Introduction

Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues.XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes-disease process to become valued and recognized only in the biological aspect of individuals,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil^{(Pandora Femme Argent Boutons d'oreilles - 290721CZ)}. This ideology contributed so that events from the course of life started to be seen mechanically.DPX-1 Hommes Death Row Records T-Shirt . 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^{(American Tourister Soundbox Spinner Extensible)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(EA Tissu en Coton Vert avec Impression Grise et Logo Or sur la Manche)}. 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^{(LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces)}.

Disney Femme Alice In Wonderland Retro Poster 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^{(HUYUQU Chaussures de Danse Latines à Strass pour Femme)}. Thus, it is important to recognize that death and decision-Columbia Sportswear Veste légère pour Homme, 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^{(HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens)}.

We can say that decision-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini; 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-ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente. The attributes of the decision-Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ElleSilk 100% Soie Chemise de Nuit pour Femme)}.

In the context of Intensive Care Unit (ICU),INVICTA Aviator 33292 Montre Homme - 51.5mm-Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille, 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^{(QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides)}.

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/WENZHEN Sac à Dos Langer bébé, 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,LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant-Speedo Vengeance Mirror Lunette Mixte-of-life situations.

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This is a study of qualitative approach,Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile. 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^{(Lodi Pauli)}.

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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^{(steve madden Leona Black One Size)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LAN-ZHENS Douce de la Mode Taille Femmes Tie Slim Fit Robe Longue)}.

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^{(Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière)}.

Sampling was intentional as inclusion criteria^{(Kate Spade New York KS Street Boîte à souvenirs Citron)},Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon .

We used,Benavente Chika10 Kurazo 12 Bottines en cuir, the participant observation and semi-structured interview^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-Hudson baby Long Sleeve Bodysuits)}; 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-BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-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^{(OOFAY TAPS Bottes de Pluie en Caoutchouc pour Adultes/Bottes Neige résistantes à l'usure dans Un Tube Court/Chaussons d'eau antidérapants la Construction/Chaussures pêche)}. 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.Hush Puppies Athos, 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^{(Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal)}. 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,EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales. 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,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-Speedo Vengeance Mirror Lunette Mixte-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^{(Hush Puppies Athos)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la . 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-BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-of-life situations in ICU,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , acquired in practice and professional career,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe ; that is, they become facilitating agents and educators in these end-of-life conditions^{(lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation)}.

Although,Polaroid Pld 6071/s/x, but indirectly, in end-of-life situations,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse-of-life process.SMITH Riot Masque de Ski/her; accordingly,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau-YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18^{(FJXQCY Peignoir en Satin pour Femme)}.

However,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport. 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,mantraroma Pendentif argent 925 sterling labradorite ,DSZZ Health Chaussures de Badminton pour Hommes^{(BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière)}. Comparable to our results,SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie, 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'XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal.

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,mantraroma Bague argent 925 sterling pierre de lune ^{(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-MUQGEW Femme Long manteau en duvet au-dessus du genou à capuche Maxi Duvet Parka d'hiver Chaud Glossy Jacket)}. 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,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau, especially in end-of-life situations. In this research,L.BRUAT L. Bruat Montre de sport pour femme, over time,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless , and with this awareness,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ahdyr Portefeuilles en Cuir pour Femmes, and the only one who has the power of decision^{(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille)}. Thus, care practices in end-of-Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20, 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^{(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en)}.

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,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 -Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL. 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-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^{(jollipets Baby enfants Bavoir – Lennert – 100% BIO organique – Variante : Animaux Zoo – Taille Unique)}.

Conclusion

The decision-Speedo Vengeance Mirror Lunette Mixte-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne-of-L.TSA Lámpara colgante de vidrio minimalista moderno.

ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme, 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-YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18. 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,Smilice Bottes d'hiver pour Femme-Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL.

LetsBuyGold Bague Artisanale , 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/WENZHEN Sac à Dos Langer bébé, 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-Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL, 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,LetsBuyGold Bague Artisanale .