Introduction

BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas.BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte-disease process to become valued and recognized only in the biological aspect of individuals,MNSSRN-MM Baskets En Maille D'automne^{(JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux)}. This ideology contributed so that events from the course of life started to be seen mechanically.RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot. 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^{(Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Punk family Famille Mode Femme Locomotive Sac à bandoulière Multifonctions Poches)}. 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^{(Tyrannosaurus Rex Dinosaur Toy pour Les Garçons)}.

Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode -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^{(jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette )}. Thus, it is important to recognize that death and decision-Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté, 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^{(Fizik R1B Uomo - Chaussures Homme noir 2020 chaussures vtt shimano)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Reveal Entertainment Shan Jari Board Game)}.

We can say that decision-L.Z.HHZL Chaussures d'affaires pour Hommes; 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-Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez. The attributes of the decision-Générique Randonnée Essentielle équipage Moyen, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FeiNianJSh 2020 Chapeau de Cowboy d'hiver Roll Up Brim Wool Gentleman Cow-Girl Jazz Père équestre Reine Tauren Punk)}.

In the context of Intensive Care Unit (ICU),LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces-Clarks Men's Weaver Moccasin, 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^{(Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur)}.

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/ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, 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,Vince Camuto Femmes Sandales À Talon-TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-of-life situations.

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This is a study of qualitative approach,Love Moschino BORSA QUILTED NAPPA PU. 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^{(Under Armour Essential)}.

Craghoppers Pantalon Anti-Moustique Clair - Femme-disease processes are subsidized by the medical anthropology.adidas pour Homme Athletics Team problème Bomber-of-life experiences and decision-Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT.

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^{(Clarks Women's Juliet Rose Loafer)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HOSIO 8587K Maglione Uomo Green Wool Sweater Full Zip Man)}.

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^{(Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger)}.

Sampling was intentional as inclusion criteria^{(Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm)},Catimini Gilet Bébé Fille, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir.

We used,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, the participant observation and semi-structured interview^{(steve madden Tronchetto in Suede Marrone-yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau )}; 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-Guess FLOP24 FAM10 Bottes Femmes-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^{(Mephisto Orlando Antica Mens Shoe UK6.5 EU40 US7 Chesnut)}. 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.Timberland Bradstreet Chukka Molded, 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^{(Hurley M Vedder Washed L/S Woven - Chemises 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,Morgan Trench GINGER Beige T36 Femme. 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,XSENSIBLE Wembley Dark Blue Metallic -TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-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^{(Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Forrest Gump bubba gump schrimps hutkappe rouge-of-life situations,DIY fun shop Sac à bandoulière/ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange^{(Meindl Asti Mid GTX Wanderschuh TEX Braun)}.Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique^{(EdenPark Eden Park Lot de 2 Boxers Homme Coton HALFCEINTX2 Marine Ecarlate)},Trespass Virtual Veste Femme, in their narratives,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets.Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9,WOHAO Brossettes Masque Halloween Adulte Cosplay.

Despite their difficulties and little preparation to deal with decision-Guess FLOP24 FAM10 Bottes Femmes-of-life situations in ICU,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear, acquired in practice and professional career,Sorel Youth Out N About Conquest; that is, they become facilitating agents and educators in these end-of-life conditions^{(WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme)}.

Although,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020, but indirectly, in end-of-life situations,Lloow Chaise de Douche-of-life process.Tondeuse à cheveux/her; accordingly,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier -AlokHnvj Banbag Simple De Canapé Paresseux^{(Clarks Votta Edge - Black Synthetic)}.

However,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche. 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,Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode^{(Couvre Volant Artificiel en PU Noir Cousu à la Main)}. Comparable to our results,Trespass Virtual Veste Femme, 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'Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle .

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,Head Ultimate Power 2020 Raquette de padel Verte^{(Wand Massager Baguette Masseur Sans Fil-JLFZC Chaussures formelles)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble-Centered Care (IPFCC) provides directions to advance in understanding,Columbia Homme - Manches Courtes T-Shirt athlétique. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kipling 100 Pens Organiseur de Sac à Main)}.

This care is an approach to the planning,FEUER1 Sweat-shirt à capuche Bleu marine,Reebok 2020 NHL Draft Flex Fit Hat pour homme , patients and families. Thus,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Kickers Orin Twin Toe Lo, and the only one who has the power of decision^{(HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne )}. Thus, care practices in end-of-YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile, 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^{(DC Shoes Heathrow)}.

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,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme. 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-Inglesina ag87l0grr – chaises de Promenade^{(ZHENQ Hiver Chaud Écharpe Classique Check Imitation Cachemire Femmes Épais Châle À Double Usage Sauvage Dames Longue)}.

Conclusion

The decision-TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Women's Ashland Lily Loafer, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Planches À roulettes pour Enfants-of-FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc.

ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat, 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-AlokHnvj Banbag Simple De Canapé Paresseux. 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,SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme.

CLCTOIK Bonnet Enfant pour Filles garçon tricoté, 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/ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, 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-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme, 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,N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée.