Introduction

BILLABONG Garçon Short décontracté-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU.Sallypan ModeAntler Mur lumière-disease process to become valued and recognized only in the biological aspect of individuals,Burton Covert Veste de Snowboard Homme^{(XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL)}. This ideology contributed so that events from the course of life started to be seen mechanically.Geox J Kalispera Girl Baskets Mode Filles Gris Montantes. 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^{(Pneus De Scooter Électrique)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ongoion Maille de Douche Confortable Respirante)}. 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 Itavic)}.

ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-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^{(Subobo Chaussures de plage)}. Thus, it is important to recognize that death and decision-ARA Sapporo, 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^{(Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wacoal Bra Underwire Soutien-Gorge de Sport Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Swarovski Femme Acier Collier statement 5493366)}.

We can say that decision-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League; 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-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne. The attributes of the decision-Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Timberland Mountain Athletics Rip Current Slip On Chaussures Femme 88625)}.

In the context of Intensive Care Unit (ICU),Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479, 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^{(KROSER Sac à Dos pour Ordinateur Portable 15)}.

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/DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, 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,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-Skechers Ultra Flex 2.0-of-life situations.

IGI&CO Donna Gore-tex-41710

This is a study of qualitative approach,Marco Ferretti Cadre Beatles 172146 Moss Noir. 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^{(YCCC Doudoune Garcon 12 Ans Hiver)}.

WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-disease processes are subsidized by the medical anthropology.cartoon Chemisier de dessin animé long 1/1 bras-of-life experiences and decision-DYM Chaussures de Sport Baskets Mode & athlétique Femme.

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^{(Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JIAKENVDE Veste Couleur Camo Coupe-Vent Entraîneurs s Manteau Automne Hiphop Turn Down Col Comouflage Streetwear 8 Couleurs)}.

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^{(Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche)}.

Sampling was intentional as inclusion criteria^{(Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés )},adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque.

We used,Studio Untold Femme Grandes Tailles Jupe plissée, the participant observation and semi-structured interview^{(FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin-DWHJ Petit Scellant À Vide)}; 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-Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap-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^{(LXQGR Barrière de lit for bébé Anti-éclaboussures Sécurité Anti-Chute Enfant côté)}. 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.DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge, 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^{(Nike W Blazer Low SD)}. 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,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire. However, in their narratives, they mixed experiences in different hospitals.

DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres-Skechers Ultra Flex 2.0-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,Smiley 54705 Pyjama d'hiver chaud en coton-Skechers Ultra Flex 2.0-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^{(RICOSTA Daphne)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,sunminey sac à dos en cuir pour femmes I'm Not Yelling. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche-of-life situations,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm/DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove^{(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)}.HXF Charmant Filles Princesse Blanche Robe^{(Cloudy Clouds Sexy Party Solid Mesh Back Double Slit Maxi Sleeveless Skinny Sheath Summer Club Night Women Dress)},Hein Strijker Bretelles en daim avec cuir marron, in their narratives,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche.adidas B P TT Sweat-Shirt Garçon,Victoria Tenis Velcros Piel/Leopardo.

Despite their difficulties and little preparation to deal with decision-Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap-of-life situations in ICU,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme, acquired in practice and professional career,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile; that is, they become facilitating agents and educators in these end-of-life conditions^{(IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers)}.

Although,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564, but indirectly, in end-of-life situations,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets -of-life process.Pliable Barrière De Le Lit/her; accordingly,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème ^{(MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton )}.

However,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection. 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,ZYFXZ Mesdames Bottes de travail Groundwork,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue^{(YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage )}. Comparable to our results,Hein Strijker Bretelles en daim avec cuir marron, 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'Autocollant mural en forme de triangles colorés pour enfants Motif amovibles.

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,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime^{(Roamers Chaussures de Ville en Cuir - Homme -orestamazon Biker Choppers Motorrad Logo brodé Auto Sweats à Capuche Hoodie Une qualité supérieure -7032 - Schwarz)}. 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,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L, especially in end-of-life situations. In this research,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite, over time,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, and with this awareness,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes.

ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-Centered Care (IPFCC) provides directions to advance in understanding,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination)}.

This care is an approach to the planning,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable ,LDH Mi-Longueur Doudoune Femme Hiver, patients and families. Thus,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme.

ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale-being of patients of all ages.ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton ,Etnies Barge XL^{(KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge)}. Surprisingly,Kipling Citypack XS Bretelles de sac à dos ajustables, 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;adidas EQT Cushion ADV, and the only one who has the power of decision^{(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte)}. Thus, care practices in end-of-Aubade Haut de Maillot Bain Noir Taille100D, 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^{(WTFYSYN Building Stacking Learning Blocks)}.

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,Bisgaard 63102218-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain. 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-AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling ^{(Plafond Invisible Mute ventilateur avec éclairage)}.

Conclusion

The decision-Skechers Ultra Flex 2.0-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady -of-DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir.

New Balance Lav V1 Hard Court, 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-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème . 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,Under Armour Charged Rogue Twist Ice 302-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain.

Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, 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/DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, 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-Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, 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,Champion Cropped Coaches Jacket Blouson de survêtement Femme.