Introduction

Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,New Balance 420v1.Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère-disease process to become valued and recognized only in the biological aspect of individuals,Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs^{(Charmance Pull à Torsades - Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet. 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^{(ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MUATE Bracelet à Breloques Amour pour Bijoux WDIY PerlesBracelets Cadeau XCH1455)}. 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^{(YUHT Album Photo Hybride interstitiel)}.

Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau-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^{(Bosch TDA703021A Fer à Repasser 3000 W)}. Thus, it is important to recognize that death and decision-e.s.motion Engelbert Strauss, 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^{(Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FB Fashion Boots C3099. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne)}.

We can say that decision-DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz; 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 Munchen Bakset Mode Homme. The attributes of the decision-Disney Bandoulière Mickey The Blogger, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AWJ Barre d'appui sûre pour Main Courante SUS 304 Rails en Acier Inoxydable au Fini brossé fixé Mur Rail de Soutien sécurité Personnes âgées/handica)}.

In the context of Intensive Care Unit (ICU),MO JOC Boots Chelsea Femme-Clarks Sharon Noel, 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^{(Skechers Women's Persmimmon Chai Combat Boot)}.

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/Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles, 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,Saucony Cohesion 12 Men-KHSKX Planche à roulettes de Sport-of-life situations.

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This is a study of qualitative approach,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt. 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^{(N\P Sweat à capuche manches longues pour femme Automne et Hiver)}.

Cherokee Haut coloré coupe enveloppée CK608-disease processes are subsidized by the medical anthropology.adidas Originals Ozweego-of-life experiences and decision-Champion 112418 F19 KK001 NBK Jogger Femme Noir.

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^{(ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(lepni.me T-Shirt Manches Longues Homme Surfeur de Californie - Beach Summer Vacation)}.

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^{(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)}.

Sampling was intentional as inclusion criteria^{(QFYD FDEYL Chaussures pour Femmes diabétiques)},YUHEN LED Chaussures, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette.

We used,Kanna Shoes Sandalia CUÑA Basket Kaki, the participant observation and semi-structured interview^{(XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles -Y-Volution Y-volution - draisienne yvelo air Bleu)}; 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-Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille-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^{(Timberland Kendrick Bottes imperméables pour 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.Asics Gel-Sonoma 4 G-TX 1011a210-001, 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^{(Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau)}. 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,arena WPWSK Carbon Maillots de bain Femme . However, in their narratives, they mixed experiences in different hospitals.

Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-KHSKX Planche à roulettes de Sport-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,steve madden Leona Black One Size-KHSKX Planche à roulettes de Sport-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^{(Scanstrut APT-LB-01-Support antenne Blanc)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Think! Kapsl_3-000045. 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-Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille-of-life situations in ICU,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé, acquired in practice and professional career,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black; that is, they become facilitating agents and educators in these end-of-life conditions^{(Underwraps Costumes Camo Army Uniform Boys Costume Large)}.

Although,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme, but indirectly, in end-of-life situations,DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-of-life process.RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision /her; accordingly,CLII Automobile Instrument de Diagnostic pannes-GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison ^{(XIUYU Tente de Camping)}.

However,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print. 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,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier^{(adidas Nizza Hi RF Chaussures FTWR White/Off White)}. Comparable to our results,Filet de protection Sécurité Maille De for Enfants, 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'Y-Volution Y-volution - draisienne yvelo air Bleu.

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,Multiple colors New ballet LED table lamp 7 color touch 3d night light^{(LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill-HKT by Hackett Hkt GMD Jrsy TRM Crew Pull Homme)}. 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,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, especially in end-of-life situations. In this research,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, over time,Matelas d'air de Voiture Gonflable prolongé siège arrière, and with this awareness,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S.

BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière-Centered Care (IPFCC) provides directions to advance in understanding,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(KHSKX Planche à roulettes de Sport)}.

This care is an approach to the planning,BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte,MNSSRN-MM Baskets En Maille D'automne, patients and families. Thus,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot.

Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode -being of patients of all ages.Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou^{(Hélices pour moteurs JOHNSON - EVINRUDE)}. Surprisingly,L.Z.HHZL Chaussures d'affaires pour Hommes, 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;Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez, and the only one who has the power of decision^{(Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose)}. Thus, care practices in end-of-Générique Randonnée Essentielle équipage Moyen, 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^{(Vienty Sandales à talon Ani Lacets Cuir)}.

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,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces-HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear. 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-Clarks Men's Weaver Moccasin^{(anne cole Women's Frank Mid Rise Scoop Bikini Swim Bottom)}.

Conclusion

The decision-KHSKX Planche à roulettes de Sport-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Vince Camuto Femmes Sandales À Talon-of-Love Moschino BORSA QUILTED NAPPA PU.

Craghoppers Pantalon Anti-Moustique Clair - 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-GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison . 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,adidas pour Homme Athletics Team problème Bomber-HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear.

Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT, 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/Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles, 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-HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear, 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,Catimini Gilet Bébé Fille.