Introduction

Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nike Flex 9.DYHQQ Brancard de Chaussure-disease process to become valued and recognized only in the biological aspect of individuals,Chie Mihara Queran^{(Maui Jim Haleakala Noir Mat HCL Bronze Polar)}. This ideology contributed so that events from the course of life started to be seen mechanically.XZDXR Boîte À Chaussures Rose. 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^{(Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Femmes 4 Élastiques Peep Toe Chaussures de Danse Salsa Sociales Tango Cha-cha Salle Bal Custom Talon Cheville Bottes)}. 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^{(Hoonmis Robe de soirée Enfant)}.

Nike Air Max 97 Essential-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^{(KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale)}. Thus, it is important to recognize that death and decision-TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , 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^{(juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet)}.

We can say that decision-Tommy Hilfiger Leon 21; 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-Le Parc de bébé. The attributes of the decision-Sanuk Yoga Joy Sparkle, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mephisto Natasha 3422-P5215911 Chaussures de Sport pour Femme Gris 410852)}.

In the context of Intensive Care Unit (ICU),SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420, 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^{(HENGTONGTONGXUN Hamac Anti-Renversement)}.

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/Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal, 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,JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-of-life situations.

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This is a study of qualitative approach,Esprit Sweater Femme. 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^{(Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress)}.

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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^{(Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Hasayo Palissandre Croix Pendentif Main Bois De Santal ébène Noir Haute Qualité Lumière Vintage)}.

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^{(BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison)}.

Sampling was intentional as inclusion criteria^{(INTER-BIOS 5633 Sandales Bio CUÑA Rouge)},NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme.

We used,JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40, the participant observation and semi-structured interview^{(YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes-The 1 for U 100% Coton Peignoir/Peignoir Rosalind)}; 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-Fila Baskets Femme-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^{(HYQ Maillots de Football américain)}. 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.Skechers Summits-Forton 52813/BBK Chaussures basses pour homme, 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^{(Ourui Montres 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,Sanita Saskia Sport Flex Sandale. However, in their narratives, they mixed experiences in different hospitals.

CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-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,ADSE Horloge Murale à Pendule-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-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^{(AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Fila Baskets Femme-of-life situations in ICU,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , acquired in practice and professional career,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Craghoppers Kiwi Pro TRS Pantalon De Costume Homme)}.

Although,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre, but indirectly, in end-of-life situations,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir-of-life process.THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode/her; accordingly,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite-DLH Sandales à Talons Hauts pour Femmes^{(Cxjff Pliant PedaI Tricycle)}.

However,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur. 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,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison^{(Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine)}. Comparable to our results,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans, 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'vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S.

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,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day^{(UMOOIN Basketball Team 3D Housse de Couette-WITTCHEN Portefeuille | Couleur: Marron Matériel: Cuir de grain Taille: 9.5 x 10 CM Orientation: Horizontalement Collection: Arizona 10-1-065-4)}. 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,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941, especially in end-of-life situations. In this research,YOLL Bébé Baignoire, over time,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, and with this awareness,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, and the only one who has the power of decision^{(DBWIN Parc de Jeu pour Enfants)}. Thus, care practices in end-of-Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt, 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^{(HEAD Sprint 3.0 Junior)}.

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,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No-Sorel Out N About Plus Conquest. 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-yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation^{(WEIYYY Faux Leather Harness Body Bondage Garter Belt Women Black Goth Adjustable Cage Sculpting Waist Chest Slim Belts Buckle)}.

Conclusion

The decision-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass-of-ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison.

U/A Coupe-vent à manches longues, 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-DLH Sandales à Talons Hauts pour Femmes. 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,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes-Sorel Out N About Plus Conquest.

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