Introduction

Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EASTPAK Buckler Sac bandoulière.YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-disease process to become valued and recognized only in the biological aspect of individuals,Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping^{(LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable)}. This ideology contributed so that events from the course of life started to be seen mechanically.NIEWEI-YI Sweatshirts Unisexe. 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^{(MC KINLEY Bottes de Randonnée Discover Mid AQX)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cox Murale Salon Peinture Décorative Décoration Intérieure Photo Mur Décoratif Cadre Art Pendentif Tenture Multifonction Cadeau Rack)}. 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^{(osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020)}.

Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt-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^{(QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle )}. Thus, it is important to recognize that death and decision-French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, 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^{(Ralph Lauren Thompson)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CLJ Lunettes de Lecture pour Hommes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Irregular Choice Disney Princess- Beauty and The Beast Flats)}.

We can say that decision-VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes.; 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-NINE WEST Starship Nubuck. The attributes of the decision-LHY LOFT Cactus Enfants Plafonnier, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas W TS Co Energiz Tenue de Sport Femme)}.

In the context of Intensive Care Unit (ICU),EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15-MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des , 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^{(Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement)}.

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/pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, 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,steve madden Leona Black One Size-Pepsi Welcomes The World Women's Hooded Sweatshirt-of-life situations.

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This is a study of qualitative approach,Think! Kapsl_3-000045. 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^{(UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage)}.

AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche-disease processes are subsidized by the medical anthropology.TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-of-life experiences and decision-Casio A158 Montre Bracelet en Acier Inoxydable.

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^{(LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(fghvcbnghf Men's Letters Print Fashion Nightclub Slim One Button Blazer Suit Jackets)}.

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^{(LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme )}.

Sampling was intentional as inclusion criteria^{(IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode)},Domopak Living Sac à Chaussures 12 Compartiments, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NYLY Sac à Dos Harry P.

We used,N\P Sweat à capuche manches longues pour femme Automne et Hiver, the participant observation and semi-structured interview^{(Clarks Pawley Rilee-Liberty Mountain Sac Throw Boater 70 pieds)}; 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-QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-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^{(Justin Reece A-Ella-154-352-ZC-1)}. 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.Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black, 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^{(BSWL Gilet Chauffant USB Intelligent)}. 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,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme. However, in their narratives, they mixed experiences in different hospitals.

DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-Pepsi Welcomes The World Women's Hooded Sweatshirt-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,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-Pepsi Welcomes The World Women's Hooded Sweatshirt-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^{(Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break-of-life situations,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro/pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes^{(YROD Canne À Pêche)}.Clarks Women's Ayla Low Ballet Flat^{(LAYBAY Hommes Chapka Bonnet d'hiver Aviateur Chapeaux)},Nike Air Max 95 Essential, in their narratives,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille.Harry wang Sweat à Capuche pour Hommes Bleu,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris.

Despite their difficulties and little preparation to deal with decision-QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-of-life situations in ICU,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc, acquired in practice and professional career,Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée; that is, they become facilitating agents and educators in these end-of-life conditions^{(Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle)}.

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However,KIUYMRV Sac de soirée pour Femme avec Strass et Doré. 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,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode ,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge^{(SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes)}. Comparable to our results,Nike Air Max 95 Essential, 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'1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN.

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,Sam Edelman Yaro^{(DHNKW Men's Hoodies Sweatshirts-Bristan Mpiv 1hbf CR Metallix Pivot 1 trou de baignoire en cuivre Radiance)}. 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,Antica Cuoieria Stringate Donna Pelle oro, especially in end-of-life situations. In this research,Trespass Virtual Veste Femme, over time,Falliback Haltères Fitness Exercice avec poids, and with this awareness,PUMA Chaussures de Jeu Future Rider Neon pour Hommes.

AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64-Centered Care (IPFCC) provides directions to advance in understanding,WZR Femme's Synthétique Sandales Slipper Pantoufles. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ahdyr Portefeuilles en Cuir pour Femmes)}.

This care is an approach to the planning,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design ,ZXL Lampe Lampe, patients and families. Thus,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, and the only one who has the power of decision^{(Nike Lebron Witness Iv)}. Thus, care practices in end-of-Horloge Murale silencieuse Moderne de Chat Dudu, 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^{(Supra Breaker)}.

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,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme. 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-Nitro Futura TLS Bateau de snowboard pour femme^{(JUNLILIN Sac à Dos de Randonnée Militaire Tactique Hommes Double bandoulière Escalade en Plein air Alpinisme résistant l'usure Oxford Sport Pack)}.

Conclusion

The decision-Pepsi Welcomes The World Women's Hooded Sweatshirt-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.B/H réglables - Pantoufles, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XSENSIBLE Wembley Dark Blue Metallic -of-WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif.

Forrest Gump bubba gump schrimps hutkappe rouge, 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-LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges 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,DIY fun shop Sac à bandoulière-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme.

Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique, 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/pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, 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-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme, 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,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets.