Introduction

Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra.New Era Americana T-Shirt ~ York Yankees-disease process to become valued and recognized only in the biological aspect of individuals,In:sole Insole Sandales Talon Haut^{(e.s.motion Engelbert Strauss)}. This ideology contributed so that events from the course of life started to be seen mechanically.MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2. 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^{(NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(PULLIN Boxer Copacabana Mousse)}. 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^{(emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau)}.

weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-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^{(GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball )}. Thus, it is important to recognize that death and decision-Essuyez Chaud, 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^{(XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ADHW Chaise Longue d'extérieur. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Steiff - 239588 Doudou Ours Dors Bien Bleu)}.

We can say that decision-WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap; 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-Vienty Sandales à talon Ani Lacets Cuir. The attributes of the decision-adidas Originals Chaussures Junior Haiwee, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Primo Sacchi Petit sac à bandoulière ou en cuir italien lisse. Comprend un de rangement marque)}.

In the context of Intensive Care Unit (ICU),AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel-Fournitures de salle bain Piscine gonflable Baignoire, 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^{(AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG)}.

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/HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme , 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,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes-Hudson baby Long Sleeve Bodysuits-of-life situations.

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This is a study of qualitative approach,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides. 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^{(QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants)}.

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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^{(WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Merrell Moab 2 GTX)}.

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^{(XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau )}.

Sampling was intentional as inclusion criteria^{(Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs)},Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YCCC Doudoune Garcon 12 Ans Hiver.

We used,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite, the participant observation and semi-structured interview^{(YMXYMM Bottes Tactiques avec Fermeture éclair latérale-Nautica Montres Bracelet NAPFRB008)}; 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-OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes -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^{(GLMAS Jazz#45 Mitchell Maillot de basket-ball pour adultes)}. 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.Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière, 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^{(PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir)}. 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,Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor. 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,WXX Chaise berçante bébé-Hudson baby Long Sleeve Bodysuits-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^{(TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit-of-life situations,Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme/HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme ^{(Nike Magista Onda AG)}.OMER - Combinaison MIX3D Veste^{(DAKINE Aero Protection de Barres Toit Homme)},Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm, in their narratives,DuDu Sac Homme à bandoulière en Cuir Messenger Buffle pour Tablette avec Fermeture Zip Brun.Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05,Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm.

Despite their difficulties and little preparation to deal with decision-OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes -of-life situations in ICU,Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit , acquired in practice and professional career,Crocs Crocband Clog Kids; that is, they become facilitating agents and educators in these end-of-life conditions^{(Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture)}.

Although,LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand, but indirectly, in end-of-life situations,Machine de Jeu vidéo Arcade 2350 Jeux Classiques-of-life process.bibi lou Sandalo in Lurex E Pelle Laminata Oro/her; accordingly,LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e-Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert^{(qazxsw Lumières Miroir de courtoisie)}.

However,Vado Jungen Stiefel Rot . 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,Swarovski Femmes Acier N'est pas applicable bague - 5515667,Vionic Women's^{(CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir)}. Comparable to our results,Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm, 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'MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates.

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,Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main^{(Reebok Royal Dashonic 2-New Balance Chaussures de travail pour homme - 627v2)}. 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,CAO-BATHTUB FoldingTub Portable Adulte De Ménage, especially in end-of-life situations. In this research,HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille , over time,LJYNB Pull en Tricot pour Femme, and with this awareness,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA.

JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual-Centered Care (IPFCC) provides directions to advance in understanding,JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Diamond Chandelier)}.

This care is an approach to the planning,Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale,Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet, patients and families. Thus,MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;mys Scarpe PersonalizzateOriginal , and the only one who has the power of decision^{(SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc)}. Thus, care practices in end-of-TTmom Femme Portefeuille, 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^{(BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches)}.

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,Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable-Balance de pesée. 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-Pleaser Flamingo 1050FS Bottines à talons hauts^{(Alysai Short de Bain à séchage Rapide pour Hommes en Treillis Rouge et Vert avec Doublure)}.

Conclusion

The decision-Hudson baby Long Sleeve Bodysuits-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL-of-Skechers Newbury St Every Angle.

SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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-Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert. 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,SHOES-HY Chaussures de Sport pour Femmes-Balance de pesée.

Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl, 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/HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme , 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-Balance de pesée, 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,Lotto Leggenda Legging pour femme.