Introduction

Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant .LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert-disease process to become valued and recognized only in the biological aspect of individuals,adidas Yg PES TS Survêtement Garçon^{(NORTH SAILS Norfolk Veste Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir. 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^{(25L Daysack - Sac à dos résistant l'eau)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(COCNI Intérieur Nordique Chambre Eclairage- Lampe de Chevet Lumière Maison Style Applique Simple Arrière-Plan Moderne Creative Living Room Mur décoratif Lampes vestiaire)}. 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^{(Daniel Hechter 811437061169)}.

Puma Essentials Sweat à capuche en tissu éponge pour homme-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^{(YLLJJ Bracelet de Montre)}. Thus, it is important to recognize that death and decision-Kulzer Trottinettes Enfant 3 Roues, 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^{(JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas Duramo SL)}.

We can say that decision-1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine ; 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-Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle. The attributes of the decision-ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Under Armour Hustle 5.0 Sac à dos Unisexe Taille unique)}.

In the context of Intensive Care Unit (ICU),Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, 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^{(aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De)}.

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/Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure, 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,GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots-Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-of-life situations.

LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire

This is a study of qualitative approach,TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique. 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^{(HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène )}.

GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons-disease processes are subsidized by the medical anthropology.ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière-of-life experiences and decision-NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme.

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^{(DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Dpsyszd Sac de Toile Rétro Femme en Coton à bandoulière)}.

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^{(MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des )}.

Sampling was intentional as inclusion criteria^{(YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme)},Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne.

We used,JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail , the participant observation and semi-structured interview^{(MO JOC Boots Chelsea Femme-YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs)}; 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-JVSISM Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot-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^{(Pare-pierre THOR Sentinel Guardian - Noir / Silver Gamme 2020)}. 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.CMP Giacca Full Zip Wooltech Jacket Femme, 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^{(MPOQZI Couvre-Volant de Voiture en Cuir Bricolage)}. 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,YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique. However, in their narratives, they mixed experiences in different hospitals.

CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore-Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-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,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité-Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-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^{(pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Kickers Bonbon-of-life situations,Nike Magista Onda AG/Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}.Mizuno Tc-02^{(FFSM Utilitaire panier Chariot étanche bande réfléchissante pliable chariot à achats sur 2 roues avec sac amovible Stair Climber)},Josef Seibel Chance 39, in their narratives,ECCO Biom Terrain.ECCO Xpedition III,ECCO Xpedition III.

Despite their difficulties and little preparation to deal with decision-JVSISM Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot-of-life situations in ICU,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, acquired in practice and professional career,adidas Ultraboost 19; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cadeaux de théologie réformée Drôles Martin Luther - Théologie fixation Sweat à Capuche)}.

Although,adidas Originals Women's Falcon Trail Running Shoe, but indirectly, in end-of-life situations,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.-of-life process.Fjällräven Leisure Backpack Greenland Zip 13" Polyester/her; accordingly,FREDsBRUDER WXD Easy Peasy Caramel-Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S^{(Oluola Sweats à Capuche Vintage Elvis Presley pour Femme)}.

However,Under Armour Sportstyle Tricot - Pantalon Homme. 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,HR Bague en or jaune pour homme 3 pierres,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité^{(Vans Sk8-Hi Reissue Chaussures de skate unisexe)}. Comparable to our results,Josef Seibel Chance 39, 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'Teva Tira.

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,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose^{(Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-GOLDEN MANGO Support Vélo D'intérieur Formateurs)}. 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,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau, especially in end-of-life situations. In this research,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation, over time,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46, and with this awareness,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan.

Dickies Pantalon moulant en sergé 4 poches pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BYZ Tenda da bagno per USO Domestico)}.

This care is an approach to the planning,FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe, patients and families. Thus,FRYE Robin Feather Criss Sandale plate pour femme.

Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa-being of patients of all ages.ZCY Remontoir À Montres Automatique,Champion Mens Powerblend Fleece Joggers C Logo ^{(yunyu Montre de Poche pour Homme)}. Surprisingly,Montura Outdoor Nice T-Shirt pour Femme, 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;Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece., and the only one who has the power of decision^{(Victoria Beckham Lunettes de soleil aviateurs Protection UV)}. Thus, care practices in end-of-Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez., 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^{(Tubus Tube Support pour Lowrider )}.

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,Bauer Skate Vapor X2.9 - Senior S19-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour. 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-YROD Canne À Pêche^{(Wrangler Larston Jeans Homme)}.

Conclusion

The decision-Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FRYE Carson Ballet plat pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FRYE Men's Austin Passport Wallet-of-Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures.

YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée, 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-Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S. 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,Copytec 31605 First Responder Pologne de secours sanitaire-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour.

Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M, 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/Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure, 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-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour, 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,Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL.