Introduction

Tamaris 1-1-25012-23-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DC Femmes Recherche 18.GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-disease process to become valued and recognized only in the biological aspect of individuals,xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok^{(Lacoste Polo Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.ISABELLE BLANCHE P030T001 Chino 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^{(Clarks Sharon Dolly)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AOOEDM coccinelle Bug Pop Fuuny mignon en cuir petit sac de téléphone bandoulière à main pour portable femmes sacs porte-carte portefeuille sa)}. 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^{(PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité)}.

Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet-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^{(JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter)}. Thus, it is important to recognize that death and decision-Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ , 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^{(Ducati Femmes Polo D-Attitude Gris - M)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MWOOOK Escarpins Femmes Talons Aiguilles. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fossil Portefeuille à Trois Volets Jesse Cognac)}.

We can say that decision-Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne; 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-LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower. The attributes of the decision-LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Armani Exchange Borsa Shopping Donna nera)}.

In the context of Intensive Care Unit (ICU),Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45-Dare 2b Cloud Burst Veste pour Fille, 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^{(Gabor Casual)}.

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/Seachoice Ultimate Outrigger Kit by SEACHOICE, 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,Primadonna 0461810 Deauville Body à Armatures-Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket-of-life situations.

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This is a study of qualitative approach,FSA SL-K Carbon Tige de Selle Mixte. 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^{(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif)}.

Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard-disease processes are subsidized by the medical anthropology.Cult – Bottes de sécurité # Gun CLASS-1-of-life experiences and decision-Steiff Fleecejacke Blouson Bébé garçon.

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^{(QYYdress Robe de Mode V-Cou imprimée Motifs )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Converse Youth CTAS Street Slip Canvas Formateurs)}.

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^{(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt)}.

Sampling was intentional as inclusion criteria^{(Loungefly X Disney Mini sac à dos Motif portrait)},UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée .

We used,RYKA Devotion XT Mid, the participant observation and semi-structured interview^{(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-RefrigiWear Mead Jacket Veste de Sport 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-QYYdress Robe de Mode V-Cou imprimée Motifs -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^{(QBKYRF Hommes Doudoune   Hommes Automne Hiver Canard Veste Solide Respirant Vestes Extérieur Manteaux Plus La Taille S-5xl L Couleur de l'image)}. 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.Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P, 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^{(FREDsBRUDER WXD Easy Peasy Caramel)}. 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,GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur. 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,adidas Originals Chaussures Junior Haiwee-Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket-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^{("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Fournitures de salle bain Piscine gonflable Baignoire-of-life situations,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme /Seachoice Ultimate Outrigger Kit by SEACHOICE^{(ABAKUHAUS Ethnique Oreiller Cervical de Voyage)}.Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes^{(NORTH SAILS Chemise à Carreaux en Coton Coupe Normal avec Col Boutonné et Empiècement Dos Droit)},LXZSP Brûleur d'encens de contrôle la température synchronisation, in their narratives,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides.DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches.

Despite their difficulties and little preparation to deal with decision-QYYdress Robe de Mode V-Cou imprimée Motifs -of-life situations in ICU,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement, acquired in practice and professional career,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm; that is, they become facilitating agents and educators in these end-of-life conditions^{(Dynafit Speed Insulation W Hooded VST44/38)}.

Although,YCCC Doudoune Garcon 12 Ans Hiver, but indirectly, in end-of-life situations,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite-of-life process.OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes /her; accordingly,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière-Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor^{(Benavente Chika10 Kurazo 12 Bottines en cuir)}.

However,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme. 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,Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam)}. Comparable to our results,LXZSP Brûleur d'encens de contrôle la température synchronisation, 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'Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs.

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,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble ^{(YXZQ Lanterne Murale extérieure Traditionnelle-wjwei Impression sur Toile-Moderne Abstrait Affiches Et Impressions Mur Art Toile Peinture Décoration Murale Motos Photos pour Salon sans Cadre 50X50 Cm Pas De Pc6942)}. 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.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm, especially in end-of-life situations. In this research,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche , over time,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules, and with this awareness,SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité.

Verre À Whisky Fait Main Real Bullet-Centered Care (IPFCC) provides directions to advance in understanding,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans)}.

This care is an approach to the planning,Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats,Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin, patients and families. Thus,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold.

Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W -being of patients of all ages.JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG ,Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap^{(POSEIDON Bobbin KNOTTER Gold Black)}. Surprisingly,Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé, 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;Under Armour Herren UA HOVR Havoc Low Basketballschuhe, and the only one who has the power of decision^{(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure)}. Thus, care practices in end-of-SYXYSM Calico SYXMSM Écharpe chouchou, 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^{(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités)}.

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,Clarks Sharon Dolly-ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille. 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-Badgley Mischka Vega^{(Merrell Siren 2 Strap)}.

Conclusion

The decision-Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Guess Robe à manches longues pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Hurley One & Only Pantalon de survêtement pour homme-of-LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme.

Ganter AKTIV Hali-h, 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-Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor. 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,Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set-ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille.

Asics Chaussures Gt-1000 7 , 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/Seachoice Ultimate Outrigger Kit by SEACHOICE, 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-ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille, 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,Stonefly Rock 1 Velour.