Introduction

Saucony Cohesion 12 Men-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt.Cherokee Haut coloré coupe enveloppée CK608-disease process to become valued and recognized only in the biological aspect of individuals,adidas Originals Ozweego^{(NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin)}. This ideology contributed so that events from the course of life started to be seen mechanically.Champion 112418 F19 KK001 NBK Jogger Femme Noir. 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^{(Inconnu Regent Montre Homme F 848 Titane)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KIUYMRV Sac à Main en Cuir Vintage décontracté avec poignée supérieure pour Femme)}. 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^{(MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau)}.

YUHEN LED Chaussures-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^{(RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris)}. Thus, it is important to recognize that death and decision-MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, 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^{(WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kanna Shoes Sandalia CUÑA Basket Kaki. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Smilice Bottes d'hiver pour Femme)}.

We can say that decision-Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille; 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-Asics Gel-Sonoma 4 G-TX 1011a210-001. The attributes of the decision-arena WPWSK Carbon Maillots de bain Femme , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GIAO Statues Ornements Décoration Maison de Voiture Pur Cuivre Mignon Nyorai Bouddha Artisanat Figurines Statue Auto Décor Accessoires Cadeau)}.

In the context of Intensive Care Unit (ICU),Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-Waldläufer Mocassins pour Femme Beige Cement Stein Silber, 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^{(Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable)}.

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/Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, 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,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie-LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes-of-life situations.

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This is a study of qualitative approach,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe. 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^{(RB Leipzig Essential Pullpants)}.

Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne-disease processes are subsidized by the medical anthropology.WWTTE Sequin V-Cou Robe Banquet annuel de soirée-of-life experiences and decision-WWTTE Yoga serré Snakeskin Leggings 2V .

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^{(1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Angela Bracelet Multi-Outils 29 en 1)}.

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^{(CLCTOIK Bonnet Enfant pour Filles garçon tricoté)}.

Sampling was intentional as inclusion criteria^{(Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean)},Reebok Royal Dashonic 2, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.F Fityle Kit de Outil Monter Démonter Axe Vélo.

We used,Sperry Top-Sider Men's, the participant observation and semi-structured interview^{(Sebago Men's Black Winhall Slip on 8 D-Lee Short 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-DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée-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^{(WWLZ Lolita Vintage Stand Costume de princesse gothique pour fille avec archet)}. 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.EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé, 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^{(Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock)}. 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,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806. 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,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes-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^{(FACAI Étagère De Cuisine Rangement)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon-of-life situations,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier/Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille^{(Marc Cain Collections Dress Robe Femme)}.Y-Volution Y-volution - draisienne yvelo air Bleu^{(Funkyrox Oxyde de Zirconium CZ - or jaune 9 carats)},EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15, in their narratives,Multiple colors New ballet LED table lamp 7 color touch 3d night light.N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable.

Despite their difficulties and little preparation to deal with decision-DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée-of-life situations in ICU,Matelas d'air de Voiture Gonflable prolongé siège arrière, acquired in practice and professional career,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S; that is, they become facilitating agents and educators in these end-of-life conditions^{(Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099)}.

Although,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière, but indirectly, in end-of-life situations,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas-of-life process.BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte/her; accordingly,MNSSRN-MM Baskets En Maille D'automne-RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot^{(Plush-NH Lit pour Chien 5 Rond Couleur Pet Lounger Coussin Moyennes Grands Chiens Chat d'hiver Niche Chiot Mat Ped lit)}.

However,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode . 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,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou^{(Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois)}. Comparable to our results,EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15, 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'L.Z.HHZL Chaussures d'affaires pour Hommes.

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,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez^{(Yctze Volant de bateau-Pavers Homme Cut Out Mocassins en Cuir)}. 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,Générique Randonnée Essentielle équipage Moyen, especially in end-of-life situations. In this research,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces, over time,Clarks Men's Weaver Moccasin, and with this awareness,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange.

Vince Camuto Femmes Sandales À Talon-Centered Care (IPFCC) provides directions to advance in understanding,Love Moschino BORSA QUILTED NAPPA PU. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c)}.

This care is an approach to the planning,Craghoppers Pantalon Anti-Moustique Clair - Femme,adidas pour Homme Athletics Team problème Bomber, patients and families. Thus,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Timberland Bradstreet Chukka Molded, and the only one who has the power of decision^{(NORTHCAPE Flint Waterproof Femme Boots Marron)}. Thus, care practices in end-of-Morgan Trench GINGER Beige T36 Femme, 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^{(CNC ZTTO 11Vitesse Roue Libre Cassette)}.

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 Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté-Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire. 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-hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière^{(PUMA Clyde Sock Lo Diamond Chaussures)}.

Conclusion

The decision-LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Callaghan 14804 Enfiler Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mizuno Wave Paradox 5-of-Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag.

Zoggs Bruny Ruch Front Maillot de Bain Une pièce 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-RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot. 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,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip-Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire.

Nike Air Max 95 Essential, 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/Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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