Introduction

UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave.HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-disease process to become valued and recognized only in the biological aspect of individuals,YAOLAN 5D Diamant Peinture kit Complet^{(Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face)}. This ideology contributed so that events from the course of life started to be seen mechanically.Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant. 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^{(Schott NYC Okla Jacket Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Legero Tanaro Sneaker)}. 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^{(Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S)}.

GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-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^{(EDELRID Cordes d'escalade Boa 9)}. Thus, it is important to recognize that death and decision-FANZIFAN Manteau de la Femme, 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^{(TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée)}.

We can say that decision-Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers; 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-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe . The attributes of the decision-GCX Imperméable Poncho imperméable for Femmes en extérieur, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Situen Gru.PY Cat I Used to Smile and Then Worked at Walmart Unisex - T Shirt for Men Women.)}.

In the context of Intensive Care Unit (ICU),Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt-Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel, 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^{(LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche)}.

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/Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass, 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,SugarPocket Leggings de yoga pour femme-MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-of-life situations.

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This is a study of qualitative approach,Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small. 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^{(SOLE South Chaussures Noir)}.

XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -disease processes are subsidized by the medical anthropology.Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 -of-life experiences and decision-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes.

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^{(DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(EDOSTORY Mosquit Filet Blanc moustiquaire pour la Maison et Voyage)}.

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^{(Geox J Flexyper D)}.

Sampling was intentional as inclusion criteria^{(JABSCO ITT INDUSTRIES WC Elect. STD 24V)},LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Reebok Chaussures Aztrek.

We used,FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos, the participant observation and semi-structured interview^{(teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt-LGLE Pyjama en satin à manches longues pour homme)}; 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-Bobux Zap-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^{(Mil-tec Filet de Camouflage Pro 'Crazy Camo'2 x 3)}. 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.Maui Jim Lunettes de soleil 543 Shallows, 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^{(LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh)}. 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,Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis. 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,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson-MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-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^{(Vionic Women's)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL. 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-Bobux Zap-of-life situations in ICU,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual , acquired in practice and professional career,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique ; that is, they become facilitating agents and educators in these end-of-life conditions^{(VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique )}.

Although,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt, but indirectly, in end-of-life situations,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats-of-life process.sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée/her; accordingly,Saucony Jazz Original-Anna Cecere ACA 016 lime^{(Coslike Danganronpa Anime Tous Les rôles Cosplay Costume Ensemble Complet)}.

However,Puma Men's Iconic MCS Tee. 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,Naturino See,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure^{(ZSMD Phicen Vêtements Femme échelle 1/6 Main)}. Comparable to our results,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S, 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'Herschel Heritage.

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,Clarks Women's Linvale Sea Fashion Boot^{(Skechers Go Walk Lite - Rise-LXJ-CQ Oreiller de Cou Anime Manga Fille écolière Saint-Valentin en Forme U Voyage Ergonomique Design profilé Housse Lavable)}. 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 Women's Verona Rock Ankle Boot, especially in end-of-life situations. In this research,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, over time,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle, and with this awareness,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz .

Mandarina Duck MD20 Sac bandoulière bleu-Centered Care (IPFCC) provides directions to advance in understanding,GBY Sac à bandoulière pour femme - main tendance. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Dansko Femmes Chaussures De Mule)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9, and the only one who has the power of decision^{(JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou)}. Thus, care practices in end-of-Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU, 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^{(KTDT Horloge de Table Style Train Mode rétro)}.

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,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold. 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-HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU^{(YFTM-BP Sac de Voyage Portable Grande Capacité Rétro Cuir Hommes en à Bagages Main)}.

Conclusion

The decision-MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.KAR 4, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XHH Échelle de Plante Support à Fleurs en Fer forgé-of-Folding bath tub Baril de Baignoire Pliable.

Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes, 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-Anna Cecere ACA 016 lime. 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,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été-XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold.

Fox Débardeur à dos Randonnée Homme, 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/Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass, 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-XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold, 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,Square Enix Figurine 'Super Street Fighter IV - Sakura.