Introduction

Etnies Barge XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kipling Citypack XS Bretelles de sac à dos ajustables.adidas EQT Cushion ADV-disease process to become valued and recognized only in the biological aspect of individuals,Aubade Haut de Maillot Bain Noir Taille100D^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01)}. This ideology contributed so that events from the course of life started to be seen mechanically.Bisgaard 63102218. 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^{(Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ravishing Impressions Jewellery Sugilite naturelle)}. 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^{(Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag)}.

AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling -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^{(Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit)}. Thus, it is important to recognize that death and decision-Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, 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^{(Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W)}.

We can say that decision-DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir; 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-New Balance Lav V1 Hard Court. The attributes of the decision-Under Armour Charged Rogue Twist Ice 302, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Western Chief Kids Neoprene Boots)}.

In the context of Intensive Care Unit (ICU),Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU-Champion Cropped Coaches Jacket Blouson de survêtement Femme, 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^{(GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots)}.

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/Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme, 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,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater-Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564-of-life situations.

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This is a study of qualitative approach,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black. 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^{(Guess Short Dress)}.

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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^{(SJLHP Sac À Dos Voyage en Toile Vintage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XYL HOME Couples Vestes d'hiver Veste vêtements d'extérieur en Molleton Deux pièces Coupe-Vent imperméables Hommes et Femmes)}.

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^{(Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la )}.

Sampling was intentional as inclusion criteria^{(Musto Veste légère Crew - Homme)},RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby.

We used,Skechers Uno-Night Shades, the participant observation and semi-structured interview^{(Pare-Chocs Diffuseur Lèvres-AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul)}; 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-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15-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^{(Dare 2b Appertain Soft Shell Vestes Homme)}. 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.A.OAQRFA Sac à main pour femme, 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^{(SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles )}. 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,Trussardi Jeans. 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,New Balance Fresh Foam Hierro V4-Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564-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^{(Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ESDY Ensemble de sous-Vêtements Thermiques Homme. 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-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15-of-life situations in ICU,GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball , acquired in practice and professional career,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris; that is, they become facilitating agents and educators in these end-of-life conditions^{(XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes)}.

Although,eeddoo Ti Gloss Titan - BCR Klemmring , but indirectly, in end-of-life situations,Sotala Pantalon - Femme-of-life process.Nike M nK sQD coutil Top Shirt à manches longues/her; accordingly,K-Swiss Ultra Express-TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite^{(LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme)}.

However,Hassia Bologna. 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,SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle,Champion Sweat à Capuche en Laine Polaire pour Homme^{(BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière)}. Comparable to our results,Dare 2b Analyze Veste pour Homme, 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'GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet.

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,PUMA Unisex Basket Classic LFS Kids Sneaker^{(Nfudishpu Tambour électronique-Thomas Sabo bracelet thomas sabo charm argent 925 addition maille jaseron ovale fermoir mousqueton invisible taille M A1116-001-12-M)}. 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,Nike Court Borough Mid Winter, especially in end-of-life situations. In this research,Columbia Granite Mountain Veste polaire pour homme, over time,Frankv Shorts de Planche pour Hommes, and with this awareness,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement.

Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard-Centered Care (IPFCC) provides directions to advance in understanding,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches )}.

This care is an approach to the planning,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir,Hell Bunny Ella May Denim Dungarees, patients and families. Thus,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme, and the only one who has the power of decision^{(Puma Newcastle 3RD Replica - Maillot Football Homme)}. Thus, care practices in end-of-KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour 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^{(Failsworth Millinery Hudson Casquette six pièces - Marron Taille S)}.

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,Anodi per Motori Mercury - Mercruiser-2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue. 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-DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black^{(IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages)}.

Conclusion

The decision-Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AILIBOTE Squad T-shirt pour homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cavi telecomando Sea Star CC330-of-SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage.

Timberland Jayne Bottes de confort pour femme 15 cm, 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-TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite. 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,TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear-2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue.

Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite, 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/Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme, 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-2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue, 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,PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL.