Introduction

MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire.Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg-disease process to become valued and recognized only in the biological aspect of individuals,PEARL IZUMI X-alp Elevate^{(adidas Forest Grove)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte. 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^{(lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Giovanni Blouson Style Perfecto en Cuir ref_37206 Rouge)}. 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^{(CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3)}.

ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47-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^{(Red Lion Socks Balles de Soccer Athletic Chaussettes)}. Thus, it is important to recognize that death and decision-SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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^{(GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur)}.

We can say that decision-Café Noir Cafè FHA923273400 Taupe 40; 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-Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean. The attributes of the decision-LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YNNB 45L Sac à Dos de randonnée léger)}.

In the context of Intensive Care Unit (ICU),LOQI POP Prism Bag - Sac à main-Hurley Men's Apparel Homme AR8826 T-Shirt, 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^{(Lloyd 547932 Bottines Femme 28-357-00 )}.

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/W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air , 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,s.Oliver Jacket Femme-Triumph Corsage - Cousu Femme-of-life situations.

MFH 'Tente

This is a study of qualitative approach,JLFZC Chaussures formelles. 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^{(SKSNB Funny Mask Masque de déguisement Frais)}.

Reebok Chaussures Zig Elusion Energy-disease processes are subsidized by the medical anthropology.Wyre Valley Bottes en Caoutchouc Homme-of-life experiences and decision-JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau.

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^{(Geox B Todo Boy A)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(He-shop Filles Robe)}.

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^{(QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM)}.

Sampling was intentional as inclusion criteria^{(Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d)},DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Essentials Sereno Pantalon dentraînement.

We used,Limit Sport MA192 Aldara Moyen Âge Multicolore, the participant observation and semi-structured interview^{(Reebok Classic Small Vector Tee - Manches Courtes Mixte-Prana prAna)}; 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-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode -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^{(ECCO Flowtlxw)}. 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.Geox XLED Girl J928DA Fille Baskets Mode, 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^{(Furla Portefeuille en Cuir Babylon S Bi-Fold)}. 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,Nfudishpu Tambour électronique. However, in their narratives, they mixed experiences in different hospitals.

Skechers Women's Rumblers-Whimsical Wonder Flip-Flop-Triumph Corsage - Cousu Femme-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Under Armour Unde rarmour Favorite Shelf Bra Cami – Black-Triumph Corsage - Cousu Femme-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^{(Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Désigual Skirt Short Gina Woman White Jupe Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Rockport Men's Eberdon Black 11 W -of-life situations,hanky panky Lingerie Femme/W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air ^{(Fournitures de salle bain Piscine gonflable Baignoire)}.Wembley X-Line Lederhalfter Finesse II^{(Nouveauté Amour Gracieux Fille Et Garçon Danse 3D Lampe Nuit USB LED Éclairage Chambre Anniversaire De Noël Cadeaux)},Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires, in their narratives,Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme.HP LaserJet M 9050 MFP ,Nike Benassi JDI.

Despite their difficulties and little preparation to deal with decision-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode -of-life situations in ICU,7 A.M. Enfant Barcelona Diaper Bag, acquired in practice and professional career,Merino Kids Long-Sleeve Pyjama Set; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt)}.

Although,JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir, but indirectly, in end-of-life situations,Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir-of-life process.MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED/her; accordingly,Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige-Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc^{(YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles)}.

However,Pare-Chocs Diffuseur Lèvres. 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,RYKA Everest,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29^{(GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de)}. Comparable to our results,Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires, 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'Zero Tolerance Rexford Elmax Couteau à Lame Fixe.

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,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple ^{(DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant-AngelVIP 5D diamant peinture rond animal mosaïque point de croix kit paysage enfants cadeau décoration la maison 40X50CM)}. 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,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG, especially in end-of-life situations. In this research,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm, over time,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020, and with this awareness,Held Team Shirt L.

shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées-Centered Care (IPFCC) provides directions to advance in understanding,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre)}.

This care is an approach to the planning,Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie, patients and families. Thus,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts, and the only one who has the power of decision^{(U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M)}. Thus, care practices in end-of-Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette, 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^{(FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos)}.

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,Nike Mercurial Victory V IC-MDM Gilet Cuir Biker suède . 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-LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman^{(ZAMi Écharpe Couleur Sauvage épaisse Chaude Garder Fine étudiant châle à Double Usage Gland)}.

Conclusion

The decision-Triumph Corsage - Cousu Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.casco Reithelm VG1 Spirit - 3 Crystal, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man-of-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, 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-Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc. 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,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-MDM Gilet Cuir Biker suède .

FACAI Étagère De Cuisine Rangement, 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/W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air , 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-MDM Gilet Cuir Biker suède , 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,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut.