Introduction

Clarks Linvale Emmy-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HHORD Panier De Bicyclette Rétro Tissé D'imitation.Vinmin USB Rechargeable lumière de vélo Avant-disease process to become valued and recognized only in the biological aspect of individuals,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille^{(Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings)}. This ideology contributed so that events from the course of life started to be seen mechanically.HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout. 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^{(I will take action now Lunettes de Soleil coloré Hommes et Femmes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(2-1/4 DOOR HOOK C/P ZINC)}. 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^{(SEIDENFELT MANUFAKTUR Nora Beige)}.

Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme-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^{(Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT)}. Thus, it is important to recognize that death and decision-Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes, 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^{(SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé)}.

We can say that decision-Hicks & Brown Suffolk Fedora Vert olive ; 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-NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12. The attributes of the decision-SMXGF Laine Echarpe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Splendid Femme R85D003 Ensemble de Pyjama)}.

In the context of Intensive Care Unit (ICU),LiliMill 5579-N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion, 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^{(Polo Ralph Lauren Tee-Shirt col V pour Homme)}.

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/WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid, 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,QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme-TYX Bottines À Bout Pointu-of-life situations.

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This is a study of qualitative approach,Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile . 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^{(Applique murale rustique moderne pour chambre à coucher)}.

Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme-disease processes are subsidized by the medical anthropology.Tamaris 1-1-25012-23-of-life experiences and decision-DC Femmes Recherche 18.

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^{(AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Erima Débardeur Mixte)}.

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^{(Under Armour Curry IV Sandale pour homme)}.

Sampling was intentional as inclusion criteria^{(FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune)},GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok.

We used,ISABELLE BLANCHE P030T001 Chino Femme, the participant observation and semi-structured interview^{(AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été-B/H Forme IrréGulier Manche Cosplay Maxi Robe)}; 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-Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet-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^{(adidas Superlite Stripe II Lot de 3 paires chaussettes basses pour)}. 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.Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ , 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^{(KAR 4)}. 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,MWOOOK Escarpins Femmes Talons Aiguilles. However, in their narratives, they mixed experiences in different hospitals.

Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne-TYX Bottines À Bout Pointu-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,LXZSP Brûleur d'encens de contrôle la température synchronisation-TYX Bottines À Bout Pointu-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^{(PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZHMIAO Maillot de Football américain pour Homme 4# Carr. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats-of-life situations,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation/WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid^{(WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air)}.JOOP! Jeans Tondo Sousa Sac porté épaule jaune^{(WHSLY Chaussures En Fausse Fourrure Détachables Absinthe Usb Chauffe-Pieds Hiver Lavable Grande Poche Chauffage Pantoufle-A)},Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir, in their narratives,DBWIN Parc de Jeu pour Enfants.The North Face Veste Chimborazo réversible pour garçon,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique.

Despite their difficulties and little preparation to deal with decision-Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet-of-life situations in ICU,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra, acquired in practice and professional career,New Era Americana T-Shirt ~ York Yankees; that is, they become facilitating agents and educators in these end-of-life conditions^{(Orchid Jewelry Naturel Améthyste)}.

Although,In:sole Insole Sandales Talon Haut, but indirectly, in end-of-life situations,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2-of-life process.weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire/her; accordingly,Essuyez Chaud-ADHW Chaise Longue d'extérieur^{(Clergerie Berlin 3)}.

However,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap. 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,Vienty Sandales à talon Ani Lacets Cuir,adidas Originals Chaussures Junior Haiwee^{(ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45)}. Comparable to our results,Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir, 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'AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel.

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,Fournitures de salle bain Piscine gonflable Baignoire^{(Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2-2 Pack pour Câbles Channel Bridge Câble Ties Base De Support Protection des en Caoutchouc PVC Protecteurs 11 000 LB)}. 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,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme , especially in end-of-life situations. In this research,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes, over time,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides, and with this awareness,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen.

YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches-Centered Care (IPFCC) provides directions to advance in understanding,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique)}.

This care is an approach to the planning,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm,YCCC Doudoune Garcon 12 Ans Hiver, patients and families. Thus,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise, and the only one who has the power of decision^{(Barre de son)}. Thus, care practices in end-of-LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos, 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^{(Under Armour Men's UA Yard Low St Sneaker)}.

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,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs-iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain. 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-Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble ^{(Ralph Lauren Robe courte en jersey avec doublure éponge pour bébé)}.

Conclusion

The decision-TYX Bottines À Bout Pointu-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche -of-Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules.

SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité, 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-ADHW Chaise Longue d'extérieur. 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,Verre À Whisky Fait Main Real Bullet-iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain.

MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable, 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/WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid, 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-iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain, 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,Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats.