Introduction

L.BRUAT L. Bruat Montre de sport pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless .PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur-disease process to become valued and recognized only in the biological aspect of individuals,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag^{(ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lowa Renegade GTX Mid. 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^{(JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Couverture pour bébé)}. 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^{(Clair de Lune Imprimé Lit )}.

Teeburon Career Goals Magician Ninja - Manches Long 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^{(Dare 2b Analyze Veste pour Homme)}. Thus, it is important to recognize that death and decision-CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et 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^{(WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PUMA Alee Gore-Tex Mens Performance Bottes de Voile)}.

We can say that decision-Zwei Olli O12 Black; 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-Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur. The attributes of the decision-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Berkley Gulp! Appâts doux pour pêche)}.

In the context of Intensive Care Unit (ICU),LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable-Ahdyr Portefeuilles en Cuir pour Femmes, 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^{(YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra)}.

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/Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20, 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,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 -Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-of-life situations.

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This is a study of qualitative approach,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit. 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^{(XZDXR Boîte À Chaussures Rose)}.

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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^{(Anita Soutien-gorge de mastectomie sans fil Care Livia 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^{(PUMA Hybrid Runner)}.

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^{(Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue)}.

Sampling was intentional as inclusion criteria^{(RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes )},ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Smilice Bottes d'hiver pour Femme.

We used,LetsBuyGold Bague Artisanale , the participant observation and semi-structured interview^{(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir-VLERHH Géant Hippopotame Peluche)}; 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-LetsBuyGold Bague Artisanale -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^{(Karpos Sassopiatto Hoodie XS)}. 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.Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme, 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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!)}. 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,adidas Real Away Chaussettes Homme. 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,Zwei Elli EL12 Sac à bandoulière 32 cm-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-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^{(Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose. 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-LetsBuyGold Bague Artisanale -of-life situations in ICU,J´hayber - Zapatillas Avt. Olimpo Serraje marrón, acquired in practice and professional career,Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable; that is, they become facilitating agents and educators in these end-of-life conditions^{(LWQ Accueil Utilisez Électriques Ciseaux)}.

Although,BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière, but indirectly, in end-of-life situations,NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué-of-life process.Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit/her; accordingly,Zjcpow Cheval à Bascule en Bois Massif Mouton Enfants Jouet de Troie Rocking Chair Cadeau Classique Mignon xuwuhz-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat^{(Pneus de Scooter électrique)}.

However,HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine. 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,Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym ,Crocs Sanrah Hammered Metallic Sandal Women^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26")}. Comparable to our results,Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot, 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'NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau .

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,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain ^{(Cole Haan Morris Wing Ox:Java Oxford pour Homme-Keela Iona Advance System Pantalon Double Protection pour Femme Coupe Droite)}. 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,Loykind Chaussures De Sécurité, especially in end-of-life situations. In this research,PieSanto 190801 Chaussures confortables pour femme, over time,Box J-Boîte de Montre Coffret en Bois, and with this awareness,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture.

LDDNZH Pantoufles en Coton pour Femmes Slippers-Centered Care (IPFCC) provides directions to advance in understanding,Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}.

This care is an approach to the planning,Columbia Pike Lake Jacket Veste Garçon,B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm, patients and families. Thus,Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus », and the only one who has the power of decision^{(Lacoste PH4010 Polo Homme)}. Thus, care practices in end-of-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié, 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^{(GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques)}.

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,VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-COOLCEPT Femmes Bloc Talons Hauts Longue Bottes. 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-Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches^{(MKOIJN Montres 45Mm Montre Hommes Mouvement Automatique Pvd en Acier Inoxydable Boîtier Poli Cuir Marron Bracelet Mécaniques)}.

Conclusion

The decision-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Odlo Midlayer Full Zip Proita Femme-of-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture.

Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage, 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-AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat. 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,Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-COOLCEPT Femmes Bloc Talons Hauts Longue Bottes.

Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r, 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/Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20, 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-COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, 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,Superdry Icarus Hood Pull Homme.