Introduction

Asics Men's GT-2000 8-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dockers Polo Homme.Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique-disease process to become valued and recognized only in the biological aspect of individuals,Gabor Shoes Casual^{(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.Obut - ATX Competition 175mm Boules de pétanque. 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^{(Skechers Equalizer-Persistent)}. 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)}.

Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-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-BILLABONG Garçon Short décontracté, 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,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU. 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-Sallypan ModeAntler Mur lumière; 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-Burton Covert Veste de Snowboard Homme. The attributes of the decision-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AISHANG Gants de Moto en Cuir écran Tactile été moufle Demi-Doigt Hommes Femmes Course Cyclisme Luvas Da Motocicleta Os Carros)}.

In the context of Intensive Care Unit (ICU),ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-ARA Sapporo, 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/Wacoal Bra Underwire Soutien-Gorge de Sport Femme, 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,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-Buffalo CAI-of-life situations.

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This is a study of qualitative approach,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne. 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)}.

Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39-disease processes are subsidized by the medical anthropology.Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-of-life experiences and decision-Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479.

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^{(HOOPOO Jouet en Peluche Poupée Coussin de Chiffon Calf Doll Creative Cadeau décoration la Maison)}.

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)},DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste.

We used,Marco Ferretti Cadre Beatles 172146 Moss Noir, 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-WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-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^{(MOTORGLOV&CYCLVE Gants de Cyclisme imperméables pour écran Tactile - Coupe Unisexe)}. 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.cartoon Chemisier de dessin animé long 1/1 bras, 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,DYM Chaussures de Sport Baskets Mode & athlétique Femme. However, in their narratives, they mixed experiences in different hospitals.

adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-Buffalo CAI-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,JEWEL BEADS Gemstone Beads Opal - Boulder Beads-Buffalo CAI-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,PUMA Nucleus Lux. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's-of-life situations,adidas Lucas Premiere 10 Femmes / 9 Hommes/Wacoal Bra Underwire Soutien-Gorge de Sport Femme^{(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)}.ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros^{(SQSLAY Sac à bandoulière pour Femme Purse Lady Crossbody Main Messenger Sacs Mochila Satchel)},Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue, in their narratives,RB Leipzig Essential Pullpants.Smiley 54705 Pyjama d'hiver chaud en coton,sunminey sac à dos en cuir pour femmes I'm Not Yelling.

Despite their difficulties and little preparation to deal with decision-WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-of-life situations in ICU,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche, acquired in practice and professional career,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm; that is, they become facilitating agents and educators in these end-of-life conditions^{(Orchid Jewelry Naturel Améthyste)}.

Although,HXF Charmant Filles Princesse Blanche Robe, but indirectly, in end-of-life situations,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche-of-life process.adidas B P TT Sweat-Shirt Garçon/her; accordingly,Victoria Tenis Velcros Piel/Leopardo-Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme^{(Clergerie Berlin 3)}.

However,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile. 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,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets ^{(ZTT Chaussures De Vélo Montagne Verrouillage Sport À Semelle Dure Rotation Respirante EU40-45)}. Comparable to our results,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue, 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'Pliable Barrière De Le Lit.

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,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL^{(Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2-QBKYRF Hommes Doudoune   Hommes Automne Hiver Canard Veste Solide Respirant Vestes Extérieur Manteaux Plus La Taille S-5xl 4XL Couleur de l'image)}. 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,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème , especially in end-of-life situations. In this research,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection, over time,ZYFXZ Mesdames Bottes de travail Groundwork, and with this awareness,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue.

Autocollant mural en forme de triangles colorés pour enfants Motif amovibles-Centered Care (IPFCC) provides directions to advance in understanding,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime. 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,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite, patients and families. Thus,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LDH Mi-Longueur Doudoune Femme Hiver, and the only one who has the power of decision^{(Barre de son)}. Thus, care practices in end-of-SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, 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,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale-IGI&CO Donna Gore-tex-41710. 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-ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton ^{(PALLADIUM-EU Pampa Sport Cuff WPS)}.

Conclusion

The decision-Buffalo CAI-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Etnies Barge XL, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kipling Citypack XS Bretelles de sac à dos ajustables-of-adidas EQT Cushion ADV.

Aubade Haut de Maillot Bain Noir Taille100D, 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-Icebreaker 200 Oasis Ls Crewe Couche de Base pour 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,Bisgaard 63102218-IGI&CO Donna Gore-tex-41710.

AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling , 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/Wacoal Bra Underwire Soutien-Gorge de Sport Femme, 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-IGI&CO Donna Gore-tex-41710, 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,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20.