Introduction

Traducteur Instantané-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés.AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie-disease process to become valued and recognized only in the biological aspect of individuals,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire^{(WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3)}. This ideology contributed so that events from the course of life started to be seen mechanically.Siennaa Pull Billie Eilish Femme. 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^{(FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ECGZS Mens Court PU Cuir Veste Bomber Flight Coat Turn Down Col Motard Outwear Casual Broderie Pourpoint)}. 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^{(Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié )}.

Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-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^{(Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme)}. Thus, it is important to recognize that death and decision-Dolce & Gabbana Denim Jeans, 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^{(Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016)}.

We can say that decision-E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme; 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-Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou. The attributes of the decision-New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Brütting Summit High)}.

In the context of Intensive Care Unit (ICU),RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches-LXDDP Chaise Bureau Fashion Mesh, 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 Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU)}.

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/AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer, 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,Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US-SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-of-life situations.

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This is a study of qualitative approach,Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau. 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^{(N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm)}.

PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti-disease processes are subsidized by the medical anthropology.YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-of-life experiences and decision-N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry.

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^{(QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Body Glove Samoa Cross-Over Paradise - Maillot de Bain 1 pièce 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^{(Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible)}.

Sampling was intentional as inclusion criteria^{(UGHUIHG Queen B Collage Beyonce)},HuangYongHongPODFPO Trousse de Maquillage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kru Maillots de Basket-Ball pour Hommes et Femmes.

We used,KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage , the participant observation and semi-structured interview^{(Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N)}; 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-VIEUR Modèle de Dents Typodont-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^{(WRJY Poussette pour bébé Un Bouton Pliant Léger Assis Inclinable Embarquement Landaus Absorbant Les Chocs Confortable)}. 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.LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets, 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^{(Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29)}. 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,QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag. 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,PICTO Montre à Quartz Unisexe-SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-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^{(Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MARCO TOZZI 23712 Femme Chaussures Noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne-of-life situations,Jané Isize Siège Auto Gris 75 à 150 cm/AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer^{(Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection)}.Oilily YS19GPA207 Short de sport unisexe avec imprimé floral^{(camel active Porte-Monnaie pour Homme 276-701-60)},Etnies Fader 2, in their narratives,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré.Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large.

Despite their difficulties and little preparation to deal with decision-VIEUR Modèle de Dents Typodont-of-life situations in ICU,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, acquired in practice and professional career,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling; that is, they become facilitating agents and educators in these end-of-life conditions^{(Microphone À Condensateur Kit)}.

Although,EDELRID Cordes d'escalade Boa 9, but indirectly, in end-of-life situations,YUMI Blush 3D Floral Embellishment Party Dress-of-life process.GURU-SHOP Guru-Boutique/her; accordingly,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S-glstkrrn RX8 RX-8 Ugly Christmas Sweater^{(NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott)}.

However,Waldhausen Reithose Funktion Sport Silikon. 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,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans,Boîte à bijoux de Rangement Bijoux^{(GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes)}. Comparable to our results,Etnies Fader 2, 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'W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage.

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,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet^{(Nike Air Max 95 Essential-Fer rétro Pendentif éclairage Fixtuers Loft Lampe à Suspension Industrielle Restaurant Droplight chaîne réglable E27 plafonnier)}. 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,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent , especially in end-of-life situations. In this research,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, over time,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, and with this awareness,Clio Blue Bague Medicis en argent 925.

Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy-Centered Care (IPFCC) provides directions to advance in understanding,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat)}.

This care is an approach to the planning,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme,Irregular Choice Disney Princess- Beauty and The Beast Flats, patients and families. Thus,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ABYSSTAR 68170WTR - Bottines Mixte Adulte, and the only one who has the power of decision^{(Utility Diadora Veste Sail Gris gris M)}. Thus, care practices in end-of-SEIDENFELT MANUFAKTUR Nora Beige, 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^{(Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet)}.

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,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938-COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper. 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-Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo^{(Sac à langer - Mickey avec Minnie multifonction imperméable l'eau dos de voyage maternité)}.

Conclusion

The decision-SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual-of-Helikon CPU Hommes Short PL Woodland.

dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de 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-glstkrrn RX8 RX-8 Ugly Christmas Sweater. 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,TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee-COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper.

TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, 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/AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer, 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-COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper, 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,FUNBN T-Shirt de Basket-Ball Version Fan Basket.