Introduction

Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal.Casque Activ 2 – Casque de vélo-disease process to become valued and recognized only in the biological aspect of individuals,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme^{(CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats)}. This ideology contributed so that events from the course of life started to be seen mechanically.kentucky Bandes de Repos Repellent Bleu. 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^{(Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Alysai Short de Bain à séchage Rapide pour Hommes en Treillis Rouge et Vert avec Doublure)}. 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^{(RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League)}.

KesVir Kes-Vir Incontinence Wrapshorts Boy-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^{(WANG Bottes de neige pour femmes grande taille)}. Thus, it is important to recognize that death and decision-Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, 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^{(Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Dilwe Mini Alcool Réchaud en acier inoxydable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge)}.

We can say that decision-New Balance Women's 5K V5 Running Shoe; 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-Tosca Blu Ankle Boot Kiruna. The attributes of the decision-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Statue décorative de décoration la Maison Moine Bouddha Tao Intelligent pour Animaux Compagnie-Gris Clair Le Jardin à)}.

In the context of Intensive Care Unit (ICU),Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , 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^{(Hurley Staple Crew SS Tricot 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/PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L, 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,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -Prime 8-8-of-life situations.

RZHSS Sweats à Capuche

This is a study of qualitative approach,Primigi Pwigt 63828. 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^{(WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol)}.

Clarks Sandales Sillian2.0 Joy pour Femmes-disease processes are subsidized by the medical anthropology.HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-of-life experiences and decision-Mammut Bota Ducan High GTX.

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^{(Reebok Aztrek Double Mix Pops)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kaisercraft Dusty Pink Paper Flowers)}.

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^{(Dockers Polo Homme)}.

Sampling was intentional as inclusion criteria^{(NIEWEI-YI Homme Hiver Chaud Sweats Épaisse Veste à Capuche Anime Demon Slayer Cosplay Blousons Sweat-Shirts Manches Longues)},Clarks Kaylin 60 Sling, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine.

We used,Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage, the participant observation and semi-structured interview^{(Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct )}; 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-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-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^{(K-Swiss Men's Fleece Pullover Hoodie Sweater - Graphic Hooded Activewear Sweatshirt The Tape Navy Blue)}. 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.Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air, 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^{(SXHNNYJ Garniture de poignée Porte extérieure Voiture)}. 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,Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213. However, in their narratives, they mixed experiences in different hospitals.

LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue-Prime 8-8-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,Fila Pull à capuche avec logo flamino pour homme-Prime 8-8-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^{(Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-of-life situations,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20/PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA)}.DC Shoes Court Graffik - Baskets pour Garçon ADBS100207^{(B/H Le contrôle des infections Montre)},The North Face Trail Escape Edge Homme, in their narratives,Little Mistress Lillian Robe longue en dentelle avec trou de serrure.wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy.

Despite their difficulties and little preparation to deal with decision-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-of-life situations in ICU,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20, acquired in practice and professional career,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert; that is, they become facilitating agents and educators in these end-of-life conditions^{(Penelope Veste Step - Black M)}.

Although,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne, but indirectly, in end-of-life situations,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre-of-life process.Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse /her; accordingly,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie-HYLH 3D LED Stunt Motorcycle Illusion Night Light^{(zhengchunleiX Travel Daypacks)}.

However,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ. 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,Wmeat-P Ensemble De Housse Couette,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot ^{(Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro)}. Comparable to our results,The North Face Trail Escape Edge Homme, 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'Houdini Power Houdi Veste Homme.

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,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm^{(ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42-XRQ Randonnée Sac à Dos)}. 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,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress , especially in end-of-life situations. In this research,Béaba BÉABA Sac à Langer Sydney I, over time,ROTHCO 7502 flightsuits 6XL All, and with this awareness,adidas Maillot de Basketball pour Homme Thunder Alternative.

RYKA Devo Plus 2-Centered Care (IPFCC) provides directions to advance in understanding,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming)}.

This care is an approach to the planning,CFR Combinaison de yoga sans manches avec dos nu pour femme,Clarks Votta Edge - Black Synthetic, patients and families. Thus,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte.

Joie Spin 360 – Siège de voiture-being of patients of all ages.Brooks pour Femme Juno Soutien-Gorge de Sport,Underwraps Costumes Camo Army Uniform Boys Costume Large^{(DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau)}. Surprisingly,Fjällräven Stina Jacket 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;Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, and the only one who has the power of decision^{(adidas X 18.3 FG)}. Thus, care practices in end-of-Asics Serrano Onitsuka Tiger Chaussures pour Hommes, 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^{(Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap)}.

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,Aubade balconnet - soutien-gorge femme-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté. 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-Asics Gel-Fujitrabuco 6 G-TX^{(SELMARK MARE Haut Maillot de Bain Bandeau Lunares Blanc 100C)}.

Conclusion

The decision-Prime 8-8-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hannah Outdoor Concepts Veste rendeza pour Femme-of-FREDsBRUDER Layer Bumper Tangelo.

Pepe Jeans Pantalon Homme, 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-HYLH 3D LED Stunt Motorcycle Illusion Night Light. 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,Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté.

Carhartt Shoreline Veste isolée pour homme Taille grande et, 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/PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L, 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-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté, 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,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us.