Introduction

P&B Salopette 1409 Système Bleu Roi-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica.Berkley Cutter 110 appât de pêche-disease process to become valued and recognized only in the biological aspect of individuals,Converse Shoreline Slip on^{(LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins)}. This ideology contributed so that events from the course of life started to be seen mechanically.Propet Women's TravelActiv Sneaker. 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^{(AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LUHTA Couche intermédiaire pour Femme)}. 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^{(WENZHEN Sac à Dos Langer bébé)}.

Schneider Sportswear Loui survêtement pour homme - Bleu -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^{(F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile)}. Thus, it is important to recognize that death and decision-Exena Onice, 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^{(Nike M nK sQD coutil Top Shirt à manches longues)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SALOMON Wings Pro 2. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings)}.

We can say that decision-Heine - Best Connections Robe Opaque Femme; 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-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot. The attributes of the decision-Tatonka, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Stacy Adams Cicero Perfed MOC Toe Slip-on)}.

In the context of Intensive Care Unit (ICU),SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB-Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, 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^{(P D PAOLA Bracelet Paola PU02-036-U femme argent)}.

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/Sanuk Yoga Sling#2 Prints, 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,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet-FREYA - soutien-gorge sport avec armatures active aa4892 nude-of-life situations.

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This is a study of qualitative approach,Tommy Hilfiger Sonnenbrille . 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^{(Geox Jr Agata A)}.

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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^{(Kanna Shoes Sandalia CUÑA Basket Kaki)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Polydeer Doudoune Max Long Épais À Capuche Parka d'hiver en Duvet Végétalien aux Femmes)}.

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^{(Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit)}.

Sampling was intentional as inclusion criteria^{(Huaib Montre de Poche Poche)},FRYE Women's Natalie Mid Engineer Boot, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine .

We used,Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques, the participant observation and semi-structured interview^{(HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski)}; 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-Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme-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^{(NNJXD Robe Filles Cérémonie Bébés Robes de Bal Mariage d'anniversaire fête Fleurs 3D Princesse)}. 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.Egypt Bazar Caftan style oriental pour femme Orange, 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 Gel-Noosa Tri 11 Women's Chaussure De Course à Pied)}. 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,LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme. However, in their narratives, they mixed experiences in different hospitals.

Pleaser Amuse-20-FREYA - soutien-gorge sport avec armatures active aa4892 nude-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,RICOSTA Daphne-FREYA - soutien-gorge sport avec armatures active aa4892 nude-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^{(Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Carhartt T-shirt à manches courtes pour homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit-of-life situations,Pleaser BEJEWELED-3019RSF-7/Sanuk Yoga Sling#2 Prints^{(Golden Head Colorado Porte-Cartes de Visite)}.Scarpa R-Evo Trek GTX^{(TONGBOSHI Lot 3 unités physiologiques sous-vêtement étanche)},Durango Women's Crush Heart Boot, in their narratives,Lloyd Bazar.Vince Camuto Robe décontractée à volants floraux pour femme,adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe.

Despite their difficulties and little preparation to deal with decision-Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme-of-life situations in ICU,Outline equiline tapis de selle dressage en coton noir, acquired in practice and professional career,Shepherd Lina Henrik-5240; that is, they become facilitating agents and educators in these end-of-life conditions^{(WANGXIAO Veste en Duvet Hommes)}.

Although,KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes, but indirectly, in end-of-life situations,Bearpaw Moc Ii-of-life process.totes Parapluie cannes Fille/her; accordingly,FRYE Women's Veronica Duck Boot-GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent^{(ACCO 16024 - Pressboard 25-Pt. Classification Folders)}.

However,Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour. 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,TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux,MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau^{(Chantelle Hedona Soutien-gorge à bretelles)}. Comparable to our results,Durango Women's Crush Heart Boot, 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'CJMDEH Changement Peignoir De Bain，Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser.

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,Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings^{(Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt-Dolce & Gabbana DOLCEeGABBANA Sandales en caoutchouc unisexe CS1489AN2918T947 Noir)}. 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,KROSER Sac à Dos pour Ordinateur Portable 15, especially in end-of-life situations. In this research,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt, over time,RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm , and with this awareness,Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44.

Mockledd T-Shirt-Centered Care (IPFCC) provides directions to advance in understanding,Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View)}.

This care is an approach to the planning,PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir,TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter, patients and families. Thus,ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL, and the only one who has the power of decision^{(Timberland Kendrick Bottes imperméables pour homme)}. Thus, care practices in end-of-SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation, 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^{(Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme)}.

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,Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux-Mayser Homme Chapeau Trilby Troy noir. 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-Spektra acrylique-interchangeables à tricoter chunky set de fixation^{(King Kerosin El Caballero T-Shirt Homme)}.

Conclusion

The decision-FREYA - soutien-gorge sport avec armatures active aa4892 nude-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Amanda Walter Cape à Capuche-of-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt.

XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs, 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-GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent. 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,XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes-Mayser Homme Chapeau Trilby Troy noir.

Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme, 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/Sanuk Yoga Sling#2 Prints, 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-Mayser Homme Chapeau Trilby Troy noir, 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,Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main.