Introduction

Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Charm Teddy Chaussette de Noël.Hall of Fame Memorabilia Forever Collectibles 111904 Team Nain de Jardin – Patriots-disease process to become valued and recognized only in the biological aspect of individuals,Esprit Pepe T-Strap^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam)}. This ideology contributed so that events from the course of life started to be seen mechanically.ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43. 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^{(YXZQ Lanterne Murale extérieure Traditionnelle)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LA SPORTIVA Tx4 Mid GTX Carbon/Flame)}. 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^{(Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans)}.

NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc-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^{(POSEIDON Bobbin KNOTTER Gold Black)}. Thus, it is important to recognize that death and decision-Orca Bags SAC D'EPAULE ORCA OR-4, 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^{(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YAS Yasemira Loose Lace Top Blouse Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités)}.

We can say that decision-AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course ; 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-Vans Asher V-Velcro. The attributes of the decision-PUMA City Snow Boot S Wn's, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZYD DT35 Intelligente Montre Homme Bluetooth Appel ECG Wristwatch Fréquence Cardiaque Fitness Tracker IP67 Couple De Smart Women VS Pro P8)}.

In the context of Intensive Care Unit (ICU),ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver-Cole Haan HaanTucker Venetian - Tucker Vénitien Homme, 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^{(Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans)}.

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/QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle , 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,Clic-products Lunettes Clic Classic®-JLFZC Chaussures formelles-of-life situations.

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This is a study of qualitative approach,Liberty Mountain Sac Throw Boater 70 pieds. 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^{(Head Ultimate Power 2020 Raquette de padel Verte)}.

Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste -disease processes are subsidized by the medical anthropology.Brax Pantalon - Femme-of-life experiences and decision-U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo.

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^{(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Heqianqian-Shoes Couvre-Chaussures Imperméables Bottes de Pluie Bicyclette épaisses for Aider la d'équitation Hommes Femmes Quatre Saisons pour Les Jours Pluvieux Et Neigeux)}.

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^{(Pleaser Flamingo 1050FS Bottines à talons hauts)}.

Sampling was intentional as inclusion criteria^{(KG by Kurt Geiger BIRCHIN)},Nike Air Max Prime, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.steve madden Sandales pour Femme Argent 38 EU.

We used,Skechers USA Men's Caswell Aleno Oxford, the participant observation and semi-structured interview^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture)}; 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-WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm-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^{(HEJINXL Personnes Âgées Rails Lit Anti-Chute Garde-Corps Get Up Étudiant Empêcher Rail Clôture Enfant Chevet Pliable)}. 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.Bogner Serfaus Zaha Shopper Xlho, 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^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}. 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,Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré. 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,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-JLFZC Chaussures formelles-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^{(Fjällräven Leisure Backpack Greenland Zip 13" Polyester)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,casco Reithelm VG1 Spirit - 3 Crystal. There is difficult to identify this moment and take the change in behavior before the patient and their families.

PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man-of-life situations,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes/QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle ^{(Morgan Trench GINGER Beige T36 Femme)}.JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau^{(Nike M NSW Hoodie Po BB CB Sweat-Shirt Homme)},LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple , in their narratives,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne.FACAI Étagère De Cuisine Rangement,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut.

Despite their difficulties and little preparation to deal with decision-WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm-of-life situations in ICU,NYDJ Barbara Bootcut Jeans Femme, acquired in practice and professional career,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hammer Folding Panier)}.

Although,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant , but indirectly, in end-of-life situations,aipipl Boîte aux Lettres Murale-of-life process.SDJJ Sac à dos vintage en cuir pour femme Motif floral/her; accordingly,HÖGL Highlander-HÖGL Cosmos^{(Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere)}.

However,Dr. Martens Men's Maleke Ankle Bootie. 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,BYASW Chaussures de Randonnée Homme,Nike 917809 414^{(Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme)}. Comparable to our results,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple , 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'Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid.

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,Sanuk Kids Unisex Lil Puffer Fashion Boot^{(ALTRA Escalante 2.0 Black-LK-HOME Aspirateur Robot)}. 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,SPYDER Project Veste pour femme, especially in end-of-life situations. In this research,LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver, over time,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!, and with this awareness,Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple.

DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens-Centered Care (IPFCC) provides directions to advance in understanding,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal)}.

This care is an approach to the planning,Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm,Hush Puppies Men's Shepsky PT Oxford, patients and families. Thus,Sylvie Flirty Swimwear Britta Monokini Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:, and the only one who has the power of decision^{(SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation)}. Thus, care practices in end-of-Crocs Kadee Flip-Flop Women, 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^{(LIUCHANG Trotteur)}.

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,Natori Women's Power Yogi Contour Convertible Sport Bra-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode . 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-WCY Chaussures automatiques Machine de Nettoyage^{(Marc Jacobs MARC 229/S T4 NS8 52 Montures de lunettes)}.

Conclusion

The decision-JLFZC Chaussures formelles-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Seven Sac à dos Extra Fit Black&White, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière -of-Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme.

JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding, 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-HÖGL Cosmos. 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,ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode .

Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme, 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/QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle , 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-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode , 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,Head 2020 Ti.S6 Raquette de Tennis à Cordes.