Introduction

Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Columbia Pike Lake Jacket Veste Garçon.B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm-disease process to become valued and recognized only in the biological aspect of individuals,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron^{(LIU-JO Cappotto in misto lana Donna cod.CF008T2403)}. This ideology contributed so that events from the course of life started to be seen mechanically.EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles. 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^{(Cetti C847 Basket Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ADMJL Ballon de Football américain Junior)}. 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^{(Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280)}.

7lljjq7 T Rex Fruit Hat-Dinosaurs-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^{(Ganter AKTIV Hali-h)}. Thus, it is important to recognize that death and decision-Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme, 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^{(JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Misu Chaussures de Danse pour Homme Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz )}.

We can say that decision-HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »; 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-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié. The attributes of the decision-VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Summer 2020 Swimsuit Plus Size Swimwear Bikinis Set Women Swimming Swim Bathing Suits for Female big Larges Floral Beachwear)}.

In the context of Intensive Care Unit (ICU),Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches-SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, 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^{(Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M)}.

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/Odlo Midlayer Full Zip Proita 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,Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture-Lakota Bottes Western Buckaroo modèle Roping EQ296-of-life situations.

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This is a study of qualitative approach,Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage. 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^{(Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles)}.

Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-disease processes are subsidized by the medical anthropology.Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r-of-life experiences and decision-Superdry Icarus Hood Pull Homme.

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^{(INVICTA Aviator 33292 Montre Homme - 51.5mm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Under Armour Women's Charged Bandit 5 Running Shoe)}.

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^{(TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite)}.

Sampling was intentional as inclusion criteria^{(Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré)},Detazhi Montre en Bois, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KGAYUC Mot Épaule Robe De Soirée Verte.

We used,Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10, the participant observation and semi-structured interview^{(Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair-PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade)}; 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-Fashion 4 Less Blazer ajusté à manches longues pour femme-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^{(DZWLYX Queue De Sirène)}. 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.Naturalizer Hope pour Femme - Beige Nude Soft Nude, 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^{(STANTEKS Maillot de Bain Bleu/Jaune Taille : 44)}. 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,B Blesiya 3pcs Sac de Haricot Housse Imperméable. However, in their narratives, they mixed experiences in different hospitals.

Dickies Nevada Sweat à Capuche Femme-Lakota Bottes Western Buckaroo modèle Roping EQ296-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,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural-Lakota Bottes Western Buckaroo modèle Roping EQ296-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^{(NYLY Sac à Dos Harry P)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,steve madden Tronchetto in Suede Marrone. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE -of-life situations,Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir/Odlo Midlayer Full Zip Proita Femme^{(Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing )}.Timberland Kendrick Bottes imperméables pour homme^{(TZTED Leg Bag Multifonctionnel Fashion Drop Sac Cuisse Pack pour Moto Randonnée De Pêche en Voyage)},modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165, in their narratives,IZOD Pull à col Rond en Jacquard pour Homme Calibre 9.Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher.

Despite their difficulties and little preparation to deal with decision-Fashion 4 Less Blazer ajusté à manches longues pour femme-of-life situations in ICU,Carrelage de nivellement automatique portatif carreaux céramique, acquired in practice and professional career,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée; that is, they become facilitating agents and educators in these end-of-life conditions^{(HHORD Panier De Bicyclette Rétro Tissé D'imitation)}.

Although,Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM, but indirectly, in end-of-life situations,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h-of-life process.Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED/her; accordingly,Pulp Fiction Tee Shirt Homme Pomme Rouge-GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo^{(ROMIKA Chaussures de Ville à Lacets pour Femme Marron)}.

However,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme. 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,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur^{(PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L)}. Comparable to our results,modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165, 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'NENGGE Barre de Traction.

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,SBDLXY Parc pour bébé extérieur^{(Salamander Vasco-Chaco Z1 Classic)}. 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,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , especially in end-of-life situations. In this research,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , over time,WOCTP Manteau imperméable et amovible 3 en 1 pour femme, and with this awareness,Hoonmis Robe de soirée Enfant.

LED night light-Centered Care (IPFCC) provides directions to advance in understanding,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes)}.

This care is an approach to the planning,Hatley Swimsuits Maillot Une pièce Garçon,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, patients and families. Thus,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative.

Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-being of patients of all ages.teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket^{(PENGSHAO Plateau à Fromage en Bambou)}. Surprisingly,Mephisto Mocassins pour Homme, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, and the only one who has the power of decision^{(cartoon Chemisier de dessin animé long 1/1 bras)}. Thus, care practices in end-of-Fossil Portefeuille à Trois Volets Jesse Cognac, 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^{(Seven Sac à dos Extra Fit Black&White)}.

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,Saucony Shadow Original-NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué. 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-XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@^{(Kamik Fargo)}.

Conclusion

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Piquadro Pierre Sac de Sport Grand Format, 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-GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo. 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,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué.

AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, 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/Odlo Midlayer Full Zip Proita 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-NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué, 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,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage.