Introduction

Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie.SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire-disease process to become valued and recognized only in the biological aspect of individuals,Siennaa Pull Billie Eilish Femme^{(DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée)}. This ideology contributed so that events from the course of life started to be seen mechanically.Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match. 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^{(MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BUFF UP Buff Pack Bike Cap Cycling Tissu Tubulaire Ultrapower | Protection UV Cape de vélo Casquette Sport)}. 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^{(YQSHOES Bottes pour Dames De Printemps Et d'automne)}.

Dolce & Gabbana Denim Jeans-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^{(WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables)}. Thus, it is important to recognize that death and decision-HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, 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^{(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size)}.

We can say that decision-Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou; 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-New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing. The attributes of the decision-RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CHHD Sculpture de Jardin Statues en Plein air Sculptures Objets Collection décoratifs Figurine Mignon Garçon Fille Succulentes Fleur)}.

In the context of Intensive Care Unit (ICU),LXDDP Chaise Bureau Fashion Mesh-AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer, 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^{(Magie Professionnelle Chapeau Claque Double Fond )}.

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/Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US, 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,Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau-Irregular Choice Schatzi-of-life situations.

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This is a study of qualitative approach,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. 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^{(kentucky Bandes de Repos Repellent Bleu)}.

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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^{(RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BOSS Tracksuit Sweatshirt)}.

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^{(SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual)}.

Sampling was intentional as inclusion criteria^{(GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime)},Kru Maillots de Basket-Ball pour Hommes et Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage .

We used,VIEUR Modèle de Dents Typodont, the participant observation and semi-structured interview^{(Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King )}; 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-LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets-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^{(Meaeo Hanche Camouflage Sarouel 2020 Hommes Tactique Cargo Joggers Pantalon Ruban Casual Streetwear Camo Multi Poche)}. 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.QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag, 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^{(AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison)}. 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,GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image. 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,MARCO TOZZI 23712 Femme Chaussures Noir-Irregular Choice Schatzi-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^{(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets-of-life situations in ICU,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, acquired in practice and professional career,EDELRID Cordes d'escalade Boa 9; that is, they become facilitating agents and educators in these end-of-life conditions^{(bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short)}.

Although,YUMI Blush 3D Floral Embellishment Party Dress, but indirectly, in end-of-life situations,GURU-SHOP Guru-Boutique-of-life process.luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S/her; accordingly,glstkrrn RX8 RX-8 Ugly Christmas Sweater-Waldhausen Reithose Funktion Sport Silikon^{(Reebok Aztrek 96)}.

However,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans. 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,Boîte à bijoux de Rangement Bijoux,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage^{(ThirtyTwo Shifty Boa '17 Bottes de Snowboard)}. Comparable to our results,Etnies Fader 2, 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'MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet.

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,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent ^{(ZHANGYY Ceinture de Correction Jambe réglable-Ethical Pets Jeu Solide pratiquement Indestructible Balle en Caoutchouc Jouet pour Chien)}. 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,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, especially in end-of-life situations. In this research,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, over time,Clio Blue Bague Medicis en argent 925, and with this awareness,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy.

L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 -Centered Care (IPFCC) provides directions to advance in understanding,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Reinders Fille Pantalons de Jogging)}.

This care is an approach to the planning,Irregular Choice Disney Princess- Beauty and The Beast Flats,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver, patients and families. Thus,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SEIDENFELT MANUFAKTUR Nora Beige, and the only one who has the power of decision^{(Tamaris Femme Chaussures à Lacets)}. Thus, care practices in end-of-Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938, 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^{(Primadonna 0461810 Deauville Body à Armatures)}.

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,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo-COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent. 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-DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée^{(Oiuytghjkl 10MM Épais Tapis de Yoga Durable Antidérapant Exercice Fitness Perdre du Poids Équipement Gym)}.

Conclusion

The decision-Irregular Choice Schatzi-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Helikon CPU Hommes Short PL Woodland-of-dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme .

TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee, 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-Waldhausen Reithose Funktion Sport Silikon. 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,TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween-COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent.

FUNBN T-Shirt de Basket-Ball Version Fan Basket, 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/Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US, 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-COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent, 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,VIVIANE Boucle D'oreille Support De Rangement.