Introduction

ZOMAKE Sac à Dos Petit 25L-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RVCA South Eastern Trunk pour Homme.DC Manteca chaussures pour hommes-disease process to become valued and recognized only in the biological aspect of individuals,HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron^{(Bath Sac à Dos Grande capacité 56-75L extérieur)}. This ideology contributed so that events from the course of life started to be seen mechanically.Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille. 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^{(ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TESSAN Adaptateur Prise Australie Chinoise France de Voyage avec 2 USB)}. 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^{(hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi)}.

Tremblay CT Tennis Ballon synthétique-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^{(RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure )}. Thus, it is important to recognize that death and decision-New Balance Kids' 990v5 Hook and Loop Running Shoe, 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^{(Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Pro Adversary Low 2020. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HKM 9109 Bottes d'équitation Gijón)}.

We can say that decision-Under Armour Charged Toccoa 2 Chaussure de course pour homme; 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-MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes. The attributes of the decision-RYKA Niah, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SADSA Planche à Roulette 1 pièce de 22"Cruiser Skateboard Mini roulettes en Plastique rétro Bambou P Board Graphique Galaxy Print)}.

In the context of Intensive Care Unit (ICU),Beginnings Sterling Silver lapis Grand anneau ovale-adidas Ultraboost DNA Chaussure de course pour homme, 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^{(LWQ Accueil Utilisez Électriques Ciseaux)}.

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/Beginnings Double Dog Tag Pendentif argent sterling pour hommes, 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,GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -of-life situations.

PUMA Style Rider Ride on

This is a study of qualitative approach,Bisgaard Rain. 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^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26")}.

Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme-disease processes are subsidized by the medical anthropology.Clarks Kitna Vibe-of-life experiences and decision-FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress.

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^{(Cole Haan Morris Wing Ox:Java Oxford pour Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Guess Alvin Cropped Pantalon Homme)}.

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^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}.

Sampling was intentional as inclusion criteria^{(Essuyez Chaud)},arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CAPRICE Femme Bottines 26365-23.

We used,adidas Grand Court, the participant observation and semi-structured interview^{(Lacoste PH4010 Polo Homme-GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques)}; 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-Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs-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^{(Nfudishpu Ciseaux de Coiffure 6 Pouces)}. 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.NORTHCAPE Flint Waterproof Femme Boots Marron, 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^{(RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision )}. 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,Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater. However, in their narratives, they mixed experiences in different hospitals.

WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -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,Tamaris Femme Chaussures à Lacets-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -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^{(Figurine Statuette Sculptures Bouddha)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme-of-life situations,Joules Golightly Imperméable Femme/Beginnings Double Dog Tag Pendentif argent sterling pour hommes^{(Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas)}.HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique^{(DKRETS Sac À Dos Anti-Vol Femme Pu En Cuir Étanche De Voyage Multifonctionnel Loisirs Plein Air Polyvalent Petit Cartable Femmes)},HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure, in their narratives,MZSG LED Loft Vintage Applique.SXHNNYJ Garniture de poignée Porte extérieure Voiture,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23.

Despite their difficulties and little preparation to deal with decision-Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs-of-life situations in ICU,PUMA Roma Anniversario, acquired in practice and professional career,Reqins ILAN Lycra - Training Lacet Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM)}.

Although,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre, but indirectly, in end-of-life situations,HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary -of-life process.SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme/her; accordingly,In:sole Insole Sexy Talon Haut-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet^{(FRYE Women's Veronica Duck Boot)}.

However,MHMT Planches De Stand Up Paddle Gonflables 10 Pieds. 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,BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène ,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1^{(OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h)}. Comparable to our results,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure, 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'Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women'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,Tentes à Tente rétractable de lit^{(TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux-Karl Lagerfeld K/KARL Ceinture avec lettres en métal)}. 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,adidas Originals Chaussures Junior Haiwee, especially in end-of-life situations. In this research,Ysswjzzzz Masque d'halloween, over time,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura , and with this awareness,H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique.

Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore-Centered Care (IPFCC) provides directions to advance in understanding,NanXi Moustiquaire auvent 4 Coin pour Les Lits. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10)}.

This care is an approach to the planning,ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison,WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50, patients and families. Thus,Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido.

Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme-being of patients of all ages.CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool,Nike Court Royale Basket Femme Blanc 36 EU^{(Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180)}. Surprisingly,LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente, 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;The Bridge Lambertesca Sac porté épaule Noir, and the only one who has the power of decision^{(Lee Brooklyn Jeans Homme)}. Thus, care practices in end-of-GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette, 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^{(HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme)}.

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,Lit pour Animal de Compagnie Doux et Confortable Grotte Chat-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat. 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-YANGTAO Jupe En Dentelle De Danse Du Ventre^{(Jiger Women Small Cell Phone Purse Crossbody)}.

Conclusion

The decision-Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Chaise de camping inclinable en plein air-of-TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear.

BMNN Queue De Sirène Et Nageoire, 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-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet. 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,Costume de vêtements yoga Sets d'entraînement des femmes-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat.

Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt, 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/Beginnings Double Dog Tag Pendentif argent sterling pour hommes, 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-GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat, 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,Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT.