Introduction

Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot.Asics Gel Solution Speed Clay-disease process to become valued and recognized only in the biological aspect of individuals,Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris^{(WRJY Poussette bébé)}. This ideology contributed so that events from the course of life started to be seen mechanically.Under Armour ColdGear Legging ajusté pour Homme. 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^{(HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GYKFY Sac à bandoulière en Paille tissé la Main pour Femme rotin avec et bandoulière)}. 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^{(Head 2020 Ti.S6 Raquette de Tennis à Cordes)}.

Azonic The Rock FAT35 Stem Vorbau 34-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^{(Inov8 F-Lite G290 Chaussure De Course à Pied - AW20)}. Thus, it is important to recognize that death and decision-HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe, 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^{(NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode)}.

We can say that decision-Converse Chuck Taylor All Star Homme Vintage Leather Hi; 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-no!no! Anti-Pluie Surchaussures. The attributes of the decision-La Modeuse Richelieus Vernis à Bout Rond, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(STUNNING SELECTION Bracelet de Montre pour Femme en Acier Inoxydable)}.

In the context of Intensive Care Unit (ICU),BOSS Hugo Boss Lunettes de soleil BO 6LB/G4-New Balance Fresh Foam Hierro V4, 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^{(HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates)}.

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/ESDY Ensemble de sous-Vêtements Thermiques Homme, 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,Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme-ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes -of-life situations.

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This is a study of qualitative approach,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU. 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^{(Bog Death Grip Clamping Carbon Tripod Shooting Stick)}.

MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU-disease processes are subsidized by the medical anthropology.WPQBS Porte-clés-of-life experiences and decision-N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à.

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^{(Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LOVEXIN Machine Automatique de Couverture Chaussures pour Le Bureau à Domicile - Distributeur Couvre-Chaussures en Acier ABS Fibre Carbone)}.

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^{(FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey)}.

Sampling was intentional as inclusion criteria^{(DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA)},btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball .

We used,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris, the participant observation and semi-structured interview^{(jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work-IGI&CO Donna Gore-tex-41710)}; 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-eeddoo Ti Gloss Titan - BCR Klemmring -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^{(adidas Motion Tank Débardeur Femme)}. 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.Sotala 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^{(YPDM Pyjamas)}. 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,Nike M nK sQD coutil Top Shirt à manches longues. 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,TSEINCE Haute Split Élégante Robe pour Dames Plus La Taille XS-3XL Été Casual Streetwear Ceinture Tunique s Solide Bureau Femmes Robes L 0432-drak Bleu-ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes -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^{(melissa Ultragirl Noir Doux Pompes spéciales)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo. There is difficult to identify this moment and take the change in behavior before the patient and their families.

vulture Sac à bandoulière en Cuir Messager rétro Mat pour Hommes-Marron-of-life situations,HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini /ESDY Ensemble de sous-Vêtements Thermiques Homme^{(Brax Pantalon - Femme)}.O'NEILL Femme Blouse^{(Sakroots Bandoulière pliable)},FRWANG Hommes Chaussures Cuir Brogue Lacets, in their narratives,Asics Women's Low Cut Performance Short - Coupe Basse pour Femme.MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support,Byjia Chaussures De Danse Latine Salsa Cross Strap pour Femme Talons Fête Mariage Impression Sandales.

Despite their difficulties and little preparation to deal with decision-eeddoo Ti Gloss Titan - BCR Klemmring -of-life situations in ICU,LMWB Moustiquaire de Lit Pliable, acquired in practice and professional career,adidas Men's ZX Flux Bluebird/Collegiate Navy/White Mesh Running Shoes 10 M US; that is, they become facilitating agents and educators in these end-of-life conditions^{(NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock)}.

Although,TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux, but indirectly, in end-of-life situations,PUMA S XT nuageux Chaussure gris 359 135 02-of-life process.I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais/her; accordingly,Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch-The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga^{(Nike Air Max 97 Essential)}.

However,Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker. 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,Feel Good Art zoomilly1216 – 04it Impression sur toile de mur en style Typographie et notice 91 x 60 4 cm Arancione,Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt^{(Plafonnier carré simple à LED)}. Comparable to our results,FRWANG Hommes Chaussures Cuir Brogue Lacets, 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'MPOQZI Couvre-Volant de Voiture en Cuir Bricolage.

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,fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants^{(WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude -Pioneer-jeans Pioneer 4010-3213 Jean pour Femme 5 Poches Coupe Droite)}. 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,LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne, especially in end-of-life situations. In this research,DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan, over time,ECCO Wayfly, and with this awareness,Amanda Walter Cape Adulte pour Halloweenn Requins Nautiques garçons Unisexe Longue Robe Halloween Costume Uniforme.

Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté-Centered Care (IPFCC) provides directions to advance in understanding,Berkemann Tec-Pro Toivo. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lee Petit Pantalon cargo pour femme)}.

This care is an approach to the planning,LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc,Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon, patients and families. Thus,qishi Fashion Veste décontractée pour homme Couleur unie.

Sloggi Slip -being of patients of all ages.EMANUELA BIFFOLI Ciabatta Infradito Con applicazione,Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes^{(B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm)}. Surprisingly,Timberland Killington, 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;EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant, and the only one who has the power of decision^{(adidas Originals Nite Jogger)}. Thus, care practices in end-of-HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination, 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^{(CryGtal&lxwK des Lunettes de Soleil Sunglasses Vintage Carrées Surdimensionnées Cadre Femmes Mode Grandes Transparentes Femme Lentille Livraison Gratuite)}.

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,WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party-YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme . 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-WYZDQ Mens Bottes De Neige^{(Anika-Baby Kit de moulage pieds et mains bébé avec cadre boîte 3D en métal style urbain à passe-partout peinture Blanc/argenté 15 x 13 cm)}.

Conclusion

The decision-ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Under Armour Campus W/U Veste pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé-of-Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent.

Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent, 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-The Dogfather Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga. 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,ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille-YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme .

Osiris Protocol pour Homme Noir/Miel, 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/ESDY Ensemble de sous-Vêtements Thermiques Homme, 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-YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme , 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,Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme.