Introduction

LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure.überleben Coppa leggera in Legno Con moschettone Backpacking-disease process to become valued and recognized only in the biological aspect of individuals,Kipling 100 Pens Organiseur de Sac à Main^{(BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lacrosse Women's Aero Timber 10. 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^{(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Zemivs Amérique Le Grand Canyon Paysage Yoga Gym Fourre Tout Sacs À Main Remise Forme Dos Bandoulière Sacoche pour Exercice Bagages Sport Hommes Femmes Plein Air)}. 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^{(PICKME Hommes Femmes USB Chauffage Gilet)}.

YQ QY Chaussons Description du produitpointureTableau des Tailles -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^{(AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes)}. Thus, it is important to recognize that death and decision-SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, 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^{(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EXTON 246 Sneakers Man. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en)}.

We can say that decision-LLNB Zip Veste À Capuche; 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-CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir . The attributes of the decision-Lora di Collier Indi Celebrate. court, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Casque Moto Jet Homme Double Visière ABS Plastique Crash Track Off Road Sport)}.

In the context of Intensive Care Unit (ICU),Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper, 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^{(Charmance Pantalon Taille élastiquée)}.

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/GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , 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,Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes-JFF Gilet Chauffant-of-life situations.

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This is a study of qualitative approach,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré. 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^{(Craghoppers Pantalon Anti-Moustique Clair - Femme)}.

JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux-disease processes are subsidized by the medical anthropology.HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage -of-life experiences and decision-Tamaris Femme Chaussures à Lacets.

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^{(CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LiYL Chaussures Chaussez Casual High Top Bottes d'hiver de Combat Cheville Femmes en Cuir véritable Splice Toile Vamp Lovers Hommes)}.

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^{(Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass)}.

Sampling was intentional as inclusion criteria^{(BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt)},HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme.

We used,Joules Golightly Imperméable Femme, the participant observation and semi-structured interview^{(Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable-Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 )}; 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-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-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^{(Vobajf Robe de mariée Chapelle Femmes Une épaule chérie Pleine Dentelle)}. 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.MZSG LED Loft Vintage Applique, 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^{(Jumelles 8-10X42-32 Zoom HD Grande Ouverture)}. 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,SXHNNYJ Garniture de poignée Porte extérieure Voiture. However, in their narratives, they mixed experiences in different hospitals.

CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23-JFF Gilet Chauffant-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,Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques-JFF Gilet Chauffant-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^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Guess Marciano 0BG3149370Z Doudoune pour Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

G.H.Y Cravate florale imprimée pour hommes-of-life situations,SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c/GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches ^{(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}.LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile^{(Napapijri Giubbotto Uomo Rosso NP0A4EGZ S)},Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible, in their narratives,Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby.Oreiller Shiatsu Portable de Massage du Cou et Dos avec Masseur pétrissage des Tissus Profonds Chaleur pour Cervical,Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger .

Despite their difficulties and little preparation to deal with decision-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-of-life situations in ICU,H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid, acquired in practice and professional career,LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche; that is, they become facilitating agents and educators in these end-of-life conditions^{(XLTCK Lunettes de soleil en titane pur polarisées B)}.

Although,YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale , but indirectly, in end-of-life situations,Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant-of-life process.47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! /her; accordingly,Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans-ADGAI Couvre-lit Modern Vintage matelassée Vert réversible Imprimer Coverlet Consolateur^{(SALOMON XA Pro 3D V8 GTX W)}.

However,Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux. 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,AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs ,WYZQ Montre de Poche Vintage à Quartz Couleur Bronze Montres chaîne fraîche Drapeau Britannique^{(Sac à Dos Pliable Léger)}. Comparable to our results,Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible, 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'Penelope Veste Step - Black M.

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,ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne^{(adidas Juve Wintjkt Veste de Sport Homme-GFF Parc pour bébé Rails de sécurité Enfants Centre d’activité respectueux l’Environnement PEHD Combinaisons Multiples et évolutives adaptées aux 0 à 6 Ans Bébé 12 Panneaux)}. 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,Jouet interactif pour Enfant Activité d'apprentissage Cube bébé Table Infantile éducation précoce éducatif Jouets d'activités de développement, especially in end-of-life situations. In this research,Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque, over time,ZHTY Casiers à vin de Plafond, and with this awareness,YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL.

Statue Sculpture Figurine Statuette-Centered Care (IPFCC) provides directions to advance in understanding,WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir)}.

This care is an approach to the planning,LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable,IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode, patients and families. Thus,Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental.

Zhuowei Mesdames Stretch Cuissardes-being of patients of all ages.NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm,Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement ^{(Disney Homme Cars Rust-Eze Logo Sweat À Capuche)}. Surprisingly,Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants, 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;Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P, and the only one who has the power of decision^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}. Thus, care practices in end-of-YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier, 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^{(Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité)}.

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,CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping-Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir. 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-Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand ^{(De Forêt Housse de pluie pour siège auto groupe 0 plus 003093 G pur)}.

Conclusion

The decision-JFF Gilet Chauffant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Magie Professionnelle Chapeau Claque Double Fond , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson-of-adidas Little Boys' Tricot Pant.

Hermes Cadre Photo en argent cm 13 x 18, 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-ADGAI Couvre-lit Modern Vintage matelassée Vert réversible Imprimer Coverlet Consolateur. 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,Jack Wolfskin Cloudburst Veste pour Hommes-Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir.

Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta, 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/GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , 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-Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir, 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,Meindl Asti Mid GTX Wanderschuh TEX Braun.