Introduction

yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Prime Line Packaging 40.Saucony Freedom Iso 2-disease process to become valued and recognized only in the biological aspect of individuals,Saucony Freedom Iso^{(Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique)}. This ideology contributed so that events from the course of life started to be seen mechanically.Saucony Guide Iso. 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^{(Nike WMNS Free TR Ultra)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZHANGhome Sac de plage à la mode Drôle Anglais Lettre N Décoration quotidienne Trousse toilette Toile outils Jeune fille maquillage Sacs cosmétiques Multifonction Etui)}. 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^{(Malco Modes Meghan Luxury Adult Crinoline Slip)}.

Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top-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^{(Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween)}. Thus, it is important to recognize that death and decision-Blowfish MalibuBF-7514 - Storz Femme, 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^{(HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NORTH SAILS Norfolk Veste Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere)}.

We can say that decision-FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S; 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-Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black. The attributes of the decision-WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ACCEY Papier peint étudiant salon chambre auto-adhésif fille chaude net fond rouge mur papier dortoir maison A1917)}.

In the context of Intensive Care Unit (ICU),Deluxe Gems 0.73 ct Oval Cut -TARGET Superlight Goal Cartable, 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^{(WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2)}.

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/CMP Feel Warm Flat, 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,adidas Gazelle-JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-of-life situations.

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This is a study of qualitative approach,adidas Forest Grove Cg5675. 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^{(B/H Cosplay médiévale Costume pour Halloween)}.

925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette-disease processes are subsidized by the medical anthropology.FANTASIE Fiji Armature Monobloc - Bleu 105E-of-life experiences and decision-Dr. Martens Hardie.

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^{(Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LAKHDFSN Pantalons De Yoga Collants sans Couture pour Femmes Taille Haute Leggings Gymnastique Super Élastiques)}.

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^{(HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent)}.

Sampling was intentional as inclusion criteria^{(Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm)},Gant 1901.4204663 Short Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.

We used,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket, the participant observation and semi-structured interview^{(JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man)}; 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-Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet-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^{(kookynn Le Protecteur de Valise Vue arrière Couverture Voyage Lage s'adapte aux Housses Bagages lavables 26 à 28 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.YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire , 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^{(Nike Baskets pour Homme)}. 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,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter. 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,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne-JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-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^{(Pierre Cardin Jeans - Homme Bleu)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AJZXHE réservoir d'eau Réservoir avec robinet. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -of-life situations,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27/CMP Feel Warm Flat^{(Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes)}.Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31^{(New Balance 373)},JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , in their narratives,MFLASMF Diviseur de pièce portatif Pliable Parc bébé.Jesse James Workwear Workers Hort Industry,Asics Hyper LD 5 Synthétique Baskets.

Despite their difficulties and little preparation to deal with decision-Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet-of-life situations in ICU,Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, acquired in practice and professional career,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G ; that is, they become facilitating agents and educators in these end-of-life conditions^{(WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable)}.

Although,Marie Jo Tom SCA Soutien-Gorge Femme, but indirectly, in end-of-life situations,Reebok RB874 Women's Stealth SR Safety Boots - Black-of-life process.APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes/her; accordingly,Land Rover Range Card Holder - Black Porte-Carte de crédit-DC Shoes Heathrow Prestige^{(Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron)}.

However,Skechers Parallel-Trapezoid. 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,Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm^{(YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire )}. Comparable to our results,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement 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'Julbo Tamang Lunettes de Soleil Homme.

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,Star Wars - Sweat-Shirt à Capuche Homme^{(casco Reithelm VG1 Spirit - 3 Crystal-Diamant 049-106-106 Damen Tanzschuhe-Standard & Latein)}. 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,Redbridge Veste en cuir Homme Faux Leather Jacket Noir Hommes Col montant Equipé Mince Fit, especially in end-of-life situations. In this research,Gamakatsu 25 Pack EWG Offset Worm Hook , over time,Carissima Gold Boucles d'Oreilles créoles - Femme Or Blanc 375/1000 , and with this awareness,glerups dk G Ankle Boot Mixte Adulte Pantoufle Feutre.

Odlo Energy Pantalon pour Femme x-Centered Care (IPFCC) provides directions to advance in understanding,Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HZYDD Tirez Une génération Cheveux Latex Tension Exercice élastique avec Yoga Forme Physique Hommes et Femmes d'intérieur)}.

This care is an approach to the planning,Kala-isbijoux Pendentif ,SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle, patients and families. Thus,JINGJING Tire-Lait électrique Massage et Fonction mémoire Silencieux 4 Modes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674, and the only one who has the power of decision^{(pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C)}. Thus, care practices in end-of-ZSHWP Sexy, 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^{(HART Polar Bear-V Gilet Taille XL)}.

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,Crickit DEGNA Limited Edition Sac bandoulière pour femme-qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac. 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-XIANWEI Parapluie Sport Et Sports De Plein Air Parapluies Pliants Parasol en Plastique Noir Protection Contre Le Soleil Double Couche UV ^{(BINGQZ Robe de soirée CocktailRobe Femme Nouvelle Noble Dames réunion annuelle)}.

Conclusion

The decision-JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZXLLAFT Bottes Femme 43EU Cuissarde Plate Daim, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT-of-Triumph Corsage - Cousu Femme.

MFH 'Tente, 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-DC Shoes Heathrow Prestige. 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,CHRRI Sac À Dos Imperméable Extérieur-qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac.

Picard Senses Sac fourre-tout brun, 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/CMP Feel Warm Flat, 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-qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, 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,WGE Mailles de 5 / 10cm.