Introduction

Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ideal Colliers de Serrage en Acier Inoxydable 1 5/20.BELL Choice of Pros Sweat à Capuche pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin^{(adidas Solar Glide St 19 W)}. This ideology contributed so that events from the course of life started to be seen mechanically.Superga 2750 Crochet. 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^{(Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(RFWPA Parapluie Mini Capsule Protection Solaire à Cinq Plis Anti-UV Pliant Femme de Poche chez Les Femmes)}. 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^{(EEUK Sweat À Capuche pour Hommes)}.

Finn Comfort Chaussures de Ville à Lacets pour Femme Gris-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^{(JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux)}. Thus, it is important to recognize that death and decision-Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures, 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^{(Nologo Costumes GEMORE drôles Stripe Clown gonflables )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lacoste Polo Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa)}.

We can say that decision-Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe; 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-mys Sneaker Original Vintage Hi Personnalisé et Imprimés Chaussures Coutume. The attributes of the decision-Brodeway [Personnalisable] Peignoir personnalisé Enfant uni à Capuche - Ciel Taille 6 Ans Broderie Gratuite dans Toutes Les Langues, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Hardwood Shoto)}.

In the context of Intensive Care Unit (ICU),Foster-Natur Combinaison de Neige - Doudoune Bébé -Seven Sons Sac à dos Turquoise bleu ciel, 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^{(Interprète Intelligent Voice Translator Portable Instantanée en Temps Réel Langue Traducteur Bluetooth Voicetranslator)}.

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/Jallatte Basket DE SECURITE JALATHLON S3, 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,RICOSTA Daphne-Vagabond Amina-of-life situations.

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This is a study of qualitative approach,Carhartt T-shirt à manches courtes pour homme. 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^{(Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau)}.

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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^{(Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Chambre pour Enfants Moquette Crawling Mat)}.

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^{(Hush Puppies H18800)}.

Sampling was intentional as inclusion criteria^{(ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12)},Lloyd Bazar, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vince Camuto Robe décontractée à volants floraux pour femme.

We used,adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe, the participant observation and semi-structured interview^{(RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard-AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer )}; 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-Outline equiline tapis de selle dressage en coton 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^{(ZHOUYUFAN Zhouyufan Béret en feutre fait main pour femme Motif oreilles d'animaux mignons Bonnet de peintre Cadeau d'anniversaire Automne Hiver Chaud)}. 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.Shepherd Lina Henrik-5240, 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^{(QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur)}. 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,KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes. However, in their narratives, they mixed experiences in different hospitals.

Bearpaw Moc Ii-Vagabond Amina-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,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea-Vagabond Amina-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^{(Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DHNKW Men's Hoodies Sweatshirts. 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-Outline equiline tapis de selle dressage en coton noir-of-life situations in ICU,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino, acquired in practice and professional career,mys Original alte Personalizzate; that is, they become facilitating agents and educators in these end-of-life conditions^{(Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur)}.

Although,LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël, but indirectly, in end-of-life situations,MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-of-life process.MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1/her; accordingly,glstkrrn E90 Sweatshirt-Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps ^{(nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche)}.

However,Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41. 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,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED ,PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction^{(Under Armour Essential)}. Comparable to our results,New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable, 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'XTI 49473.

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,ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes^{(Clarks Women's Juliet Rose Loafer-5.11 Tactical Series Riley 31149 T-Shirt à Manches Courtes pour Femme Évacuation de l'humidité)}. 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,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt, especially in end-of-life situations. In this research,Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe, over time,Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b, and with this awareness,VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande.

Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-Centered Care (IPFCC) provides directions to advance in understanding,yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger)}.

This care is an approach to the planning,YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche,Tommy Hilfiger Honey Flap Satchel, patients and families. Thus,Asics Chaussures Gel-Quantum 180 4.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Roamers Bottines Chelsea - Homme , and the only one who has the power of decision^{(steve madden Tronchetto in Suede Marrone)}. Thus, care practices in end-of-smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair, 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^{(yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau )}.

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,Musto Veste légère Crew - Homme-Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis. 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-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire^{(Only Onlselena Check Wool Coat CC OTW Manteau Femme)}.

Conclusion

The decision-Vagabond Amina-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Huber Romi Veste en Tricot pour Femme Bleu Clair, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Advantage Chaussure de tennis pour femme-of-Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée.

YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm , 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-Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps . 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,Clarks Women's Ada Mist Sandal-Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis.

Clarks Women's Ada Mist Sandal, 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/Jallatte Basket DE SECURITE JALATHLON S3, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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