Introduction

DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Munchen Bakset Mode Homme.Disney Bandoulière Mickey The Blogger-disease process to become valued and recognized only in the biological aspect of individuals,MO JOC Boots Chelsea Femme^{(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau )}. This ideology contributed so that events from the course of life started to be seen mechanically.Clarks Sharon Noel. 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^{(DC Shoes Control Boa Boot – Noir 44)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vicenza Paris Z03 Multicolore)}. 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^{(Converse Chuck Taylor All Star Core Lea Hi)}.

Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-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^{(IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas)}. Thus, it is important to recognize that death and decision-Saucony Cohesion 12 Men, 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^{(Columbia Triple Canyon - Pantalon de randonnée Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées)}.

We can say that decision-Cherokee Haut coloré coupe enveloppée CK608; 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-adidas Originals Ozweego. The attributes of the decision-Champion 112418 F19 KK001 NBK Jogger Femme Noir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nobrand Fashion Classic Popular Lady Lucky Rudder Bracelet Charm Female Turkey Evil Eye A Signifiant Bijoux Cadeaux)}.

In the context of Intensive Care Unit (ICU),YUHEN LED Chaussures-MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, 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^{(Gamakatsu 25 Pack EWG Offset Worm Hook )}.

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/Kanna Shoes Sandalia CUÑA Basket Kaki, 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,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille-LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant-of-life situations.

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This is a study of qualitative approach,Asics Gel-Sonoma 4 G-TX 1011a210-001. 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^{(Little Mistress Lillian Robe longue en dentelle avec trou de serrure)}.

arena WPWSK Carbon Maillots de bain Femme -disease processes are subsidized by the medical anthropology.Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-of-life experiences and decision-Waldläufer Mocassins pour Femme Beige Cement Stein Silber.

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^{(Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BOSS HUGO E-color Boutons de manchette)}.

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^{(Superga 2730-sueu)}.

Sampling was intentional as inclusion criteria^{(ARA Sapporo)},Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie.

We used,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, the participant observation and semi-structured interview^{(Warm vest TXC Gilet en coton pour homme épais sans manches Taille L-steve madden Femmes Sandales À Talon)}; 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-Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne-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^{(Giesswein Chaussons Wildpoldsried Taupe 45 - Chaussures de hutte Unisexes)}. 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.WWTTE Sequin V-Cou Robe Banquet annuel de soirée, 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^{(FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire)}. 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,WWTTE Yoga serré Snakeskin Leggings 2V . 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,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant-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^{(FANTASIE Fiji Armature Monobloc - Bleu 105E)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black. 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-Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne-of-life situations in ICU,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, acquired in practice and professional career,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier; that is, they become facilitating agents and educators in these end-of-life conditions^{(Doudoune chauffante électrique pour enfant rechargeable par USB en coton camping et ski d'hiver)}.

Although,Y-Volution Y-volution - draisienne yvelo air Bleu, but indirectly, in end-of-life situations,Multiple colors New ballet LED table lamp 7 color touch 3d night light-of-life process.N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D/her; accordingly,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable-Matelas d'air de Voiture Gonflable prolongé siège arrière^{(Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron)}.

However,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S. 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,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas^{(Dickies Henley Chemise à manches longues 3 boutons pour femme)}. Comparable to our results,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt, 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'BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte.

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,MNSSRN-MM Baskets En Maille D'automne^{(EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-Rockport Total Motion 75mm Pointy Pump)}. 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,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot, especially in end-of-life situations. In this research,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode , over time,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté, and with this awareness,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou.

L.Z.HHZL Chaussures d'affaires pour Hommes-Centered Care (IPFCC) provides directions to advance in understanding,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(1200Mbps USB WiFi Adapter)}.

This care is an approach to the planning,Générique Randonnée Essentielle équipage Moyen,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces, patients and families. Thus,Clarks Men's Weaver Moccasin.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas pour Homme Athletics Team problème Bomber, and the only one who has the power of decision^{(ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant)}. Thus, care practices in end-of-Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT, 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^{(Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords)}.

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,Catimini Gilet Bébé Fille-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK. 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-Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir^{(MUK LUKS Bottines pour Femme)}.

Conclusion

The decision-LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Guess FLOP24 FAM10 Bottes Femmes-of-Timberland Bradstreet Chukka Molded.

Morgan Trench GINGER Beige T36 Femme, 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-Matelas d'air de Voiture Gonflable prolongé siège arrière. 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,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK.

hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière, 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/Kanna Shoes Sandalia CUÑA Basket Kaki, 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-D.A.T.E. Sneaker in Pelle Donna cod.W331FGPHBK, 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,Callaghan 14804 Enfiler Femme.