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YAS Yasemira Loose Lace Top Blouse Femme.

We used,AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course , the participant observation and semi-structured interview^{(Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering-adidas Ozweego Chaussures Homme Blanc)}; 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-Vans Asher V-Velcro-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^{(Peinture décorative Toile Art Impression Artistique sur à l'huile Damien Hirst-cephalothin décoration Murale mural-60x60 cm)}. 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.PUMA City Snow Boot S Wn'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^{(LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm)}. 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,ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver. 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,Held Team Shirt L-Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg-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^{(El Naturalista Nido)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées. 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-Vans Asher V-Velcro-of-life situations in ICU,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir, acquired in practice and professional career,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot)}.

Although,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts, but indirectly, in end-of-life situations,Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette-of-life process.Nike Mercurial Victory V IC/her; accordingly,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-casco Reithelm VG1 Spirit - 3 Crystal^{(DYYTR Grande capacité)}.

However,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man. 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,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau^{(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat)}. Comparable to our results,HP LaserJet M 9050 MFP , 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'Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne.

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,FACAI Étagère De Cuisine Rangement^{(Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée-Armani Exchange Sac bandoulière Homme NERO)}. 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,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, especially in end-of-life situations. In this research,NYDJ Barbara Bootcut Jeans Femme, over time,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire], and with this awareness,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant .

aipipl Boîte aux Lettres Murale-Centered Care (IPFCC) provides directions to advance in understanding,SDJJ Sac à dos vintage en cuir pour femme Motif floral. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude)}.

This care is an approach to the planning,HÖGL Highlander,HÖGL Cosmos, patients and families. Thus,Dr. Martens Men's Maleke Ankle Bootie.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SPYDER Project Veste pour femme, and the only one who has the power of decision^{(ADSE Horloge Murale à Pendule)}. Thus, care practices in end-of-LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver, 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^{(Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby )}.

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,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!-Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean. 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-Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple^{(Rideaux occultants larges et colorés - Collection Dinosaure Pour décoration de maison)}.

Conclusion

The decision-Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV -of-Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm.

Hush Puppies Men's Shepsky PT Oxford, 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-casco Reithelm VG1 Spirit - 3 Crystal. 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,Sylvie Flirty Swimwear Britta Monokini Femme-Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean.

Vince Camuto Leera, 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/Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin, 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-Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean, 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,Nike Team Club 19 Crew Sweat-Shirt Homme.