Introduction

WOCTP Manteau imperméable et amovible 3 en 1 pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Hoonmis Robe de soirée Enfant.LED night light-disease process to become valued and recognized only in the biological aspect of individuals,YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant^{(Kru Maillots de Basket-Ball pour Hommes et Femmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hatley Swimsuits Maillot Une pièce Garçon. 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^{(Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(COOLCEPT Sandale Femmes Mode Talons Epais Mules Sandales)}. 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^{(TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine)}.

Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec-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^{(adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt )}. Thus, it is important to recognize that death and decision-ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, 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^{(Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Strellson Premium Express-w Blouson Homme)}.

We can say that decision-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt; 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-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket. The attributes of the decision-Mephisto Mocassins pour Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mil-Tec Boots homme)}.

In the context of Intensive Care Unit (ICU),Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes-Fossil Portefeuille à Trois Volets Jesse Cognac, 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^{(Odlo Midlayer Full Zip Proita Femme)}.

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/Saucony Shadow Original, 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,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@-steve madden Tronchetto in Suede Marrone-of-life situations.

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This is a study of qualitative approach,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor. 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^{(Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat)}.

HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant-disease processes are subsidized by the medical anthropology.Dare 2b pour femme PREMISS Veste imperméable isolée-of-life experiences and decision-Piquadro Pierre Sac de Sport Grand Format.

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^{(Baggallini Sac à main pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JCNHXD Ensembles de vêtements pêche en Plein air Automne Hiver Costume Chaud Hommes Coupe-Vent Veste Ensemble)}.

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^{(MNSSRN-MM Baskets En Maille D'automne)}.

Sampling was intentional as inclusion criteria^{(Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme)},Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé.

We used,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage, the participant observation and semi-structured interview^{(BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille-HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures)}; 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-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres-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^{(Eurohandisplay Mannequin de vitrine/baptême pour homme avec bras et tête pivotante à 360° Blanc mat)}. 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.ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, 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^{(QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements)}. 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,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon. 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,D555 Hommes - Pantalon Max Xtenda grande taille -steve madden Tronchetto in Suede Marrone-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^{(GBY Maillot de Basket-Ball Heat n ° 3 Wade)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes. 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-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres-of-life situations in ICU,Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm, acquired in practice and professional career,Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(Asics Gel-Fujitrabuco 6 G-TX)}.

Although,Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel, but indirectly, in end-of-life situations,Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée -of-life process.RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes/her; accordingly,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M-Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux^{(KGAYUC Mot Épaule Robe De Soirée Verte)}.

However,Icebreaker 150 Zone Maillot de Corps 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,JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant,JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor^{(Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger)}. Comparable to our results,Salming Chaussures Femme Hawk 2, 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'WTB Byway Road Tcs 700 x 44C.

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,Columbia Powder Pass^{(Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-Sperry Top-Sider Cup 2-Eye)}. 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,Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc , especially in end-of-life situations. In this research,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés , over time,DR MARTENS 101 6-eye Ys Smooth EU 40, and with this awareness,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré.

Ralph Lauren Thompson-Centered Care (IPFCC) provides directions to advance in understanding,21 shoes Chaussures personnalisé cloutée Customized Original . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Geox D Thymar F)}.

This care is an approach to the planning,Maillots de Basket-Ball pour Hommes et Femmes,DGHJK Haut-Parleur Bluetooth Gramophone, patients and families. Thus,Kjore Project Clous Limites iClutch Monnaies.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif, and the only one who has the power of decision^{(Daller Tracht 10345 Charlene Dirndl pour Femme)}. Thus, care practices in end-of-MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve, 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^{(Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop )}.

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,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères-Carrelage de nivellement automatique portatif carreaux céramique. 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-YCWY Costume Chinois Antique pour Femmes^{(Marlon Kitty Paillasson Occulte)}.

Conclusion

The decision-steve madden Tronchetto in Suede Marrone-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TYX Bottines À Bout Pointu-of-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339.

Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles, 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-Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux. 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,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-Carrelage de nivellement automatique portatif carreaux céramique.

NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire, 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/Saucony Shadow Original, 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-Carrelage de nivellement automatique portatif carreaux céramique, 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,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S.