Introduction

Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen.Gabor Femme Ballerines-disease process to become valued and recognized only in the biological aspect of individuals,BDHBB Lampe LED Lampes de Bureau Explosion Champignon^{(BYASW Chaussures de Randonnée Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage. 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^{(MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Dorliki Peignoir de Bain en Flanelle pour Femme Motif Animal - Medium)}. 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^{(Alviero Martini Bronzo Scarpa Donna Sneakers 2A267)}.

Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon -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^{(smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair)}. Thus, it is important to recognize that death and decision-Benavente Chika10 Kurazo 12 Bottines en cuir, 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^{(Skechers Go Walk Lite-Sea Dream Bateau pour femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental)}.

We can say that decision-Hush Puppies Athos; 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-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales. The attributes of the decision-YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gabs & Studio GABS)}.

In the context of Intensive Care Unit (ICU),Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1-TOUS 995960397, 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^{(Nike Court Borough Mid )}.

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/CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants, 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,ROXY Snow Junior's Amy 3N1 Jacket-XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-of-life situations.

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This is a study of qualitative approach,Napapijri Sweatshirt à Capuche Homme. 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^{(Caterpillar Men's Heavy Insulated Parka)}.

METZELDER Valise Souple Basic S Gros Volume Garantie 1 an -disease processes are subsidized by the medical anthropology.Mustang Oregon Tapered Jean fuseau - Homme-of-life experiences and decision-Simmia Sport Trekking Randonnée Camping pour Homme Femme Camouflage Sac à Dos Alpinisme en Plein air Grande capacité Tente de randonnée Noir.

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^{(Guess Bla Moritz)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BOBD-DW  Veste De Ski Coupe-Vent pour Hommes Combinaison Respirante À Double Plaque)}.

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^{(DC Shoes Men's E.tribeka Zip Skate Shoe)}.

Sampling was intentional as inclusion criteria^{(Groovy  Marvel Captain America Peignoir en Polyester pour Homme Bleu)},Beyblade Burst Starter Gyro Version améliorée Jeu de Bataille multijoueur Top Games Intérieur Classique Jouet Modèle Métal Masters Cadeau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable.

We used,HR Chevalière en forme de cœur gravé or jaune 7 mm, the participant observation and semi-structured interview^{(Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa-DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas)}; 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-Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-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^{(KEEN Newport Hydro)}. 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.XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et, 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^{(Merrell Femmes Chaussures De Sport A La Mode)}. 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,pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL. 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,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-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^{(Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,mantraroma Pendentif argent 925 sterling labradorite . 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-Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-of-life situations in ICU,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur, acquired in practice and professional career,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag; that is, they become facilitating agents and educators in these end-of-life conditions^{(hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50')}.

Although,Lowa Renegade GTX Mid, but indirectly, in end-of-life situations,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt-of-life process.CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme /her; accordingly,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues-Zwei Olli O12 Black^{(Mega Tuscany Sac pour homme à porter l'épaule Noir noir)}.

However,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur. 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,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable^{(LDH Mi-Longueur Doudoune Femme Hiver)}. Comparable to our results,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, 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'Ahdyr Portefeuilles en Cuir pour Femmes.

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,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20^{(LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand-LAURA VITA SL316-3G Alcbaneo 03 Bottes en Cuir Femmes)}. 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,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , especially in end-of-life situations. In this research,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, over time,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, and with this awareness,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne.

L.TSA Lámpara colgante de vidrio minimalista moderno-Centered Care (IPFCC) provides directions to advance in understanding,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Bewinch Moustiquaire pour lit)}.

This care is an approach to the planning,Smilice Bottes d'hiver pour Femme,LetsBuyGold Bague Artisanale , patients and families. Thus,LetsBuyGold Bague Artisanale .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Soireelady Escarpins Femme, and the only one who has the power of decision^{(AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim)}. Thus, care practices in end-of-Ocun Strike QC Climbing Chaussure - AW20-41.5, 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^{(Wembley X-Line Lederhalfter Finesse II)}.

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,Irregular Choice Nick of Time-Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues. 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-arena Dynamo Maillot de Bain Homme^{(adidas Originals Tubular Runner)}.

Conclusion

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Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver, 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-Zwei Olli O12 Black. 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,adidas Terrex Swift R2 GTX W-Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues.

Fila Womens Fanny Pack, 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/CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants, 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-Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues, 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,NUOVA RADE Boitier douchette blanc flexible 3 m.