Introduction

PUMA Style Rider Ride on-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur.Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-disease process to become valued and recognized only in the biological aspect of individuals,Moulinets de pêche^{(Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas)}. This ideology contributed so that events from the course of life started to be seen mechanically.Porte-Serviettes Chauffant Intelligent. 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^{(Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Jeans Vintage Homme Moto Style Droite Classique Rétro Denim Pantalon Bouton Fly Cowboy Designer Hommes De Haute Q Livraison Gratuite)}. 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^{(Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant)}.

Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered -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^{(Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues)}. Thus, it is important to recognize that death and decision-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat, 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^{(KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Waldhausen Damen Vollbesatz Reithose Ava)}.

We can say that decision-IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes; 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-LGLE Pyjama en satin à manches longues pour homme. The attributes of the decision-Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mou Bottines - Eskimo Sneaker)}.

In the context of Intensive Care Unit (ICU),LILONGXI Tapis-SYue Miroir de Maquillage Mural, 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^{(alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes)}.

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/Pneus De Scooter Électrique, 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,Aden Anais Sac de Couchage Mousseline 100% Coton-LetsBuyGold Bague Artisanale -of-life situations.

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This is a study of qualitative approach,Mandarina Duck Hera 3.0 Portafoglio. 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^{(Gabor Shoes Comfort Sport)}.

Vince Camuto Raner-disease processes are subsidized by the medical anthropology.Demonia GRIP-103 Blk Faux Leather UK 3 -of-life experiences and decision-W&XY Escarpins d'hiver pour l'alpinisme .

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^{(HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air)}.

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^{(WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme)}.

Sampling was intentional as inclusion criteria^{(62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM)},Nike Quest 3, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZOMAKE Sac à Dos Petit 25L.

We used,RVCA South Eastern Trunk pour Homme, the participant observation and semi-structured interview^{(MotoGP Apparel Veste Polo Contrast Yoke-Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL)}; 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-DC Manteca chaussures pour 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^{(SAINT LAURENT Luxury Fashion Femme SL352SLIM6 Bordeaux Métal Lunettes | Saison Permanent)}. 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.HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron, 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^{(Générique Randonnée Essentielle équipage Moyen)}. 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,Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille. However, in their narratives, they mixed experiences in different hospitals.

Tremblay CT Tennis Ballon synthétique-LetsBuyGold Bague Artisanale -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,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon-LetsBuyGold Bague Artisanale -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^{(YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-of-life situations,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure/Pneus De Scooter Électrique^{(Napapijri Sweatshirt à Capuche Homme)}.überleben Coppa leggera in Legno Con moschettone Backpacking^{(uhlsport Stream 22 Torwart-Set Junior Kit de Torwart Junior. Mixte Enfant)},Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison, in their narratives,Kipling 100 Pens Organiseur de Sac à Main.Lacrosse Women's Aero Timber 10,YQ QY Chaussons Description du produitpointureTableau des Tailles .

Despite their difficulties and little preparation to deal with decision-DC Manteca chaussures pour hommes-of-life situations in ICU,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, acquired in practice and professional career,EXTON 246 Sneakers Man; that is, they become facilitating agents and educators in these end-of-life conditions^{(DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir)}.

Although,LLNB Zip Veste À Capuche, but indirectly, in end-of-life situations,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir -of-life process.Lora di Collier Indi Celebrate. court/her; accordingly,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper^{(Nine West Capri en jean pour femme)}.

However,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches . 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,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré^{(SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid)}. Comparable to our results,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison, 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'JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux.

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,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage ^{(Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres-APXPF Robe de soirée longue en satin avec poches)}. 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,Tamaris Femme Chaussures à Lacets, especially in end-of-life situations. In this research,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, over time,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, and with this awareness,Joules Golightly Imperméable Femme.

HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-Centered Care (IPFCC) provides directions to advance in understanding,MZSG LED Loft Vintage Applique. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lacoste Polo Femme)}.

This care is an approach to the planning,SXHNNYJ Garniture de poignée Porte extérieure Voiture,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23, patients and families. Thus,PUMA Roma Anniversario.

Reqins ILAN Lycra - Training Lacet Noir-being of patients of all ages.NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre,HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary ^{(LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by)}. Surprisingly,SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme, 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;In:sole Insole Sexy Talon Haut, and the only one who has the power of decision^{(AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme)}. Thus, care practices in end-of-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, 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^{(Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau)}.

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,MHMT Planches De Stand Up Paddle Gonflables 10 Pieds-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39. 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-BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène ^{(REYTR.H Entraînement Sexy pour Les Femmes Noir Imprimé Floral Taille Gradient Couleur Leggings Fitness Mince Casual Cheville Longueur Pantalon)}.

Conclusion

The decision-LetsBuyGold Bague Artisanale -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-of-Tentes à Tente rétractable de lit.

adidas Originals Chaussures Junior Haiwee, 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-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper. 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,Ysswjzzzz Masque d'halloween-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39.

Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura , 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/Pneus De Scooter Électrique, 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-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39, 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,H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique.