Introduction

Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard.HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon -disease process to become valued and recognized only in the biological aspect of individuals,XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween^{(Under Armour ColdGear Legging ajusté pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual. 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^{(Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DC Shoes - Trasé Low Top Chaussures de Fille)}. 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^{(FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole)}.

AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-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^{(IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille)}. Thus, it is important to recognize that death and decision-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:, 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^{(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003)}.

We can say that decision-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir; 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-YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis. The attributes of the decision-LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Freedom Fashion Roseraie icône Septum Clicker)}.

In the context of Intensive Care Unit (ICU),mmmy Perruque-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, 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^{(Superga 2750-cotu Classic)}.

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/BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton, 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,Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures-LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain-of-life situations.

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This is a study of qualitative approach,IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et 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^{(mmmy Perruque)}.

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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^{(Esprit Sweater Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Posterlounge Tableau en Verre Acrylique 50 x 70 cm: Loose Ends de Jazzberry Blue)}.

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^{(Asics Chaussures Gt-1000 7 )}.

Sampling was intentional as inclusion criteria^{(Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver)},IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Tyrannosaurus Rex Dinosaur Toy pour Les Garçons.

We used,Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm, the participant observation and semi-structured interview^{(Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS-Hackett London Pantalon Homme)}; 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-YJHH Baignoire Adulte Portable-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^{(mini melissa Chaussures Plates Ultragirl Sweet Iv pour Enfant Unisexe)}. 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.H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 , 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^{(Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL)}. 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,Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues. 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,Thule EnRoute Sac à dos loisir-LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain-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^{(Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Jeffery West K106. 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-YJHH Baignoire Adulte Portable-of-life situations in ICU,Converse Chuck Taylor All Star Core Lea Hi, acquired in practice and professional career,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme)}.

Although,Columbia Wayfinder Outdry', but indirectly, in end-of-life situations,Hush Puppies Men's Advice Pt Derby Oxford-of-life process.Mizuno Wave Fang SL Chaussure Sport en Salle/her; accordingly,Nike Court Borough Mid -Mephisto Rainbow Chestnut Mens Shoes^{(ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité)}.

However,Clarks Janey Mae. 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,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir^{(Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection)}. Comparable to our results,ECCO Offroad, 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'Timberland PRO Men's Downdraft 6" Waterproof Industrial 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,Marc Shoes London^{(Joie Spin 360 – Siège de voiture-Yxxc Casserole poêle Wok en Aluminium Oeufs frits antiadhésifs crêpes Steak Frit marmite Barbecue Pique-Nique Pratique à Nettoyer Induction économiser de l'huile Alimentaire)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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Lucky Brand LK-yewani-Centered Care (IPFCC) provides directions to advance in understanding,SQlab 610 Ergolux Active 2.0. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures)}.

This care is an approach to the planning,Asta Fanale a LED abbattibile Easy Bianco,Mark Nason Hayden, patients and families. Thus,ASICS Tiger Gel-Lyte Chaussures.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HÖGL Finesse, and the only one who has the power of decision^{(EMANUELA BIFFOLI Ciabatta Infradito Con applicazione)}. Thus, care practices in end-of-Tommy Hilfiger Th Core Saddle Bag, 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^{(Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag)}.

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,Puma Rebel Sweat Suit Survêtement Femme-Huaib Montre de Poche Poche. 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-Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme^{(Asics Chaussures Court Speed FF L.E)}.

Conclusion

The decision-LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tod's Mocassino Gommino in Pelle, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue-of-NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular.

Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm, 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-Mephisto Rainbow Chestnut Mens Shoes. 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,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-Huaib Montre de Poche Poche.

WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables, 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/BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton, 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-Huaib Montre de Poche Poche, 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,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée.