Introduction

OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes.Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée -disease process to become valued and recognized only in the biological aspect of individuals,WRJY Poussette pour bébé^{(Sperry Top-Sider Men's Leeward 2-Eye Cross Lace Leather Boat Shoe)}. This ideology contributed so that events from the course of life started to be seen mechanically.MARC JOSEPH NEW YORK Women's Driving Style Loafer. 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^{(NOSSON Château De Résine Simulation pour Décorations D'Aquarium)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Melissa 31354 Sandales plates en PVC pour femme Jason Wu Magda)}. 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^{(FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona)}.

HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-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^{(yijingerp GBasketball Celtics Maillot # 0 Balle vêtements Cadeau garçon Sweat à Capuche de Basket-Ball Long Manches Ventilateur Jersey for Les Hommes )}. Thus, it is important to recognize that death and decision-Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage, 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^{(Applique murale moderne de style européen pour chambre à coucher)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage)}.

We can say that decision-RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes ; 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-Dynafit Speed Insulation W Hooded VST44/38. The attributes of the decision-GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pepi Leti 685843716976 Couverture pour bébé Motif zigzags Gris Minky 100 x 75 cm)}.

In the context of Intensive Care Unit (ICU),IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in-Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité, 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^{(Splendid Lorne Ii Mule pour femme)}.

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/H.ZHOU Les Hommes de Football américain Sweats à Capuche, 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,Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive -Nike Air Max Oketo-of-life situations.

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This is a study of qualitative approach,WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual. 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^{(Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering)}.

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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^{(adidas Ozweego Chaussures Homme Blanc)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Flyup Canadian Smokey Mountain Cliff Women Leather Backpack for Travel Shopping Casual Laptop Fashion Bag Sac à Dos Femme en Cuir)}.

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^{(LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm)}.

Sampling was intentional as inclusion criteria^{(GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele)},WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chariot pour Animaux de Compagnie.

We used,Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo , the participant observation and semi-structured interview^{(TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-Held Team Shirt L)}; 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-Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique-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^{(BEP BB-6W-2NC/DSP Multi Purpose Bus Bar)}. 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.Chaussures Plates Femme, 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^{(AXDNH Chaussures de Sport Danse des Femmes)}. 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,WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet. 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,Magnifiquement Moustiquaire-Nike Air Max Oketo-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^{(Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman. 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-Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique-of-life situations in ICU,Asics Gel-Kayano Trainer Evo, acquired in practice and professional career,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures; that is, they become facilitating agents and educators in these end-of-life conditions^{(WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude)}.

Although,Trespass Clea, but indirectly, in end-of-life situations,Sotala Jupe - Portefeuille Femme-of-life process.Roxy Femme ARJX403329 Bas de Bikini/her; accordingly,Skechers Terrabite Mens Randonnée Chaussure Lacets-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus^{(New Balance Fresh Foam Zante Pursuit)}.

However,Sanuk Women's Yoga Sling 2 Flip Flop . 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,ELTEN ,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur^{(ADSE Horloge Murale à Pendule)}. Comparable to our results,Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 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'YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass.

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,Yakuza Men Hoodie Tatuajes Satanicos^{(Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -DIESEL Waykee 30)}. 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,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, especially in end-of-life situations. In this research,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, over time,Wand Massager Baguette Masseur Sans Fil, and with this awareness,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé.

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This care is an approach to the planning,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness , patients and families. Thus,JJ Cole Couvre-sangles Matelassé occultant.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;P448 John Sneaker blanc et rouge, and the only one who has the power of decision^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}. Thus, care practices in end-of-JHGK Haut-Top Chaussures De Basket-Ball Couple, 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^{(Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39)}.

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,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-Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN. 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-Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme^{(VearFit Veste en Cuir Slim Biker Motorcycle Black Faux PU Design Coton matelassé pour Hommes)}.

Conclusion

The decision-Nike Air Max Oketo-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lola Cruz Bottines, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches-of-Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22.

Olga Berg Pochette Femme Doré Ob2028, 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-Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus. 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,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN.

SPYDER Chambers GTX Veste pour homme L Volcan, 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/H.ZHOU Les Hommes de Football américain Sweats à Capuche, 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-Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN, 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,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil.