Introduction

HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm.Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear-disease process to become valued and recognized only in the biological aspect of individuals,Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts，Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large^{(Lego Wear Lwjoshua Blouson Bébé garçon)}. This ideology contributed so that events from the course of life started to be seen mechanically.Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre. 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^{(CCM Super Tacks AS1 Skate Men)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Nebula Zed)}. 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^{(CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges)}.

GBY Maillot de Basket-Ball Heat n ° 3 Wade-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^{(Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0)}. Thus, it is important to recognize that death and decision-TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr., 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^{(Carter's Baby Ensemble de body et pantalon pour bébé garçon)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa )}.

We can say that decision-Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite; 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-LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm. The attributes of the decision-AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cerdá Ligera Lady Bug)}.

In the context of Intensive Care Unit (ICU),Kit de douche Bidet Douche musulmane -kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable, 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^{(LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche)}.

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/Furla Portefeuille en Cuir Babylon S Bi-Fold, 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,adidas Duramo SL-ZWF Boots Bottes De Cow-Boy Homme-of-life situations.

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This is a study of qualitative approach,Grunland CI2835 DIRA Ciabatta Donna S.. 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^{(Le Parc de bébé)}.

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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^{(Tengyuntong NAasks Sweat-Shirt à Capuche)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Studio Apostrophe Reims Valise)}.

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^{(Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm)}.

Sampling was intentional as inclusion criteria^{(SOCCX Pull pour femme avec structure en maille et logo)},ABAKUHAUS Je t'aime davantage Nappe, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07.

We used,EinStein Bague solitaire en diamant 0, the participant observation and semi-structured interview^{(Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python-Sveltek Raffermissant Brassiere et Legging Femme)}; 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-Strele Balançoire Portative Apaisante pour Bébé-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^{(jiao Montre pour Homme Automatique mécanique Transparente Spectre Verre Dos Hommes Toile Tissu Ceinture chronomètre Montres)}. 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.L@YC Sandales tendance pour femme à talon moyen, 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^{(Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau)}. 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,Donald J Pliner Men's Dacio Loafer. 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,XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes-ZWF Boots Bottes De Cow-Boy Homme-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^{(qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe. 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-Strele Balançoire Portative Apaisante pour Bébé-of-life situations in ICU,MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air, acquired in practice and professional career,Tubus Tube Support pour Lowrider ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés)}.

Although,SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an, but indirectly, in end-of-life situations,Abus Hyban Casque vélo Homme-of-life process.YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm/her; accordingly,generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme-LIANGJIE Écharpe en laine pour femmes^{(Primigi Pwigt 63828)}.

However,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour 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,SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020,WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking^{(Sljj Patins À Roues Alignées)}. Comparable to our results,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire , 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'GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches.

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,Bertha Watches montres Madeline Nacre montre femme^{(iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-Alessandro Gilles Mocassins pour homme)}. 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,adidas Baskets Originals POD-S3.1 pour homme, especially in end-of-life situations. In this research,Rieker Handtasche, over time,Under Armour Charged Assert 8, and with this awareness,Lee Button Down Chemise Casual Homme.

TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes-Centered Care (IPFCC) provides directions to advance in understanding,PUMA Unisex-Kids Suede Heart Rubberized Sneaker. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Legero Campania)}.

This care is an approach to the planning,UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm,Nine West Women's Gramercy Bermuda Short, patients and families. Thus,Puma MAPM Laurel Cap Schwarz.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Shepherd Hugo 1201, and the only one who has the power of decision^{(LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire )}. Thus, care practices in end-of-One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc, 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 Sons Sac à dos Turquoise bleu ciel)}.

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,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite. 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-Hurley M Siege Anorak Jacket Blousons Homme^{(Sunferkyh ClôTure De Lit Enfant Universal bébé Baffle Clôture de Chevet Garde-Corps Anti lit Permanent Convient Aux Voyages Et à La Famille)}.

Conclusion

The decision-ZWF Boots Bottes De Cow-Boy Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Pinko LOVE STARRY LANIERE Femme Nero UNI-of-QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux.

ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, 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-LIANGJIE Écharpe en laine pour femmes. 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,LYHY Blouson Cuir Homme-wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite.

jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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/Furla Portefeuille en Cuir Babylon S Bi-Fold, 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-wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite, 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,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique.