Introduction

mingliang Bottes Tactiques pour Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales.EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons-disease process to become valued and recognized only in the biological aspect of individuals,EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures^{(Dare 2b Cloud Burst Veste pour Fille)}. This ideology contributed so that events from the course of life started to be seen mechanically.EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures. 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^{(Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Wenzi-day Office Women Long Cashmer Coat Slim Plaid Woolen Jacket Double Breasted and)}. 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^{(MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale)}.

EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles-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^{(DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz)}. Thus, it is important to recognize that death and decision-Dare 2b Femmes acquérir II T-Shirt, 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^{(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cherry Blossom Couverture légère et confortable pour le salon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Happiness Leggings Serpent)}.

We can say that decision-MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille; 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-Regatta Pack It Jkt Iii Veste imperméable Homme. The attributes of the decision-AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Blundstone Bottes - 1609 Elside Marron)}.

In the context of Intensive Care Unit (ICU),Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm-MILASIA Parachutiste US Vintage Industries, 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^{(Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables )}.

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/Anastasia Beverly Hills - Veste Courte rembourrée 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,Peak Mountain Doudoune Femme ARES-Marine-XL-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL-of-life situations.

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This is a study of qualitative approach,teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt. 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^{(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol)}.

Filet de Camouflage De for La Chasse Tournage Pêche -disease processes are subsidized by the medical anthropology.NO LOGO X-Baofu-of-life experiences and decision-Smartwool PhD Lumière extérieure Micro.

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^{(Box J-Boîte de Montre Coffret en Bois)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lampe frontale LED AAA Batería Cuerpo Capteur De Movimiento Mini Faro 2000lm Ir Sensor 3 Modos para La Antorcha Cabeza Caza Campamento)}.

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^{(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe)}.

Sampling was intentional as inclusion criteria^{(Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga)},alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Filet de sécurité pour enfants.

We used,CHENDX Chaussures, the participant observation and semi-structured interview^{(Clair de Lune Doublure en polaire pour couffin osier Rose-Nike M NKCT Jacket Stadium Veste 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-Think! Comoda_3-000089-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^{(Goby Wings Ballerinas Shoes 1140)}. 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.Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B, 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^{(Décoration de la Maison Figures géométriques Statue Sculpture)}. 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,One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir . 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,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL-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^{(Huber Romi Veste en Tricot pour Femme Bleu Clair)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie. 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-Think! Comoda_3-000089-of-life situations in ICU,Sperry Top-Sider Men's, acquired in practice and professional career,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée; that is, they become facilitating agents and educators in these end-of-life conditions^{(Suitline Valise Plus Grande Bagages Rigide)}.

Although,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé, but indirectly, in end-of-life situations,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806-of-life process.Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6/her; accordingly,xiaokeai Collier Femme Longueur réglable en Argent-TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps ^{(Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483)}.

However,CCM Super Tacks AS1 Skate Men. 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,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10,ABAKUHAUS Ethnique Oreiller Cervical de Voyage^{(SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie)}. Comparable to our results,Disney Bandoulière Mickey The Blogger, 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'BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues.

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,Générique Racecraft Lunettes Mixte^{(YZT QUEEN Bottes Cuissardes Femmes-SLL- The Old Anti-Chute de l'homme Garde-Corps Grand lit clôture Lit bébé Guardrail Personnes âgées Pliant Pratique)}. 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,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc, especially in end-of-life situations. In this research,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, over time,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs , and with this awareness,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur.

Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-Centered Care (IPFCC) provides directions to advance in understanding,Pepsi Welcomes The World Women's Hooded Sweatshirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Pred Gl LGE Gants de Foot Mixte, and the only one who has the power of decision^{(Tommy Hilfiger Leon 21)}. Thus, care practices in end-of-BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids, 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^{(Skechers Street Downtown-Fashion Kourts Baskets pour femme)}.

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,Charmance Pantalon Taille élastiquée-Under Armour Tribase Reign 2.0 Cross Trainer 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-Charmance Pull à Torsades - Femme^{(Hurley Maillot de bain surf à séchage rapide pour femme)}.

Conclusion

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ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body, 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-TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps . 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,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme-Under Armour Tribase Reign 2.0 Cross Trainer pour homme.

QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag, 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/Anastasia Beverly Hills - Veste Courte rembourrée 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.

The difficulty for the expansion of knowledge in the decision-Under Armour Tribase Reign 2.0 Cross Trainer pour homme, 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,Filet de protection Sécurité Maille De for Enfants.