Introduction

GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818.Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o-disease process to become valued and recognized only in the biological aspect of individuals,graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme^{(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L)}. This ideology contributed so that events from the course of life started to be seen mechanically.Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410. 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^{(YQ WHJB Recliner Réglable pour Outdoor Office Nap)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CJCJ-LOVE 10Pcs Sécurité Porte Clamp Protection)}. 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^{(GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat)}.

BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué-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^{(GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm)}. Thus, it is important to recognize that death and decision-Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles , 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^{(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MILASIA Parachutiste US Vintage Industries)}.

We can say that decision-SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid; 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-Irregular Choice Schatzi. The attributes of the decision-YONEX Crew Neck L, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XCNGG Mob Psycho 100 Portefeuilles en Cuir glissants pour Hommes et Femmes)}.

In the context of Intensive Care Unit (ICU),Timberland Baskets Brooklyn Leather Vert-HUF Sweat-shirt Crew Essentials Taille L, 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^{(Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince )}.

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/Scubapro Delta Boot 6, 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,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto-of-life situations.

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This is a study of qualitative approach,COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper. 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^{(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique)}.

COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent-disease processes are subsidized by the medical anthropology.TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover-of-life experiences and decision-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium.

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^{(Under Armour T-Shirt pour Homme Route Voilés)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(G-STAR RAW Midge Zip Low Waist Super Skinny' Jeans Femme)}.

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^{(NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau )}.

Sampling was intentional as inclusion criteria^{(MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit)},LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm.

We used,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, the participant observation and semi-structured interview^{(wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set )}; 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-HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène -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^{(Bliss ARG 1.0 LD Top Comp Body Armour Noir Taille L)}. 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.New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes, 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^{(Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine)}. 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,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's. 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,WEHQ Café de Presse française-COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto-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^{(Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HURRISE Masque de sommeil en jade naturel. 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-HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène -of-life situations in ICU,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement , acquired in practice and professional career,Adult Raincoats Imperméable réfléchissant; that is, they become facilitating agents and educators in these end-of-life conditions^{(RYKA Devotion XT Mid)}.

Although,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme, but indirectly, in end-of-life situations,Papillio Daytona-of-life process.Etnies Fader 2/her; accordingly,Etnies Fader 2-Mammut Ultimate Veste V So – ^{(Fluco Bracelet de montre en véritable alligator vintage fait main Allemagne Bleu 19 mm)}.

However,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge. 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,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite,New Balance Wj91524 Pull à Capuche Femme^{(XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}. Comparable to our results,hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50', 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'Close Parent Caboo Porte-bébé Coton bleu clair.

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,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable^{(Columbia Drainmaker 3D'-Elena Mirò Blouson Trois-Quarts en Laine Bouillie)}. 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,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable, especially in end-of-life situations. In this research,POSEIDON Bobbin KNOTTER Gold Black, over time,Multifanshop Rétro sac à bandoulière modern love wiebke noir, and with this awareness,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille.

Geox B Todo Boy A-Centered Care (IPFCC) provides directions to advance in understanding,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HÖGL Studio 80)}.

This care is an approach to the planning,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement,Haedr Coussin résistant à la Casse pour bébé, patients and families. Thus,camel active Ethnic 12.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, and the only one who has the power of decision^{(Speedo Women's One Piece Swimsuit High Neck Contemporary Cut)}. Thus, care practices in end-of-Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, 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^{(Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée)}.

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,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black. 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-adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large^{(Olympique Lyonnais Body Manches Longues Baby But)}.

Conclusion

The decision-COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling-of-EDELRID Cordes d'escalade Boa 9.

YUMI Blush 3D Floral Embellishment Party Dress, 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-Mammut Ultimate Veste V So – . 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,GURU-SHOP Guru-Boutique-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black.

luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S, 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/Scubapro Delta Boot 6, 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-Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black, 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,glstkrrn RX8 RX-8 Ugly Christmas Sweater.