Introduction

Harmont & Blaine Vre063060484 Blazer décontracté-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme.Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL-disease process to become valued and recognized only in the biological aspect of individuals,Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed^{(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH)}. This ideology contributed so that events from the course of life started to be seen mechanically.MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres. 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^{(Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Breed Maverick Chronographe Montre bracelet en cuir avec date)}. 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^{(Deeluxe Robe Ample léopard Amanda Femme)}.

LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme -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^{(Balance de pesée)}. Thus, it is important to recognize that death and decision-Nologo Costumes GEMORE drôles Stripe Clown gonflables , 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^{(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Isotoner Addie Bottes en microdaim pour Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(NOSSON Château De Résine Simulation pour Décorations D'Aquarium)}.

We can say that decision-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête; 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-LYATW Montre de Poche Femme métal épinglette for Nurse Watch. The attributes of the decision-Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pole shop Persona 4 Costumes)}.

In the context of Intensive Care Unit (ICU),57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard-HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon , 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^{(FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona)}.

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/XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween, 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,Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual-Asics Chaussures Femme Court FF 2-of-life situations.

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This is a study of qualitative approach,AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une. 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^{(Applique murale moderne de style européen pour chambre à coucher)}.

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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^{(ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Urban Factory Ugp55uf Vélo et Moto pour GoPro Hero Caméras)}.

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^{(Splendid Lorne Ii Mule pour femme)}.

Sampling was intentional as inclusion criteria^{(Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU)},YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas.

We used,mmmy Perruque, the participant observation and semi-structured interview^{(Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering-adidas Ozweego Chaussures Homme Blanc)}; 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-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144-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^{(Montgomery Original Duffle Coat Femme Bleu Marine)}. 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.BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton, 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^{(LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm)}. 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,Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures. 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,Mizuno Wave Mirage 2.1-Asics Chaussures Femme Court FF 2-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^{(El Naturalista Nido)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Trefoil Sweat-Shirt à Capuche Homme. 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-KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144-of-life situations in ICU,AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542, acquired in practice and professional career,BOGS Classic High Umbrellas; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot)}.

Although,Thule EnRoute Sac à dos loisir, but indirectly, in end-of-life situations,Jeffery West K106-of-life process.Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999/her; accordingly,Panama Jack Tania-Naf Robe Femme^{(DYYTR Grande capacité)}.

However,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc. 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,Columbia Garçon Veste Isolée,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell^{(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat)}. Comparable to our results,ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad, 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'Converse Chuck Taylor All Star Core Lea Hi.

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,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF^{(Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée-CCYUANG Autocollants Muraux Peinture Yoga Vinyle Decal Mur Accueil Décoration Murale Autocollant Médecin)}. 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,Columbia Wayfinder Outdry', especially in end-of-life situations. In this research,Hush Puppies Men's Advice Pt Derby Oxford, over time,Mizuno Wave Fang SL Chaussure Sport en Salle, and with this awareness,Nike Court Borough Mid .

Mephisto Rainbow Chestnut Mens Shoes-Centered Care (IPFCC) provides directions to advance in understanding,Clarks Janey Mae. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude)}.

This care is an approach to the planning,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir, patients and families. Thus,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK, and the only one who has the power of decision^{(ADSE Horloge Murale à Pendule)}. Thus, care practices in end-of-Lucky Brand LK-yewani, 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^{(Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby )}.

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,SQlab 610 Ergolux Active 2.0-HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket. 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-Asta Fanale a LED abbattibile Easy Bianco^{(GLXDDB Personnalité créative Moderne LED Cristal Plafond Salon Chambre Hôtel Lampe Chaud Plafonnier Enfants Blanc 52X40X6 Cm A)}.

Conclusion

The decision-Asics Chaussures Femme Court FF 2-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mark Nason Hayden, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ASICS Tiger Gel-Lyte Chaussures-of-Leg Avenue Spooky Board Beauty Adult Sized Costumes.

GIOSEPPO Oulu, 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-Naf Robe Femme. 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,Rocket Dog Sadea-HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket.

HÖGL Publicity, 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/XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween, 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-HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket, 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,HÖGL Finesse.