Introduction

Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Geox D Thymar F.Prana prAna-disease process to become valued and recognized only in the biological aspect of individuals,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme^{(SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid)}. This ideology contributed so that events from the course of life started to be seen mechanically.LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure . 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^{(Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Thierry Mugler Angel Infantes 01075A Derby Homme)}. 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^{(Lacoste Polo Femme)}.

Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64-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^{(LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by)}. Thus, it is important to recognize that death and decision-Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, 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^{(AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau)}.

We can say that decision-Casque Activ 2 – Casque de vélo; 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-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme. The attributes of the decision-kentucky Bandes de Repos Repellent Bleu, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XMXM Selle d'équitation de course occidentale complète Support main)}.

In the context of Intensive Care Unit (ICU),KesVir Kes-Vir Incontinence Wrapshorts Boy-Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, 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^{(GET Combinaison de Ski Une Pièce pour Femmes)}.

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/Dilwe Mini Alcool Réchaud en acier inoxydable, 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,New Balance Women's 5K V5 Running Shoe-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté-of-life situations.

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This is a study of qualitative approach,Tosca Blu Ankle Boot Kiruna. 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^{(ROTHCO M-65 Camo Field pour Homme)}.

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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^{(LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Perry Ellis Chemise à manches roulées en lin massif pour homme)}.

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^{(Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme)}.

Sampling was intentional as inclusion criteria^{(Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED)},PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD .

We used,Primigi Pwigt 63828, the participant observation and semi-structured interview^{(Fly London Salv-KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison)}; 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-Clarks Sandales Sillian2.0 Joy pour 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^{(PeppeShoes Sneek x Dr Axes XIX - Handmade Italiennes Cuir pour des Hommes Couleur Noir Chaussures Décontractées Sneakers de Vachette Verni Lacer)}. 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.HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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^{(WFQGZ Chaussures De Sport pour Hommes Bas)}. 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,Mammut Bota Ducan High GTX. 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,Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté-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^{(WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip. 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-Clarks Sandales Sillian2.0 Joy pour Femmes-of-life situations in ICU,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond, acquired in practice and professional career,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20; that is, they become facilitating agents and educators in these end-of-life conditions^{(YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra)}.

Although,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207, but indirectly, in end-of-life situations,Little Mistress Lillian Robe longue en dentelle avec trou de serrure-of-life process.wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée/her; accordingly,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy-Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20^{(Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc)}.

However,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert. 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,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre^{(XZDXR Boîte À Chaussures Rose)}. Comparable to our results,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche, 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'Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse .

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,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie^{(Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme-Maillot de Football américain # 55 Bush Pittsburgh Steelers)}. 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,HYLH 3D LED Stunt Motorcycle Illusion Night Light, especially in end-of-life situations. In this research,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ, over time,Wmeat-P Ensemble De Housse Couette, and with this awareness,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot .

Houdini Power Houdi Veste Homme-Centered Care (IPFCC) provides directions to advance in understanding,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue)}.

This care is an approach to the planning,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress ,Béaba BÉABA Sac à Langer Sydney I, patients and families. Thus,ROTHCO 7502 flightsuits 6XL All.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Clarks Votta Edge - Black Synthetic, and the only one who has the power of decision^{(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir)}. Thus, care practices in end-of-VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, 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^{(VLERHH Géant Hippopotame Peluche)}.

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,Joie Spin 360 – Siège de voiture-RZHSS Sweats à Capuche. 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-Brooks pour Femme Juno Soutien-Gorge de Sport^{(QSXF Marteau de Thor Le Combat Nouveau Taille réelle pour Hommes Mjölnir 1: 1 Accessoire Film)}.

Conclusion

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Asics Serrano Onitsuka Tiger Chaussures pour Hommes, 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-Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20. 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,Aubade balconnet - soutien-gorge femme-RZHSS Sweats à Capuche.

Asics Gel-Fujitrabuco 6 G-TX, 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/Dilwe Mini Alcool Réchaud en acier inoxydable, 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-RZHSS Sweats à Capuche, 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,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug.