Introduction

Nike Phantom Venom Academy IC-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LHY Cadeau de Noël pour Fille.PLEASUR Machine de germes soja-disease process to become valued and recognized only in the biological aspect of individuals,adidas Vs Pace^{(BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille)}. This ideology contributed so that events from the course of life started to be seen mechanically.Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables . 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^{(HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Unisexe Gants de Boxe)}. 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^{(QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements)}.

Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver-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^{(Reebok Workout Plus)}. Thus, it is important to recognize that death and decision-XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode , 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^{(DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Magma Products. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(New Balance 420v1)}.

We can say that decision-IUBBKI Lauryn Hill sac à langer dos étanche multifonction bébé sacs maternité Durable grande capacité pour maman papa voyage soins; 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-Columbia PFG Rostra Tongs pour femme avec adhérence élevée. The attributes of the decision-TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MKJYDM Personnalité de Jeune Fille garçon débutant Belle personnalité Scooter à Quatre Roues Skateboard facultatif Planche Roulette)}.

In the context of Intensive Care Unit (ICU),Timberland Chaussures - Grantly Chukka A12IA brown-Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir, 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^{(Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D)}.

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/Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée, 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,SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL-Docooler Sourcingbay Portable Réchaud de Camping-of-life situations.

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This is a study of qualitative approach,DWHJ Petit Scellant À Vide. 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^{(GBY Maillot de Basket-Ball Heat n ° 3 Wade)}.

Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable-disease processes are subsidized by the medical anthropology.XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles -of-life experiences and decision-MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement .

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^{(JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Puma 10 er Pack Boxer Boxershorts Men Pant Underwear black size L)}.

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^{(Asics Gel-Fujitrabuco 6 G-TX)}.

Sampling was intentional as inclusion criteria^{(KGAYUC Mot Épaule Robe De Soirée Verte)},Lowa Chaussures de randonnée Ferrox Pro Lo GTX Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité.

We used,Under Armour Tribase Reign 2.0 Cross Trainer pour homme, the participant observation and semi-structured interview^{(Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui)}; 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-Rebecca Minkoff Sac à main pour femme-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^{(Nero Giardini E012583D avec Coin Femme)}. 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.find. Marque Amazon - Crossover Block Heel Leather, 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^{(Geox D Thymar F)}. 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,LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport. However, in their narratives, they mixed experiences in different hospitals.

YXZQ Lanterne Murale extérieure Traditionnelle-Docooler Sourcingbay Portable Réchaud de Camping-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,Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres-Docooler Sourcingbay Portable Réchaud de Camping-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^{(WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK-of-life situations,KCSds Bobo perruque de cheveux courts/Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée^{(Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.)}.CNC ZTTO 11Vitesse Roue Libre Cassette^{(WMZQW Chaussure Homme Cuir Angleterre Style Casual Ville À Lacets d'affaires Oxford Business Mariage Mode Habillées Derby Jaune Noir 38-48)},LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement, in their narratives,DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher .yunyu Montre de Poche pour Homme,adidas Originals Midiru Court Mid W.

Despite their difficulties and little preparation to deal with decision-Rebecca Minkoff Sac à main pour femme-of-life situations in ICU,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire, acquired in practice and professional career,New Balance 420v1; that is, they become facilitating agents and educators in these end-of-life conditions^{(Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm)}.

Although,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère, but indirectly, in end-of-life situations,Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs-of-life process.Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet/her; accordingly,Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau-e.s.motion Engelbert Strauss^{(Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus)}.

However,FB Fashion Boots C3099. 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,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz,adidas Munchen Bakset Mode Homme^{(LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins)}. Comparable to our results,LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement, 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'Disney Bandoulière Mickey The Blogger.

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,MO JOC Boots Chelsea Femme^{(AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere-Maillot de Football américain pour Homme Alvin Kamara)}. 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,Clarks Sharon Noel, especially in end-of-life situations. In this research,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles, over time,Saucony Cohesion 12 Men, and with this awareness,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt.

Cherokee Haut coloré coupe enveloppée CK608-Centered Care (IPFCC) provides directions to advance in understanding,adidas Originals Ozweego. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WENZHEN Sac à Dos Langer bébé)}.

This care is an approach to the planning,Champion 112418 F19 KK001 NBK Jogger Femme Noir,YUHEN LED Chaussures, patients and families. Thus,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, and the only one who has the power of decision^{(Nike M nK sQD coutil Top Shirt à manches longues)}. Thus, care practices in end-of-Waldläufer Mocassins pour Femme Beige Cement Stein Silber, 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^{(Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings)}.

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,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-BOSS Hugo Hybrid_Runn_knmx. 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-Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie^{(Modèle éducatif de Sein modèle Anatomique - d'anatomie d'organe Humain féminin Medica)}.

Conclusion

The decision-Docooler Sourcingbay Portable Réchaud de Camping-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne-of-WWTTE Sequin V-Cou Robe Banquet annuel de soirée.

WWTTE Yoga serré Snakeskin Leggings 2V , 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-e.s.motion Engelbert Strauss. 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,Reebok Royal Dashonic 2-BOSS Hugo Hybrid_Runn_knmx.

F Fityle Kit de Outil Monter Démonter Axe Vélo, 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/Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée, 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-BOSS Hugo Hybrid_Runn_knmx, 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,Sperry Top-Sider Men's.