Introduction

Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dilwe Mini Alcool Réchaud en acier inoxydable.New Balance Women's 5K V5 Running Shoe-disease process to become valued and recognized only in the biological aspect of individuals,Tosca Blu Ankle Boot Kiruna^{(ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode )}. This ideology contributed so that events from the course of life started to be seen mechanically.Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte. 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^{(SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZHJYD Montre de Poche)}. 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^{(adidas Real Away Chaussettes Homme)}.

Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-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^{(Asics Noosa FF Chaussure de course pour femme)}. Thus, it is important to recognize that death and decision-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , 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^{(Ocun Strike QC Climbing Chaussure - AW20-41.5)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage )}.

We can say that decision-Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD ; 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-Primigi Pwigt 63828. The attributes of the decision-Clarks Sandales Sillian2.0 Joy pour Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kaysa-TS Bébé Tissu Mou Vibrant Et Musical Chaise Gonflable)}.

In the context of Intensive Care Unit (ICU),HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-Mammut Bota Ducan High GTX, 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^{(adidas Pulseboost HD Guard M)}.

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/Clarks Kaylin 60 Sling, 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,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-of-life situations.

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This is a study of qualitative approach,Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage. 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^{(vo7 Baskets Cuir Flamengo Flag Dark)}.

CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-disease processes are subsidized by the medical anthropology.Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air-of-life experiences and decision-Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213.

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^{(VIEUR Modèle de Dents Typodont)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Rocket Dog Spotlight')}.

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^{(XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière)}.

Sampling was intentional as inclusion criteria^{(ECCO Offroad)},LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bewinch Moustiquaire pour lit.

We used,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, the participant observation and semi-structured interview^{(Wilvorst - Veston Uni Bébé -HXF Charmant Filles Princesse Blanche Robe)}; 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-HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage-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^{(ECCO Soft 7 Ladies)}. 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.Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, 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^{(XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet)}. 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,Li Long Longue River Valley. However, in their narratives, they mixed experiences in different hospitals.

Applique murale moderne de style européen pour chambre à coucher-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-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,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-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^{(WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20-of-life situations,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert/Clarks Kaylin 60 Sling^{(Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure)}.Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne^{(BACKPP BACKPPSac à Dos)},Barrière de lit Rail for Enfants en Bas âge, in their narratives,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre.Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse ,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie.

Despite their difficulties and little preparation to deal with decision-HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage-of-life situations in ICU,HYLH 3D LED Stunt Motorcycle Illusion Night Light, acquired in practice and professional career,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Clarks Women's Ada Mist Sandal)}.

Although,Wmeat-P Ensemble De Housse Couette, but indirectly, in end-of-life situations,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -of-life process.Houdini Power Houdi Veste Homme/her; accordingly,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress ^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme)}.

However,Béaba BÉABA Sac à Langer Sydney I. 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,ROTHCO 7502 flightsuits 6XL All,adidas Maillot de Basketball pour Homme Thunder Alternative^{(Etnies Barge XL)}. Comparable to our results,Barrière de lit Rail for Enfants en Bas âge, 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'RYKA Devo Plus 2.

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,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme^{(ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-Gabor Femme Bottines)}. 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,CFR Combinaison de yoga sans manches avec dos nu pour femme, especially in end-of-life situations. In this research,Clarks Votta Edge - Black Synthetic, over time,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, and with this awareness,Joie Spin 360 – Siège de voiture.

Brooks pour Femme Juno Soutien-Gorge de Sport-Centered Care (IPFCC) provides directions to advance in understanding,Underwraps Costumes Camo Army Uniform Boys Costume Large. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant)}.

This care is an approach to the planning,Fjällräven Stina Jacket Femme,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, patients and families. Thus,Asics Serrano Onitsuka Tiger Chaussures pour Hommes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;FREDsBRUDER Layer Bumper Tangelo, and the only one who has the power of decision^{(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur)}. Thus, care practices in end-of-Pepe Jeans Pantalon 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^{(Volcom Sweat Too Tone Fleece Noir Homme -)}.

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,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42. 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-Carhartt Shoreline Veste isolée pour homme Taille grande et^{(Cloche mobile pour bébé)}.

Conclusion

The decision-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-of-JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621.

Theia Unisexe Bague Or Jaune ou Blanc, 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-Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress . 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,Surplus Royal Traveler Pantalon-XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42.

Columbia Men's Bridge to Bluff Pant, 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/Clarks Kaylin 60 Sling, 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-XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, 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,Lee Brooklyn Jeans Homme.