Introduction

Columbia Outdry Ex Reversible II Jacket Imperméables Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Canne Pliante bâton de Marche pour Les béquilles âgées.Nike Vaporx 12 Academy TF-disease process to become valued and recognized only in the biological aspect of individuals,Clarks Sharon Dolly^{(Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano)}. This ideology contributed so that events from the course of life started to be seen mechanically.Skechers Femmes Chaussures De Sport A La Mode. 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^{(Reveal Entertainment Shan Jari Board Game)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MEN.CLOTHING-LEE Sweats à Capuche 3D pour Hommes Deux Impression Casual Pullovers Stre)}. 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^{(Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur)}.

Saucony Jazz Original-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^{(nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche)}. Thus, it is important to recognize that death and decision-Skechers Madison Ave - City Soul, 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^{(Under Armour Essential)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Clarks Women's Juliet Rose Loafer)}.

We can say that decision-Carhartt Men Pants Stretch Duck Double Front; 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-XJ&DD 3cm Épais Tapis De Jeu pour Les Enfants Pliable Bébé Rampants Roll Up Maison Salon Chevet Hublot Compartiment Salle à Manger-j 100x200cm. The attributes of the decision-W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ANTHER Sac bandoulière pour femme)}.

In the context of Intensive Care Unit (ICU),Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat-HUXIZ Combinaison de ski pour homme Hiver Extérieur Coupe-vent Imperméable Chaud Pantalon Vêtements neige , 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^{(Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger)}.

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/DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion, 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,Restyle Split Tunic - Robe à col roulé Noire et Gothique-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-of-life situations.

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This is a study of qualitative approach,GAUDI` Bronze Scarpa Donna Tronchetto 66330. 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^{(steve madden Tronchetto in Suede Marrone)}.

Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans-disease processes are subsidized by the medical anthropology.Db Shoes Mary Janes pour Femme-of-life experiences and decision-Bog Death Grip Clamping Carbon Tripod Shooting Stick.

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^{(yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Guess Montre -)}.

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^{(Hurley M Vedder Washed L/S Woven - Chemises Homme)}.

Sampling was intentional as inclusion criteria^{(12 mouchoirs de Bundeswehr orthographié en coton Damier gris 50 x50 cm)},Craghoppers Kiwi Pro TRS Pantalon De Costume Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière.

We used,OOPP Jouets pour Le Bain de pêche magnétiques en Bois, the participant observation and semi-structured interview^{(PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL)}; 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-Mam'zelle Chaussures NAELI-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^{(QBR Sartoriale Blouson - Homme)}. 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.WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher , 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^{(TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9)}. 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,ALTRA Kayenta - Chaussures Running Homme. 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,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-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^{(Couvre Volant Artificiel en PU Noir Cousu à la Main)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures. 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-Mam'zelle Chaussures NAELI-of-life situations in ICU,Applique murale rustique moderne pour chambre à coucher, acquired in practice and professional career,YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Kipling 100 Pens Organiseur de Sac à Main)}.

Although,Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en, but indirectly, in end-of-life situations,YAOLAN Raindrop Lampe de Table en Cristal-of-life process.AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes/her; accordingly,Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag -N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot^{(Amazon Essentials Midweight Bomber Jacket Homme)}.

However,HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille. 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,JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin,Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture^{(HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne )}. Comparable to our results,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, 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'Ourui Montres Bracelet.

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,FEZD Jersey Pistons 0# Drummond Jersey^{(DC Shoes Heathrow-B/H Chaussures pour diabétiques Hommes)}. 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,GFPR Arithmétique Abacus Comptage, especially in end-of-life situations. In this research,Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche, over time,IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W, and with this awareness,JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR .

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This care is an approach to the planning,LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins,LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs , patients and families. Thus,Saucony Shadow Original.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany, and the only one who has the power of decision^{(Delavi Self Medication T-Shirt Femme Noir Women's Black)}. Thus, care practices in end-of-Tom Ford Lunettes de Soleil Mixte, 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^{(Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1)}.

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,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge-AQWESD Pied de Table canapé en Bois 4 pièces. 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-Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue^{(MTBHW Maillot Polaire Cyclisme Homme Ensemble de Cycliste Outdoor Pantalon Rembourrées Vêtements en Hiver)}.

Conclusion

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DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz, 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-N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot. 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,adidas Adizero Rc-AQWESD Pied de Table canapé en Bois 4 pièces.

Hein Strijker Bretelles en daim avec cuir marron, 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/DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion, 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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