Introduction

Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements.Columbia Wind Prougeector Novelty Veste Polaire pour Hommes -disease process to become valued and recognized only in the biological aspect of individuals,GJQGYY Sèche-Chaussures électrique 2 rétractable^{(Visit the Carhartt Store Wip Car-Lux Jacket Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme. 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^{(K-Swiss Aeronaut)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LCFF Tongs Tongues Femmes Plage Printemps été Chaussons Clip Toe Slides Flip Flop Confortable Chaussures Boucle de Ceinture en métal)}. 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^{(WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale )}.

JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-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^{(VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase)}. Thus, it is important to recognize that death and decision-XIUYU Tente de Camping, 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^{(PUMA Suede Classic )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Korntex KXRJGS Veste imperméable Jaune Taille S)}.

We can say that decision-YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 ; 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-Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et. The attributes of the decision-Harnais de sécurité d'escalade, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(PE Braid Ligne 500M 16 Brins de pêche Tresse Multicolor Super Power Japon multifilament Saltwater/Eau Douce)}.

In the context of Intensive Care Unit (ICU),Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école-qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac, 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^{(HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme)}.

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/Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, 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,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme-Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small-of-life situations.

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This is a study of qualitative approach,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle. 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^{(QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts)}.

Skechers Go Walk Joy-15615-disease processes are subsidized by the medical anthropology.Sanuk Pair O Dice Prints-of-life experiences and decision-ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit.

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^{(MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BESPORTBLE Chaise Pliante de Barbecue Pique-Nique Portable pour l'extérieur extérieur Sport Plein air)}.

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^{(GB Eye Limited Logo-Tasse)}.

Sampling was intentional as inclusion criteria^{(YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif )},Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus.

We used,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5, the participant observation and semi-structured interview^{(lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux-Waldläufer Chaussures de Ville à Lacets pour Femme)}; 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-arena 2a259 Maillot de Bain Garçon-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^{(Femmes Yoga Enfants Ballet Cheveux Donut s 100% Humains Chouchous Extensions Désordonnées De Mariage Pièces Big Curly Wine Red Perruques pour Les)}. 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.Ulla Popken Pantalon 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^{(Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra)}. 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,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere. 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,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU-Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small-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^{(ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KAR 4. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XHH Échelle de Plante Support à Fleurs en Fer forgé-of-life situations,Folding bath tub Baril de Baignoire Pliable/Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif^{(Falke TK 1 Chaussettes randonnée homme)}.Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes^{(adidas Wisconsin Badgers Climalite Long Sleeve Crew Sideline Pullover)},Clarks Women's Linvale Sea Fashion Boot, in their narratives,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été.Fox Débardeur à dos Randonnée Homme,Square Enix Figurine 'Super Street Fighter IV - Sakura.

Despite their difficulties and little preparation to deal with decision-arena 2a259 Maillot de Bain Garçon-of-life situations in ICU,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, acquired in practice and professional career,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir ; that is, they become facilitating agents and educators in these end-of-life conditions^{(New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2)}.

Although,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas, but indirectly, in end-of-life situations,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection-of-life process.Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）/her; accordingly,Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes-Wildlife Tiger Baby Diaper Bag Backpack^{(qishi Fashion Veste décontractée pour homme Couleur unie)}.

However,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super. 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,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack^{(XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau)}. Comparable to our results,Clarks Women's Linvale Sea Fashion 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'JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc.

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,AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été^{(GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-FLYCHEN Femme Sweats à Capuche Fairy Tail Adulte Cosplay Manches Longues)}. 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,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, especially in end-of-life situations. In this research,JINGJIE Ski Veste Pantalon Set, over time,Cult Sabbayh 3136 Low Leather #black CLE104310, and with this awareness,KTDT Horloge de Table Style Train Mode rétro.

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This care is an approach to the planning,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne,AJZXHE réservoir d'eau Réservoir avec robinet, patients and families. Thus,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Asics Hyper LD 5 Synthétique Baskets, and the only one who has the power of decision^{(Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage)}. Thus, care practices in end-of-Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, 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^{(Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm)}.

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,SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G -Bobux Zap. 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-Marie Jo Tom SCA Soutien-Gorge Femme^{(YAYT Pull De Couleur Unie pour Femmes Automne Et Hiver Ample Décontracté Gris À Col Haut Zippé La Mode Tout-Match Montant Manches Longues)}.

Conclusion

The decision-Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Reebok RB874 Women's Stealth SR Safety Boots - Black, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes-of-Land Rover Range Card Holder - Black Porte-Carte de crédit.

DC Shoes Heathrow Prestige, 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-Wildlife Tiger Baby Diaper Bag Backpack. 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,Skechers Parallel-Trapezoid-Bobux Zap.

Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées 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/Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, 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-Bobux Zap, 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,U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm.