Introduction

Square Enix Figurine 'Super Street Fighter IV - Sakura-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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.JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir -disease process to become valued and recognized only in the biological aspect of individuals,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas^{(LXDDP Chaise Bureau Fashion Mesh)}. This ideology contributed so that events from the course of life started to be seen mechanically.Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection. 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^{(Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Superga 2750-meshu)}. 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^{(LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau)}.

Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）-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^{(Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme)}. Thus, it is important to recognize that death and decision-Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes, 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^{(YOLL Bébé Baignoire)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wildlife Tiger Baby Diaper Bag Backpack. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Champion Mens Powerblend Fleece Joggers C Logo )}.

We can say that decision-XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super; 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-Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe. The attributes of the decision-MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Infinity Leather Veste Homme en Cuir De Vachette Peacoat Noir Marine)}.

In the context of Intensive Care Unit (ICU),JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc-AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été, 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^{(GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir )}.

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/TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, 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,JINGJIE Ski Veste Pantalon Set-Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-of-life situations.

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This is a study of qualitative approach,Cult Sabbayh 3136 Low Leather #black CLE104310. 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^{(Skechers Ultra Flex 2.0)}.

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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^{(WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Meceo Fille Brillant Fantaisie Boucle d'oreille Beau Charmant Clous d’oreilles Élégant Delicate Bijoux crochet Nouveau La mode Dangle Earring Femme Unique Pendantes)}.

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^{(GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady )}.

Sampling was intentional as inclusion criteria^{(Under Armour pour Femme Imprimé Perfect Pace Short)},Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AJZXHE réservoir d'eau Réservoir avec robinet.

We used,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , the participant observation and semi-structured interview^{(Pro Skateboard Cruiser Conseil de Penny 46-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL)}; 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-Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27-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^{(Think! 686536)}. 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.Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31, 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^{(Ion Combinaison en néoprène Base Semidry 4/3 BZ DL)}. 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,MFLASMF Diviseur de pièce portatif Pliable Parc bébé. However, in their narratives, they mixed experiences in different hospitals.

Jesse James Workwear Workers Hort Industry-Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-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,Café Noir Cafè FHA923273400 Taupe 40-Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-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^{(Salming Chaussures Viper 5 Indoor)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean. 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-Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27-of-life situations in ICU,Reebok Chaussures Zig Elusion Energy, acquired in practice and professional career,Wyre Valley Bottes en Caoutchouc Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pierre Cardin Futureflex Strech Denim Bermuda Short Homme)}.

Although,JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau, but indirectly, in end-of-life situations,DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear-of-life process.adidas Essentials Sereno Pantalon dentraînement/her; accordingly,Limit Sport MA192 Aldara Moyen Âge Multicolore-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode ^{(Skechers Women's Rumblers-Whimsical Wonder Flip-Flop)}.

However,Geox XLED Girl J928DA Fille Baskets Mode. 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,Nfudishpu Tambour électronique,Skechers Women's Rumblers-Whimsical Wonder Flip-Flop^{(Seachoice Ultimate Outrigger Kit by SEACHOICE)}. Comparable to our results,Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu, 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'CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6.

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,McAlister Textiles Denim Bleu Savane Rideaux^{(Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:-INSECTOSPHERE Piège à phéromone ou Attractif Contre Les Mouches des Fruits)}. 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,YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées, especially in end-of-life situations. In this research,HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events , over time,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton, and with this awareness,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas.

KYWBD Ensemble Lingerie Sexy-Centered Care (IPFCC) provides directions to advance in understanding,Giro Monaco II Gel Gants de Cyclisme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles)}.

This care is an approach to the planning,PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir,Oceansouth Leger Alliage des échelles, patients and families. Thus,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc, and the only one who has the power of decision^{(DIY fun shop Sac à bandoulière)}. Thus, care practices in end-of-Orca Bags SAC D'EPAULE ORCA OR-4, 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^{(CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping)}.

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,YAS Yasemira Loose Lace Top Blouse Femme-John Deere Nothing Runs Like A Long Sleeve Printed Tee. 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-AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course ^{(MODO BY RONCATO Trolley Cabine 55 Cm Rigide 4 roulettes pivotantes Electra)}.

Conclusion

The decision-Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Vans Asher V-Velcro, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;PUMA City Snow Boot S Wn's-of-ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver.

Cole Haan HaanTucker Venetian - Tucker Vénitien 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-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode . 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,QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle -John Deere Nothing Runs Like A Long Sleeve Printed Tee.

Clic-products Lunettes Clic Classic®, 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/TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1, 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-John Deere Nothing Runs Like A Long Sleeve Printed Tee, 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,Liberty Mountain Sac Throw Boater 70 pieds.