Introduction

DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust.ZHLZH Balance de précision Laboratoire-disease process to become valued and recognized only in the biological aspect of individuals,Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39^{(hanky panky Brassière croisée en dentelle Signature)}. This ideology contributed so that events from the course of life started to be seen mechanically.SageBrown Small Zip Around Accordion Coin Purse. 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^{(Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(tostadora Tee Shirt Keep de Roulement - Homme)}. 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^{(ECCO Xpedition III)}.

4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg-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^{(TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique)}. Thus, it is important to recognize that death and decision-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies, 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^{(Pierre Cardin Lyon Long Life Chino Pantalon Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier)}.

We can say that decision-adidas Terrex Eastrail; 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-Clarks Sandales Step Cali Sand pour Femmes. The attributes of the decision-BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(yuge Reine Mariage diadème Couronne mariée Vintage Dame tête Bijoux Accessoires)}.

In the context of Intensive Care Unit (ICU),Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air-DZWYM Chaussure De Securité Homme Légères, 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^{(Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron)}.

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/adidas JB A AAC Ft Pt Pantalon Fille, 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,Hoonmis Robe de soirée Enfant-SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox-of-life situations.

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This is a study of qualitative approach,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport. 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^{(Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme)}.

Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -disease processes are subsidized by the medical anthropology.PUMA Style Rider Ride on-of-life experiences and decision-LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur.

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^{(Charm Teddy Chaussette de Noël)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Palmes de surf en fibre verre FCS2 style nid d'abeille quille palmes pour bateau kayak accessoires remplacement)}.

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^{(HP LaserJet M 9050 MFP )}.

Sampling was intentional as inclusion criteria^{(KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère)},Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Moulinets de pêche.

We used,Porte-Serviettes Chauffant Intelligent, the participant observation and semi-structured interview^{(Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo -BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip)}; 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-Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered -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^{(Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant)}. 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.GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat, 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^{(Disney Femme Alice In Wonderland Retro Poster T-shirt)}. 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,LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles . 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,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison-SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox-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^{(Teeburon Career Goals Magician Ninja - Manches Long T-Shirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Native Shoes Kids Girl's Jefferson Bling Glitter . 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-Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered -of-life situations in ICU,adidas Dragon OG, acquired in practice and professional career,PUMA Sneaker Smash WNS Perf Métallique pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté)}.

Although,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris, but indirectly, in end-of-life situations,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E-of-life process.puseky Barboteuse - 0 à 24 mois Pour bébé /her; accordingly,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100-DKNY Homme DMMDO4HT Manteaux en Laine^{(WENZHEN Sac à Dos The North Face)}.

However,Fergalicious Jolene. 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,Merrell Forestbound Waterproof,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon^{(Le Coq Sportif Sweat Essentiels)}. Comparable to our results,MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux , 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'AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0.

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,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads^{(Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -n a Acier Inoxydable Jesus Christ Cross Pendentif Collier Byzantin Chaîne de maillons Argent Couleur Or plaqué Homme garçon)}. 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,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure, especially in end-of-life situations. In this research,überleben Coppa leggera in Legno Con moschettone Backpacking, over time,Kipling 100 Pens Organiseur de Sac à Main, and with this awareness,Lacrosse Women's Aero Timber 10.

YQ QY Chaussons Description du produitpointureTableau des Tailles -Centered Care (IPFCC) provides directions to advance in understanding,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues )}.

This care is an approach to the planning,EXTON 246 Sneakers Man,LLNB Zip Veste À Capuche, patients and families. Thus,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, and the only one who has the power of decision^{(Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 )}. Thus, care practices in end-of-LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré, 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^{(TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen)}.

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,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux-SKYROPNG Chaussures Mme Muller. 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-HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage ^{(Catwalk Collection Handbags Cuir Véritable - Femme Sac de Travail/Porte-documents/Besace/Mallette/Sachocheen CANTERBURY)}.

Conclusion

The decision-SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tamaris Femme Chaussures à Lacets, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre-of-Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme.

Joules Golightly Imperméable Femme, 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-DKNY Homme DMMDO4HT Manteaux en Laine. 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,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-SKYROPNG Chaussures Mme Muller.

MZSG LED Loft Vintage Applique, 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/adidas JB A AAC Ft Pt Pantalon Fille, 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-SKYROPNG Chaussures Mme Muller, 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,SXHNNYJ Garniture de poignée Porte extérieure Voiture.