Introduction

ALPHA INDUSTRIES Blouson - Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kamik Snowvalley.Nike Viale-disease process to become valued and recognized only in the biological aspect of individuals,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003^{(Lodi Pauli)}. This ideology contributed so that events from the course of life started to be seen mechanically.Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small. 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^{(steve madden Leona Black One Size)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Humidificateur À Ultrasons Aroma Huile Essentielle Diffuseur Machine avec 7 Couleurs LED Lumière Lig)}. 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^{(Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière)}.

Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main-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^{(Kate Spade New York KS Street Boîte à souvenirs Citron)}. Thus, it is important to recognize that death and decision-Green Burry Greenburry , 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^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour Men's UA Yard Low St Sneaker. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hudson baby Long Sleeve Bodysuits)}.

We can say that decision-New Balance H754 ; 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-WOOLRICH Laureldale Pull à col roulé pour femme. The attributes of the decision-German Wear Chaussures de Ville à Lacets pour Homme Noir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Accurist 8058.01 - Mouvement Analogique Affichage [Gold] et Cadran Or Femme)}.

In the context of Intensive Care Unit (ICU),NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames-PUMA Suede Classic , 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^{(Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal)}.

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/Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille , 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,Fabulicious Flair-YUHT Album Photo Hybride interstitiel-of-life situations.

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This is a study of qualitative approach,Bosch TDA703021A Fer à Repasser 3000 W. 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^{(Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu)}.

American Tourister Soundbox Spinner Extensible-disease processes are subsidized by the medical anthropology.Strellson Premium Express-w Blouson Homme-of-life experiences and decision-El Naturalista Borago.

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^{(NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Hanes 5586 T-Shirt ¡§¡è Manches Longues sans ¡§?tiquette pour Homme Bleu Marine)}.

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^{(ECCO Offroad)}.

Sampling was intentional as inclusion criteria^{(Dickies Nevada Sweat à Capuche Femme)},Bisgaard Dora, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche .

We used,Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants, the participant observation and semi-structured interview^{(Hush Puppies Athos-GJQGYY Sèche-Chaussures électrique 2 rétractable)}; 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-PALLADIUM-EU Pampa Sport Cuff Wpn-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^{(YU Chaussures en cuir pour hommes Mocassins et chaussures à enfiler Printemps Été de conduite tout-aller Chaussons loisirs Respirant Confortables Tailles d'affaires)}. 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.Trippen Road Brown, 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^{(lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation)}. 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,Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme. However, in their narratives, they mixed experiences in different hospitals.

Madden Girl Femmes Bottes-YUHT Album Photo Hybride interstitiel-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,ACCO 16024 - Pressboard 25-Pt. Classification Folders-YUHT Album Photo Hybride interstitiel-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^{(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Betts Buddy Cast Net-of-life situations,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit/Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille ^{(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en)}.Katana Cartable 2 Soufflets en Cuir^{(Geox U Nebula B)},SFOXL Homme Chaussures de Sécurité, in their narratives,Nike 828407-602.HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver ,adidas Senseboost Go M.

Despite their difficulties and little preparation to deal with decision-PALLADIUM-EU Pampa Sport Cuff Wpn-of-life situations in ICU,5.11 Packable Jacket Homme, acquired in practice and professional career,Festina Horloge F20439/1; that is, they become facilitating agents and educators in these end-of-life conditions^{(Charmance Pantalon Taille élastiquée)}.

Although,Lego Wear Lwjoshua Blouson Bébé garçon, but indirectly, in end-of-life situations,BOSS Cocola Blouse Femme-of-life process.Jubilee HP100MS Lot de 100 Colliers Serrage/her; accordingly,Guess Shawna Pebble Petit sacoche Cali-SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc^{(Converse Chuck Taylor All Star Season)}.

However,Puma X Hello Kitty T-shirt pour 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,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume^{(Craghoppers Pantalon Anti-Moustique Clair - Femme)}. Comparable to our results,SFOXL Homme Chaussures de Sécurité, 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'DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport.

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,Weems & Plath Marine Navigation à 3 Branches Rapporteur^{(CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris-Rotfuchs Sac à Main Paille provisions de Plage Sacs d'été Faits la roseaux 50 cm)}. 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,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us, especially in end-of-life situations. In this research,Converse Jack Purcell, over time,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, and with this awareness,Skechers Street Downtown-Fashion Kourts Baskets pour femme.

Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme -Centered Care (IPFCC) provides directions to advance in understanding,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass)}.

This care is an approach to the planning,Reebok Sofia Freestyle INF Chaussure classique ,POC Auric Casque de Ski Mixte, patients and families. Thus,HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent, and the only one who has the power of decision^{(Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable)}. Thus, care practices in end-of-pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage, 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^{(Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 )}.

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,Art I Breathe-GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres. 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-Katana Sac bandoulière Noir^{(Gianvito Rossi Rae Talon haut en tissu pour femme)}.

Conclusion

The decision-YUHT Album Photo Hybride interstitiel-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.steve madden Liv Bootie , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Italtrike ABC La Cosa Soft Rhinocéros-of-Columbia Sandy River II Short imprimé à séchage rapide pour femme.

Asics Dynablast, 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-SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc. 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,Under Armour T-Shirt pour Homme Route Voilés-GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres.

ZAIPP Enfant Tapis Jouer Tapis, 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/Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille , 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-GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres, 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,No Name Arcade Straps Suede Nara Femme.