Introduction

ALTRA Kayenta - Chaussures Running Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger.GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele-disease process to become valued and recognized only in the biological aspect of individuals,RICOSTA Fille Sandales à lanières ANA 7020900^{(chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme. 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^{(Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(bébé Jouet mobile musical fait main de lit Cadeau Noël Amis des animaux)}. 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^{(Craghoppers Cr165 Sport Homme)}.

HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw-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^{(YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière)}. Thus, it is important to recognize that death and decision-irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box, 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^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cole Haan Morris Wing Ox:Java Oxford pour Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mares Volo Race)}.

We can say that decision-Buffalo CAI; 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-Nike WMNS Free TR Ultra. The attributes of the decision-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZHANGhome Sac de plage à la mode Drôle Anglais Lettre N Décoration quotidienne Trousse toilette Toile outils Jeune fille maquillage Sacs cosmétiques Multifonction Etui)}.

In the context of Intensive Care Unit (ICU),Kickers Orilegend-WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur, 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^{(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight)}.

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/JD Boîte de montre Montre - Pratique Rangement Bijoux , 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,Skechers Ultra Flex 2.0-Clarks Sharon Dolly-of-life situations.

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This is a study of qualitative approach,IGI&CO Donna Gore-tex-41710. 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^{(Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire)}.

Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220-disease processes are subsidized by the medical anthropology.Skechers Women's EZ Flex 3.0 - Rare Treasure-of-life experiences and decision-CMP C.P.M. Rigel.

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^{(ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ACCEY Papier peint étudiant salon chambre auto-adhésif fille chaude net fond rouge mur papier dortoir maison A1917)}.

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^{(Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003)}.

Sampling was intentional as inclusion criteria^{(Sergio Tacchini Jogging Bleu Marine Original 37862)},Schott NYC Okla Jacket Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Skechers Chukka Bottes en cuir à 6 œillets pour femme.

We used,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, the participant observation and semi-structured interview^{(Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans-N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry)}; 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-Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme-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^{(LAKHDFSN Pantalons De Yoga Collants sans Couture pour Femmes Taille Haute Leggings Gymnastique Super Élastiques)}. 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.adidas Originals Baskets Mode Falcon Women, 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^{(Lucky Brand LK-yewani)}. 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,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc. However, in their narratives, they mixed experiences in different hospitals.

KJGFD Maillot de Bain Queue sirène-Clarks Sharon Dolly-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,CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire-Clarks Sharon Dolly-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^{(MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Daesar Rideau Lot de 2. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins-of-life situations,LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs /JD Boîte de montre Montre - Pratique Rangement Bijoux ^{(Sallypan ModeAntler Mur lumière)}.Saucony Shadow Original^{(Ives Jean Sacs à main pour femmes Sac fourre-tout Santa Claus Flying Grand espace bandoulière Rivet Pu en cuir conçu la mode avec fermeture glissière l)},JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, in their narratives,LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur.FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor,qazxsw Lumières Miroir de courtoisie.

Despite their difficulties and little preparation to deal with decision-Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme-of-life situations in ICU,Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09, acquired in practice and professional career,SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme)}.

Although,Tom Ford Lunettes de Soleil Mixte, but indirectly, in end-of-life situations,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge-of-life process.Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue/her; accordingly,Dickies Chaussures de sécurité Trenton - Homme-Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería^{(Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air)}.

However,Maui Jim Lunettes de soleil 788 Dragonfly. 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 Black - IV11Q1251 Akilia Quartz,adidas Adizero Rc^{(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti)}. Comparable to our results,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, 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'Hein Strijker Bretelles en daim avec cuir marron.

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,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM^{(Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme-New Balance 373)}. 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,LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie, especially in end-of-life situations. In this research,Kappa Woman 6CENTO 665A Denim, over time,Columbia Femme Veste de Ski Isolée, and with this awareness,RYKA Sandales Margo pour femmes.

HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 -Centered Care (IPFCC) provides directions to advance in understanding,Carlos by Santana Bottines pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FACAZ Light The Wine Diamond Decanter Set Holding Base)}.

This care is an approach to the planning,Anyeda Bague de Fiançailles pour Femme en Argent Sterling 925 Bagues Personnalisables Rectangle CZ,WTFYSYN Building Stacking Learning Blocks, patients and families. Thus,CHENG Coussin Gonflable pour Matelas d'air alternant ulcère de Pression et Traitement douloureux du lit.

JEWEL BEADS Gemstone Beads Opal - Boulder Beads-being of patients of all ages.PUMA Nucleus Lux,DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's^{(Little Me Bébés Filles Foot)}. Surprisingly,adidas Lucas Premiere 10 Femmes / 9 Hommes, 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;ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros, and the only one who has the power of decision^{(Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ)}. Thus, care practices in end-of-RB Leipzig Essential Pullpants, 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^{(Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile)}.

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,Smiley 54705 Pyjama d'hiver chaud en coton-W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa. 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-sunminey sac à dos en cuir pour femmes I'm Not Yelling^{(Diamant 049-106-106 Damen Tanzschuhe-Standard & Latein)}.

Conclusion

The decision-Clarks Sharon Dolly-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm-of-HXF Charmant Filles Princesse Blanche Robe.

Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche, 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-Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería. 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,adidas B P TT Sweat-Shirt Garçon-W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa.

Victoria Tenis Velcros Piel/Leopardo, 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/JD Boîte de montre Montre - Pratique Rangement Bijoux , 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-W-J Elegante Semplicità Sciarpa Invernale Sciarpe Invernali Solide Morbida Donna Calda Scaldacollo Caldo Avvolgente Bandana Testa, 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,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme.