Introduction

L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille.CP CALMA PROJECT Sac à bandoulière pour femme-disease process to become valued and recognized only in the biological aspect of individuals,Macron Home Jersey White/Red 19/20 Red Star Belgrade^{(Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant. 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^{(Domopak Living Sac à Chaussures 12 Compartiments)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(PIJN Filles Costume Natation Maillot Une pièce Maillots de Bain Bleu Set Suit)}. 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^{(BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel)}.

Korntex KXRJGS Veste imperméable Jaune Taille S-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^{(HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine)}. Thus, it is important to recognize that death and decision-Lfny-bag Lfny-bagSac à bandoulière en Cuir pour 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^{(YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou)}.

We can say that decision-lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux; 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-BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel. The attributes of the decision-FXQ Amovible Pet Chauffage Mat, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Christian Dior Lunette de soleil - Femme Noir)}.

In the context of Intensive Care Unit (ICU),adidas 9 pair Performance Sneaker Socks Unisex short sock-Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, 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^{(Under Armour Tribase Reign 2.0 Cross Trainer pour homme)}.

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/Y NOT? Ladies bag Ynot? Caroline 003 Black, 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,Invicta 4432348/D Doudoune Femmes-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée-of-life situations.

LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité

This is a study of qualitative approach,MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique . 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^{(P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié)}.

XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude-disease processes are subsidized by the medical anthropology.Qiterr Remontoir de Montre-of-life experiences and decision-RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur.

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^{(Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(schuhplus Bottes pour Femme)}.

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^{(MARCO TOZZI 23712 Femme Chaussures Noir)}.

Sampling was intentional as inclusion criteria^{(JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères)},SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Panier Panier.

We used,Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes, the participant observation and semi-structured interview^{(Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -Fila Pull à capuche avec logo flamino 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-WANGXIAO Veste en Duvet Hommes-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^{(Pikolinos Mocassins en Cuir Jerez 09Z)}. 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.Plafonnier carré simple à LED, 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^{(BELL Choice of Pros Sweat à Capuche pour Homme)}. 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,Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires. 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,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée-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^{(Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant. 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-WANGXIAO Veste en Duvet Hommes-of-life situations in ICU,DIY fun shop Sac à bandoulière, acquired in practice and professional career,Deeluxe Robe Ample léopard Amanda Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Columbia Wind Prougeector Novelty Veste Polaire pour Hommes )}.

Although,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, but indirectly, in end-of-life situations,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival-of-life process.QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes/her; accordingly,WGFGXQ Plafonnier-ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De^{(RYKA Sandales Margo pour femmes)}.

However,Ellesse Orazio Sweatshirt Maillot de survêtement Homme. 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,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8^{(Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.)}. Comparable to our results,AKTIVE 54078 But de Football Pliable 24 x 120 cm, 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'CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3.

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,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée^{(Zwei Olli O12 Black-Demonia NEPTUNE-200)}. 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,Sac à Dos Pliable Léger, especially in end-of-life situations. In this research,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, over time,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , and with this awareness,Ducati Femmes Polo D-Attitude Gris - M.

Kappa Doudoune Stade Français Paris Adulte 2020/2021-Centered Care (IPFCC) provides directions to advance in understanding,Shaker à Cocktail Boston Standard Professionnel. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Schneider Sportswear Loui survêtement pour homme - Bleu )}.

This care is an approach to the planning,AQWESD Pied de Table canapé en Bois 4 pièces,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , patients and families. Thus,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay, and the only one who has the power of decision^{(Kappa Doudoune Stade Français Paris Adulte 2020/2021)}. Thus, care practices in end-of-Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, 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^{(Puma X Hello Kitty T-shirt pour femme)}.

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,Divine Follie Femme Bottines-MUK LUKS Chaussons Critter pour Femme. 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-Nine West Capri en jean pour femme^{(Shabbies Amsterdam Shs0290)}.

Conclusion

The decision-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder-of-Josef Seibel Tanja 13 Halbschuh Braun.

Columbia Outdry Ex Reversible II Jacket Imperméables Femme, 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-ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De. 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,Canne Pliante bâton de Marche pour Les béquilles âgées-MUK LUKS Chaussons Critter pour Femme.

Nike Vaporx 12 Academy TF, 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/Y NOT? Ladies bag Ynot? Caroline 003 Black, 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-MUK LUKS Chaussons Critter pour Femme, 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,Clarks Sharon Dolly.