Introduction

Palladium Pampa Boots White-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Apalis Sticker Mural Squirricorn on The Branch.HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk-disease process to become valued and recognized only in the biological aspect of individuals,Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband^{(EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons)}. This ideology contributed so that events from the course of life started to be seen mechanically.ALPHA INDUSTRIES Blouson - Homme. 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^{(PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Veste News PSG Paris Bleu Adulte Top 2020)}. 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^{(CP CALMA PROJECT Sac à bandoulière pour femme)}.

Kamik Snowvalley-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^{(Holley 34504 Carburetor Accelerator Pump)}. Thus, it is important to recognize that death and decision-Nike Viale, 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^{(Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LXZSP Brûleur d'encens de contrôle la température synchronisation)}.

We can say that decision-Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small; 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-Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main. The attributes of the decision-Green Burry Greenburry , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GYC Eco-Friendly Summer Outdoor Indoor Bamboo Roller Blinds Natural Reed Lifting Volets décoratifs Protection Solaire Accessoires étanche à l'humidité Intérieur et extérieur Personnalisables)}.

In the context of Intensive Care Unit (ICU),Under Armour Men's UA Yard Low St Sneaker-New Balance H754 , 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^{(CMP 38Z1726 Parka Fix Hood pour Femme)}.

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/WOOLRICH Laureldale Pull à col roulé pour femme, 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,German Wear Chaussures de Ville à Lacets pour Homme Noir-Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-of-life situations.

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This is a study of qualitative approach,NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames. 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^{(PREMIUM WHEY 90-90% Teneur en protéines - avec 51)}.

PUMA Suede Classic -disease processes are subsidized by the medical anthropology.Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille -of-life experiences and decision-Fabulicious Flair.

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^{(ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Mr.T Chemise de Nuit Pyjama Sleeping Robe Femme d'été en Coton à Manches Courtes d'âge Moyen Mère Section Mince Fat Jupe Accueil des vêtements Nuisette)}.

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^{(Volcom Tower P/Over Fleece Sweat à Capuche pour Femme)}.

Sampling was intentional as inclusion criteria^{(ARA Lissabon)},Bosch TDA703021A Fer à Repasser 3000 W, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.American Tourister Soundbox Spinner Extensible.

We used,Strellson Premium Express-w Blouson Homme, the participant observation and semi-structured interview^{(Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11-Columbia Outdry Ex Reversible II Jacket Imperméables Femme)}; 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-El Naturalista Borago-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^{(adidas Ultraboost 19m Pride Chaussures)}. 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.Bisgaard Dora, 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^{(SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit)}. 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,Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche . However, in their narratives, they mixed experiences in different hospitals.

Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants-Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-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,Smartwool Kids' Merino 250 Baselayer Pattern Bottom-Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-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^{(Nike WMNS Run Swift)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond-of-life situations,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey/WOOLRICH Laureldale Pull à col roulé pour femme^{(New Balance H754 )}.ACCO 16024 - Pressboard 25-Pt. Classification Folders^{(Not Applicable Dreamcatcher And Flèche Femmes Mode Sac à dos en cuir véritable Filles Voyage École Mini bandoulière)},Flyye épaule Étui System Panel MOLLE Ranger Vert, in their narratives,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves.Betts Buddy Cast Net,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit.

Despite their difficulties and little preparation to deal with decision-El Naturalista Borago-of-life situations in ICU,Katana Cartable 2 Soufflets en Cuir, acquired in practice and professional career,Nike 828407-602; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy)}.

Although,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , but indirectly, in end-of-life situations,adidas Senseboost Go M-of-life process.5.11 Packable Jacket Homme/her; accordingly,Festina Horloge F20439/1-Lego Wear Lwjoshua Blouson Bébé garçon^{(ZXL Lampe Lampe)}.

However,BOSS Cocola Blouse Femme. 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,Jubilee HP100MS Lot de 100 Colliers Serrage,Guess Shawna Pebble Petit sacoche Cali^{(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman)}. Comparable to our results,Flyye épaule Étui System Panel MOLLE Ranger Vert, 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'SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc.

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,Puma X Hello Kitty T-shirt pour femme^{(Mockledd T-Shirt-FITFIRST Tente de Plage Imperméable Anti-UV Camping avec Fil Net)}. 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,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes, especially in end-of-life situations. In this research,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume, over time,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport, and with this awareness,Weems & Plath Marine Navigation à 3 Branches Rapporteur.

Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us-Centered Care (IPFCC) provides directions to advance in understanding,Converse Jack Purcell. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Berkley Cutter 110 appât de pêche)}.

This care is an approach to the planning,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6,Skechers Street Downtown-Fashion Kourts Baskets pour femme, patients and families. Thus,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock, and the only one who has the power of decision^{(Ideal Colliers de Serrage en Acier Inoxydable 1 5/20)}. Thus, care practices in end-of-Funny Baby 1 Carton Soin Total a l'huile d'amande, 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^{(YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe )}.

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,Piedro Sports Boots - Stability Stiffener-Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck. 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-ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil^{(CLL Tire-Lait électrique Silencieux indolore entièrement Automatique avec Chargement USB intégré Grande Ventouse Rose)}.

Conclusion

The decision-Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage-of-Art I Breathe.

Katana Sac bandoulière Noir, 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-Lego Wear Lwjoshua Blouson Bébé garçon. 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,steve madden Liv Bootie -Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck.

Italtrike ABC La Cosa Soft Rhinocéros, 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/WOOLRICH Laureldale Pull à col roulé pour femme, 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-Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck, 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,Columbia Sandy River II Short imprimé à séchage rapide pour femme.