Introduction

Hurley Men's Apparel Homme AR8826 T-Shirt-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air .s.Oliver Jacket Femme-disease process to become valued and recognized only in the biological aspect of individuals,JLFZC Chaussures formelles^{(Yiwa Les pièces d'essieu inversé de voiture chenille RC mettent à niveau des for le camion jeep Cherokee 90046/47 4wd D90 Tf2 axe axial du contrôle SCX10-2 ii Essieu arrière)}. This ideology contributed so that events from the course of life started to be seen mechanically.Reebok Chaussures Zig Elusion Energy. 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^{(DC Shoes - Chaussures Trase V Se Low pour Garçon)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Spiral Direct)}. 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^{(YXZQ Cartouche de Toner)}.

Wyre Valley Bottes en Caoutchouc Homme-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^{(HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron)}. Thus, it is important to recognize that death and decision-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, 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^{(Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes)}.

We can say that decision-adidas Essentials Sereno Pantalon dentraînement; 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-Limit Sport MA192 Aldara Moyen Âge Multicolore. The attributes of the decision-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Chinese Laundry Chasse-Cheval pour Femme Noir)}.

In the context of Intensive Care Unit (ICU),Geox XLED Girl J928DA Fille Baskets Mode-Nfudishpu Tambour électronique, 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^{(LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage)}.

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/Skechers Women's Rumblers-Whimsical Wonder Flip-Flop, 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,CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6-Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu-of-life situations.

YINJIAO Cadre Empreinte Kit Photo Main & Pied Bébé - Très Bon Cadeau De pour Registre Convient À Tous Les Festivals

This is a study of qualitative approach,McAlister Textiles Denim Bleu Savane Rideaux. 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^{(Sac de rangement moulinet pêche portable)}.

YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-disease processes are subsidized by the medical anthropology.HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events -of-life experiences and decision-MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton.

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^{(Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Basil Hoga Combinaison de pluie unisexe Bleu ciel)}.

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^{(Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec)}.

Sampling was intentional as inclusion criteria^{(McAlister Textiles Denim Bleu Savane Rideaux)},MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KYWBD Ensemble Lingerie Sexy.

We used,Giro Monaco II Gel Gants de Cyclisme, the participant observation and semi-structured interview^{(Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant-Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage)}; 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-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-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^{(Almost-Okay-Shop Sac fourre-tout en cuir - Tortue de mer S à main plongée pour homme et 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.Oceansouth Leger Alliage des échelles, 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^{(XYZMDJ Sac à Main en Cuir Docteur)}. 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,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin. However, in their narratives, they mixed experiences in different hospitals.

Charm Teddy Chaussette de Noël-Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu-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,MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED-Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu-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^{(SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc-of-life situations,Pare-Chocs Diffuseur Lèvres/Skechers Women's Rumblers-Whimsical Wonder Flip-Flop^{(Saucony Shadow Original)}.RYKA Everest^{(ZAOSU Z-Flow Maillot de Bain pour Fille et Femme)},Spank Sike Race 2.0 Potence VTT/E-Bike Mixte, in their narratives,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29.Zero Tolerance Rexford Elmax Couteau à Lame Fixe,LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple .

Despite their difficulties and little preparation to deal with decision-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-of-life situations in ICU,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG, acquired in practice and professional career,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm; that is, they become facilitating agents and educators in these end-of-life conditions^{(RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche)}.

Although,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020, but indirectly, in end-of-life situations,Held Team Shirt L-of-life process.shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées/her; accordingly,CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir^{(Hurley Men's Apparel Homme AR8826 T-Shirt)}.

However,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie. 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,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité^{(Smartwool PhD Lumière extérieure Micro)}. Comparable to our results,Spank Sike Race 2.0 Potence VTT/E-Bike Mixte, 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'VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage.

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,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir^{(EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-HOAPL Femmes Vintage Bottines Et Fermeture Éclair Latérale Haut Talon Cheville Bottillons Bloc Bout Pointu Brodé Bohème Martin Boot)}. 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,ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear, especially in end-of-life situations. In this research,Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts, over time,Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette, and with this awareness,Nike Mercurial Victory V IC.

LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-Centered Care (IPFCC) provides directions to advance in understanding,casco Reithelm VG1 Spirit - 3 Crystal. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XTI 49473)}.

This care is an approach to the planning,PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man,TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes, patients and families. Thus,JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau.

Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-being of patients of all ages.FACAI Étagère De Cuisine Rangement,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut^{(KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris)}. Surprisingly,NYDJ Barbara Bootcut Jeans 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;Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire], and the only one who has the power of decision^{(werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche)}. Thus, care practices in end-of-WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant , 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^{(Hermes Cadre Photo en argent cm 13 x 18)}.

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,aipipl Boîte aux Lettres Murale-Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm. 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-SDJJ Sac à dos vintage en cuir pour femme Motif floral^{(Fisher-Price Open Top Musical Discovery Gym)}.

Conclusion

The decision-Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HÖGL Highlander, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HÖGL Cosmos-of-Dr. Martens Men's Maleke Ankle Bootie.

BYASW Chaussures de Randonnée 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-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir. 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,Nike 917809 414-Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm.

Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid, 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/Skechers Women's Rumblers-Whimsical Wonder Flip-Flop, 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-Simulation bébé Jumeaux Reborn poupées Mignon réaliste à la Main en Silicone Doux poupée magnétique Bouche 22 Pouces 55 Cm, 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,Sanuk Kids Unisex Lil Puffer Fashion Boot.