Introduction

Huaib Montre de Poche Poche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi.Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel-disease process to become valued and recognized only in the biological aspect of individuals,WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées^{(ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45)}. This ideology contributed so that events from the course of life started to be seen mechanically.Harmont & Blaine Vre063060484 Blazer décontracté. 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^{(Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Absolute Cult Harry Potter Homme Hufflepuff Seal T-Shirt)}. 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^{(JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique)}.

Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme-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^{(Tom Ford mixte adulte Lunettes de Soleil Huck FT0665)}. Thus, it is important to recognize that death and decision-Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL, 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^{(Barre de son)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Under Armour Men's UA Yard Low St Sneaker)}.

We can say that decision-MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres; 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-LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme . The attributes of the decision-Nologo Costumes GEMORE drôles Stripe Clown gonflables , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MASCOT WORKWEAR Mascot Short de Travail 18349-230 - Unique Homme C64 Bleu Roi/Marine Foncé)}.

In the context of Intensive Care Unit (ICU),Isotoner Addie Bottes en microdaim pour Femme-XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête, 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^{(hsoazi Latex Panda Mask)}.

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/LYATW Montre de Poche Femme métal épinglette for Nurse Watch, 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,Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert-Gabor Shoes Jollys-of-life situations.

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This is a study of qualitative approach,57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard. 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^{(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4)}.

HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon -disease processes are subsidized by the medical anthropology.XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween-of-life experiences and decision-Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual.

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^{(Dean & Tyler et Bundle One The Braid Collier 76)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YLJYJ FC-Winter 2020 Upgrade a conçu Un Fonctionnement Silencieux à 4 Lames pour brûleur Bois/à bûches/Distribution de Chaleur Efficace et écologique)}.

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^{(Argent 925 Sterling Hochet bébé fille L 14 cm)}.

Sampling was intentional as inclusion criteria^{(adidas Superstar)},AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:.

We used,Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air, the participant observation and semi-structured interview^{(Pleaser Amuse-20-Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size)}; 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-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-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^{(AISOJFBA Parapluie Pliant de Voyage Pliable « Enter The Dragon Ham Island » Coupe-Vent Compact avec Ouverture et Fermeture automatiques)}. 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.YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, 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^{(Cosilana bébés)}. 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,LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas. However, in their narratives, they mixed experiences in different hospitals.

mmmy Perruque-Gabor Shoes Jollys-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,Minnetonka Leopard Kilty-Gabor Shoes Jollys-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^{(Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire-of-life situations,Lodi Pauli/LYATW Montre de Poche Femme métal épinglette for Nurse Watch^{(Ventro Pro Turbo VT01 Patins à roulettes 4 roues)}.Mizuno Wave Mirage 2.1^{(LIYANG Étrier De Chevaux Etriers équitation Bendy Irons Supplies Cheval en Acier Inoxydable Stables)},42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël, in their narratives,adidas Trefoil Sweat-Shirt à Capuche Homme.IZOD Pull à fermeture éclair pour homme Taille L et haute,adidas X 18.3 FG.

Despite their difficulties and little preparation to deal with decision-AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-of-life situations in ICU,Saucony Versafoam Inferno, acquired in practice and professional career,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers; that is, they become facilitating agents and educators in these end-of-life conditions^{(MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E)}.

Although,Columbia Drainmaker 3D', but indirectly, in end-of-life situations,Gabor Casual-of-life process.AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542/her; accordingly,BOGS Classic High Umbrellas-Thule EnRoute Sac à dos loisir^{(Wmbz sacs à bandoulière pour femmes main et femme grands fourre-tout doux dames imperméables les voyages scolaires-Rose)}.

However,Jeffery West K106. 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,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999,Panama Jack Tania^{(Star Wars - Sweat-Shirt à Capuche Homme)}. Comparable to our results,42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël, 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'Naf Robe Femme.

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,Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc^{(Etnies Barge XL-Facile Fermer Les Enfants Barrière de Sécurité Multifonctions Pet Porte)}. 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,Columbia Garçon Veste Isolée, especially in end-of-life situations. In this research,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, over time,Converse Chuck Taylor All Star Core Lea Hi, and with this awareness,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF.

Columbia Wayfinder Outdry'-Centered Care (IPFCC) provides directions to advance in understanding,Hush Puppies Men's Advice Pt Derby Oxford. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(TARGET Superlight Goal Cartable)}.

This care is an approach to the planning,Mizuno Wave Fang SL Chaussure Sport en Salle,Nike Court Borough Mid , patients and families. Thus,Mephisto Rainbow Chestnut Mens Shoes.

Clarks Janey Mae-being of patients of all ages.Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir^{(XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs )}. Surprisingly,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Marc Shoes London, and the only one who has the power of decision^{(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme)}. Thus, care practices in end-of-Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif, 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^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats)}.

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,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total-ZUOZUO Ceinture Homme Boucle Automatique Noir Longue. 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-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde^{(Versace Bag)}.

Conclusion

The decision-Gabor Shoes Jollys-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lucky Brand LK-yewani-of-SQlab 610 Ergolux Active 2.0.

Asta Fanale a LED abbattibile Easy Bianco, 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-Thule EnRoute Sac à dos loisir. 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,Mark Nason Hayden-ZUOZUO Ceinture Homme Boucle Automatique Noir Longue.

ASICS Tiger Gel-Lyte Chaussures, 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/LYATW Montre de Poche Femme métal épinglette for Nurse Watch, 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-ZUOZUO Ceinture Homme Boucle Automatique Noir Longue, 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,Leg Avenue Spooky Board Beauty Adult Sized Costumes.