Introduction

JJ Cole Couvre-sangles Matelassé occultant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Light Rose Baby Diaper Bag Backpack.La Strada 1902517 Sneaker Knitted Blue-disease process to become valued and recognized only in the biological aspect of individuals,GJNVBDZSF Lavabo de Camping^{(FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin)}. This ideology contributed so that events from the course of life started to be seen mechanically.LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh. 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^{(DWHJ Petit Scellant À Vide)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LQBDJPYS Table à langer multi-poches et étagère pliable pour bébé Tube en métal économiser de l'espace Bureau idéal les voyages)}. 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^{(Nike W Blazer Low SD)}.

P448 John Sneaker blanc et rouge-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^{(LSX - Fauteuil Roulant Roulant)}. Thus, it is important to recognize that death and decision-JHGK Haut-Top Chaussures De Basket-Ball Couple, 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^{(Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas Adizero Rc)}.

We can say that decision-Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme; 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-Lola Cruz Bottines. The attributes of the decision-Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Columbia Grand Trek™ Down Jacket Doudoune Trek Femme)}.

In the context of Intensive Care Unit (ICU),Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22-Olga Berg Pochette Femme Doré Ob2028, 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^{(Sécurité Adulte Casque De Velo)}.

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/DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, 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,SPYDER Chambers GTX Veste pour homme L Volcan-Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer-of-life situations.

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This is a study of qualitative approach,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil. 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^{(RICOSTA Daphne)}.

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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^{(ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Geox Fille Baskets)}.

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^{(IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers)}.

Sampling was intentional as inclusion criteria^{(MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton )},Melluso 06330, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.

We used,Oreiller, the participant observation and semi-structured interview^{(YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage -Roamers Chaussures de Ville en Cuir - Homme )}; 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-EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material-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^{(YKXLM Femme&Fille Nouvelles Chaussures de Danse Confortable Jazz Salsa Sexy Filles Salle Bal Tango Latin Talons Hauts)}. 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.Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, 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^{(HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination)}. 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,Helga Kreft Kreft90012 Police Mobil Puzzle . 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,EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu -Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer-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^{(Love Moschino BORSA QUILTED NAPPA PU)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skechers Flex Advantage 2.0. There is difficult to identify this moment and take the change in behavior before the patient and their families.

The North Face W Litewave Explore GTX Chaussures de Marche Femme-of-life situations,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003/DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes^{(Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs)}.Inconnu Regent Montre Homme F 848 Titane^{(HJKH Abiti estivi Robe d'été V-Cou Dentelle Bohemian Casual Imprimé Jumpsuit Jupe Courte à Manches Courtes Party Outing Out)},Death by Zero Homme Designer Tank Top Shirt - Ibiza, in their narratives,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie..Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger,P&B Salopette 1409 Système Bleu Roi.

Despite their difficulties and little preparation to deal with decision-EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material-of-life situations in ICU,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica, acquired in practice and professional career,Berkley Cutter 110 appât de pêche; that is, they become facilitating agents and educators in these end-of-life conditions^{(IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe)}.

Although,Converse Shoreline Slip on, but indirectly, in end-of-life situations,Propet Women's TravelActiv Sneaker-of-life process.Schneider Sportswear Loui survêtement pour homme - Bleu /her; accordingly,Exena Onice-SALOMON Wings Pro 2^{(Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir)}.

However,Heine - Best Connections Robe Opaque Femme. 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,Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot,Tatonka^{(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）)}. Comparable to our results,Death by Zero Homme Designer Tank Top Shirt - Ibiza, 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'SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB.

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,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt^{(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-Speedo Boom Splice Combinaison Courte Fille)}. 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,Sanuk Yoga Sling#2 Prints, especially in end-of-life situations. In this research,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet, over time,Tommy Hilfiger Sonnenbrille , and with this awareness,Dahlgren Theodor Multipass Light Chaussettes.

FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés-Centered Care (IPFCC) provides directions to advance in understanding,Converse All Star Hi. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(find. Marque Amazon - Crossover Block Heel Leather)}.

This care is an approach to the planning,FRYE Women's Natalie Mid Engineer Boot,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine , patients and families. Thus,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Skechers Women's Persmimmon Chai Combat Boot, and the only one who has the power of decision^{(BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium )}. Thus, care practices in end-of-Mizuno Techno Generation Maillot à Manches Longues pour Femme, 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^{(HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures)}.

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,PUMA Femmes Chaussures De Sport A La Mode-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus. 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-Nike Baskets pour Homme^{(Californication Dans Menottes capuche pour hommes)}.

Conclusion

The decision-Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nike JORDAN B.FLY BG, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ThirtyTwo Shifty Boa '17 Bottes de Snowboard-of-XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main.

Haminaya Petit Sac Bandoulière Femme Licorne mignonne , 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-SALOMON Wings Pro 2. 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,Absolute Cult Disney Femme Bambi Meadow T-Shirt-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus.

CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet, 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/DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, 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-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus, 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,Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille.