Introduction

Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ralph Lauren Pull - Homme.FRYE FRYE70663 - Billy Shootie Femme-disease process to become valued and recognized only in the biological aspect of individuals,Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac ^{(adidas Supernova de Course pour Femme à Manches Longues Tee)}. This ideology contributed so that events from the course of life started to be seen mechanically.Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue. 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^{(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WITERY Mini Sac Bandouliere Petit Pochette Téléphone Portable en Canevas de Poignet Zippé Porte-Monnaie Filles Femmes pour Course Shopping Bleu)}. 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^{(MSR FlyLite - Tente)}.

Under Armour Own The Gym Duffel Sac Mixte Adulte-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^{(Racoon Pantalon imperméable Bébé garçon)}. Thus, it is important to recognize that death and decision-Kadolis Matelas Landau Latex Blanc, 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^{(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Clair de Lune Doublure en polaire pour couffin osier Rose. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames)}.

We can say that decision-Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu; 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-Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme. The attributes of the decision-ALTRA Paradigm 4.5 Chaussure de course sur route pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Quiksilver Keller Block Crew Polaire pour homme)}.

In the context of Intensive Care Unit (ICU),NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements-hsoazi Latex Panda Mask, 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^{(DC Shoes Heathrow Prestige)}.

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/WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée, 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,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade-adidas Duramo SL-of-life situations.

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This is a study of qualitative approach,Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite. 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^{(L.Z.HHZL Chaussures d'affaires pour Hommes)}.

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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^{(Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CAOHD Boucles d'oreilles pendantes en forme de cœur rouge avec motif comination)}.

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^{(LYHY Blouson Cuir Homme)}.

Sampling was intentional as inclusion criteria^{(Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume)},LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair.

We used,ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 , the participant observation and semi-structured interview^{(Old Crest Cravate - Homme-camel active Step 70)}; 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-MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri-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^{(IUBBKI Never Trust The Living - Beetlejuice Creepy Cute Goth Diaper Bag Sac à dos Mommy Grande capacité Élégant Durable Étanche Multifonction de voyage)}. 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.Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc, 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^{(Durango Women's Crush Heart Boot)}. 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,Hackett London Pantalon Homme. 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,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils-adidas Duramo SL-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^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hurley M Siege Anorak Jacket Blousons Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel -of-life situations,Pinko LOVE STARRY LANIERE Femme Nero UNI/WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}.QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux^{(LXJ-CQ Oreiller de Cou coloré Doodle Paysage surréaliste Fantastique Voyage en Forme U Housse Lavable Design Ergonomique)},GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches, in their narratives,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud.LYHY Blouson Cuir Homme,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique.

Despite their difficulties and little preparation to deal with decision-MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri-of-life situations in ICU,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, acquired in practice and professional career,SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation; that is, they become facilitating agents and educators in these end-of-life conditions^{(WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.)}.

Although,ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants, but indirectly, in end-of-life situations,SOLE South Chaussures Noir-of-life process.Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy/her; accordingly,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.-Noch Wildgrass Beige by^{(Naturana Lot de 2 Combiné Femme 3033)}.

However,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme. 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,adidas Deerupt Runner,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City^{(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544)}. Comparable to our results,GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches, 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'Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande.

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,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon^{(LUHTA JANAKKALA L6 Veste Femme-Kickers Orilegend)}. 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,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas, especially in end-of-life situations. In this research,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body, over time,zhengchunleiX Travel Daypacks, and with this awareness,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m.

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This care is an approach to the planning,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 ,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume, patients and families. Thus,MHCYKJ Casque modulaire Bluetooth.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae, and the only one who has the power of decision^{(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT)}. Thus, care practices in end-of-BCGT Atlanta Hawks NO.11 Trae Young, 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^{(La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN )}.

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,Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099-EinStein Bague solitaire en diamant 0. 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-MXueei Trampoline pour Enfants ^{(UNION JULIET Bindung 2020 b4bc)}.

Conclusion

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Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur, 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-Noch Wildgrass Beige by. 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,Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres-EinStein Bague solitaire en diamant 0.

Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite, 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/WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée, 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-EinStein Bague solitaire en diamant 0, 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,CafePress T-shirt American Buckeye avec logo du club de volaille.