Introduction

kentucky Bandes de Repos Repellent Bleu-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,KesVir Kes-Vir Incontinence Wrapshorts Boy.Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-disease process to become valued and recognized only in the biological aspect of individuals,Dilwe Mini Alcool Réchaud en acier inoxydable^{(PME Legend 550 Curtis Runway Chaussures de course Gris)}. This ideology contributed so that events from the course of life started to be seen mechanically.New Balance Women's 5K V5 Running Shoe. 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^{(IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Softinos Teja576sof)}. 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^{(DYHQQ Brancard de Chaussure)}.

Tosca Blu Ankle Boot Kiruna-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^{(French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt)}. Thus, it is important to recognize that death and decision-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte, 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^{(Under Armour ColdGear Legging ajusté pour Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel)}.

We can say that decision-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour ; 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-PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L. The attributes of the decision-Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TASCO T00005)}.

In the context of Intensive Care Unit (ICU),Primigi Pwigt 63828-Clarks Sandales Sillian2.0 Joy pour Femmes, 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^{(FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole)}.

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/HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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,Mammut Bota Ducan High GTX-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-of-life situations.

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This is a study of qualitative approach,Clarks Kaylin 60 Sling. 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^{(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia)}.

LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine-disease processes are subsidized by the medical anthropology.Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-of-life experiences and decision-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix.

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^{(American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Bates Mens DuraShocks 8 inch Lace-to-Toe Zip Leather Boots)}.

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 2750-cotu Classic)}.

Sampling was intentional as inclusion criteria^{(Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564)},Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213.

We used,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, the participant observation and semi-structured interview^{(mmmy Perruque-Esprit Sweater Femme)}; 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-Bewinch Moustiquaire pour lit-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^{(Cole Haan HaanW09308 - Emory Talon compensé 65mm Femme)}. 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.NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, 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^{(Asics Chaussures Gt-1000 7 )}. 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,HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage. 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,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-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^{(Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Little Mistress Lillian Robe longue en dentelle avec trou de serrure. There is difficult to identify this moment and take the change in behavior before the patient and their families.

wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée-of-life situations,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy/HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique^{(N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt)}.Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20^{(WYFX Montres Remontoir de Montre Automatique Unique Boîte Rangement pour Organisateur Portable Convient Le Poignet des Femmes et Hommes)},Maui Jim Lunettes de soleil 798 Onshore, in their narratives,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert.Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre.

Despite their difficulties and little preparation to deal with decision-Bewinch Moustiquaire pour lit-of-life situations in ICU,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse , acquired in practice and professional career,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie; that is, they become facilitating agents and educators in these end-of-life conditions^{(EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme)}.

Although,HYLH 3D LED Stunt Motorcycle Illusion Night Light, but indirectly, in end-of-life situations,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-of-life process.Wmeat-P Ensemble De Housse Couette/her; accordingly,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot -Houdini Power Houdi Veste Homme^{(SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- )}.

However,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm. 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,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress ,Béaba BÉABA Sac à Langer Sydney I^{(Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie)}. Comparable to our results,Maui Jim Lunettes de soleil 798 Onshore, 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'ROTHCO 7502 flightsuits 6XL All.

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,adidas Maillot de Basketball pour Homme Thunder Alternative^{(teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt-Gjhjhgeow Goblin Slayer Chaussures Sport Confortables Mode décontractée d'hiver et d'automne New Daily Femmes Tendance Toile Haut-Dessus de for Hommes Unisexe)}. 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,RYKA Devo Plus 2, especially in end-of-life situations. In this research,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, over time,CFR Combinaison de yoga sans manches avec dos nu pour femme, and with this awareness,Clarks Votta Edge - Black Synthetic.

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This care is an approach to the planning,Brooks pour Femme Juno Soutien-Gorge de Sport,Underwraps Costumes Camo Army Uniform Boys Costume Large, patients and families. Thus,Fjällräven Stina Jacket Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug, and the only one who has the power of decision^{(Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection)}. Thus, care practices in end-of-Hannah Outdoor Concepts Veste rendeza pour Femme, 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^{(Joie Spin 360 – Siège de voiture)}.

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,FREDsBRUDER Layer Bumper Tangelo-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture. 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-Pepe Jeans Pantalon Homme^{(BoyNextDoor Je Luckin Fove Beer Tee Shirt Homme St Patricks Day Irlandais)}.

Conclusion

The decision-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Carhartt Shoreline Veste isolée pour homme Taille grande et-of-Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us.

Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir, 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-Houdini Power Houdi Veste Homme. 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,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture.

Theia Unisexe Bague Or Jaune ou Blanc, 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/HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, 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,Surplus Royal Traveler Pantalon.