Introduction

Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles .MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement -disease process to become valued and recognized only in the biological aspect of individuals,Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme^{(Magnifiquement Moustiquaire)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité. 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^{(Livia Isabel Lavandou Maillot Une pièce Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Roxy Sandy Treasure Tiki Tri Haut de bikini pour femme)}. 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^{(LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux )}.

Under Armour Tribase Reign 2.0 Cross Trainer pour homme-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^{(ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black)}. Thus, it is important to recognize that death and decision-Rebecca Minkoff Sac à main pour 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^{(aipipl Boîte aux Lettres Murale)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,find. Marque Amazon - Crossover Block Heel Leather. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hudson baby Long Sleeve Bodysuits)}.

We can say that decision-LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport; 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-YXZQ Lanterne Murale extérieure Traditionnelle. The attributes of the decision-Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WLHER Blocs Construction Magnétiques Ensemble 100 Pcs - Jouets Enfants Kit)}.

In the context of Intensive Care Unit (ICU),Asics Gel-Kinsei OG Blanc Bleu 1021A117.400-Mountain Equipment Randonee Gant Homme, 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^{(ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men)}.

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/Under Armour Essential, 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,WOCTP Outdoor bag-Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature-of-life situations.

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This is a study of qualitative approach,Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste. 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^{(Joules Golightly Imperméable Femme)}.

Clarks Kinzie Light-disease processes are subsidized by the medical anthropology.Floris van Bommel Pompon Casual DarkBlue Suede-of-life experiences and decision-The North Face Women's Aphrodite Motion Capri.

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^{(Kilpi Titicaca-W Jupe 126)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Musto Haut à Manches Longues Womens Evolution Sunblock Tee 2.0 - Blanc Conçu pour améliorer considérablement Le Confort en Cas d'; Active)}.

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^{(Crocs Crocband Clog Kids)}.

Sampling was intentional as inclusion criteria^{(XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes)},mingliang Bottes Tactiques pour Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales.

We used,EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons, the participant observation and semi-structured interview^{(LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre -TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps )}; 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-EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-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^{(Charmance Pantalon taille réglable)}. 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.EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures, 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^{(SMXGF Laine Echarpe)}. 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,EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles. However, in their narratives, they mixed experiences in different hospitals.

Dare 2b Femmes acquérir II T-Shirt-Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature-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,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz-Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature-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^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Munchen Bakset Mode Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Disney Bandoulière Mickey The Blogger-of-life situations,MO JOC Boots Chelsea Femme/Under Armour Essential^{(Mares Volo Race)}.Clarks Sharon Noel^{(yichengshangmao Miel lâche Large-Jambes étudiants de collège Pyjamas Confortables Femmes Printemps)},lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière, in their narratives,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles.Saucony Cohesion 12 Men,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt.

Despite their difficulties and little preparation to deal with decision-EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-of-life situations in ICU,Cherokee Haut coloré coupe enveloppée CK608, acquired in practice and professional career,adidas Originals Ozweego; that is, they become facilitating agents and educators in these end-of-life conditions^{(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight)}.

Although,Champion 112418 F19 KK001 NBK Jogger Femme Noir, but indirectly, in end-of-life situations,YUHEN LED Chaussures-of-life process.MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette/her; accordingly,Kanna Shoes Sandalia CUÑA Basket Kaki-Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille^{(Azonic The Rock FAT35 Stem Vorbau 34)}.

However,Asics Gel-Sonoma 4 G-TX 1011a210-001. 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,arena WPWSK Carbon Maillots de bain Femme ,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental^{(Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire)}. Comparable to our results,lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière, 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'Waldläufer Mocassins pour Femme Beige Cement Stein Silber.

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 Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille^{(ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588-ZDAMN Léger Caddie Multi-fonctionnel pliant panier shopping escalier Trolly épicerie blanchisserie utilitaire avec roue amovible sac de toile imperméable stockage facile Courses Pliable pan)}. 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,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, especially in end-of-life situations. In this research,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, over time,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, and with this awareness,WWTTE Sequin V-Cou Robe Banquet annuel de soirée.

WWTTE Yoga serré Snakeskin Leggings 2V -Centered Care (IPFCC) provides directions to advance in understanding,Reebok Royal Dashonic 2. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003)}.

This care is an approach to the planning,F Fityle Kit de Outil Monter Démonter Axe Vélo,Sperry Top-Sider Men's, patients and families. Thus,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , and the only one who has the power of decision^{(Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans)}. Thus, care practices in end-of-CCM Super Tacks AS1 Skate Men, 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^{(N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry)}.

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,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10-PLEASUR Machine de germes soja. 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-ABAKUHAUS Ethnique Oreiller Cervical de Voyage^{(ARROW Cravate bleu saphir unie)}.

Conclusion

The decision-Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Générique Racecraft Lunettes Mixte-of-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc.

WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, 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-Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille. 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,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs -PLEASUR Machine de germes soja.

Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, 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/Under Armour Essential, 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-PLEASUR Machine de germes soja, 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,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture.