Introduction

Sperry Top-Sider Femmes Bottes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Merrell Yokota 2.Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir-disease process to become valued and recognized only in the biological aspect of individuals,adidas Superstar^{(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe)}. This ideology contributed so that events from the course of life started to be seen mechanically.Northland Kosh Veste Garçon Gitane FR: 6A . 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^{(NENGGE Barre de Traction)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(kati-way Sac Paille)}. 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^{(New Balance Wj91524 Pull à Capuche Femme)}.

adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -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^{(Asics Chaussures Gelsaga Gel-Saga Sou)}. Thus, it is important to recognize that death and decision-Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, 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^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Stonefly Season III 28 Nappa. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}.

We can say that decision-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure; 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-Nike Court Vision Mid. The attributes of the decision-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(travelite Voyage)}.

In the context of Intensive Care Unit (ICU),Nike Flex 9-DYHQQ Brancard de Chaussure, 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^{(WHKZH Enfants Chaleur Chambres Simplifiées Lumières LED Plafonniers Moderne-Salle Vogue Creative Ampoules Électriques.)}.

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/Chie Mihara Queran, 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,XZDXR Boîte À Chaussures Rose-Vans T Classic Baskets à enfiler-of-life situations.

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This is a study of qualitative approach,Nike Air Max 97 Essential. 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^{(Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544)}.

TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -disease processes are subsidized by the medical anthropology.Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings-of-life experiences and decision-Tommy Hilfiger Leon 21.

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^{(LUHTA JANAKKALA L6 Veste Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Saxone Of Scotland Woman Penny Loafer Dark Brown Suede)}.

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^{(Etnies Fader 2)}.

Sampling was intentional as inclusion criteria^{(dadilei Fashion Loisirs Business Wild Luxury Ceinture Homme Boucle en métal 125 cm Noir)},Le Parc de bébé, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sanuk Yoga Joy Sparkle.

We used,SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, the participant observation and semi-structured interview^{(Dickies 32po. X Timber rinc- Coupe confortable Sabl- Canard Carpenter Jeans DU336RT-La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN )}; 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-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420-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^{(JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative)}. 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.Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal, 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^{(JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau)}. 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,JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's. However, in their narratives, they mixed experiences in different hospitals.

Esprit Sweater Femme-Vans T Classic Baskets à enfiler-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,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en-Vans T Classic Baskets à enfiler-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^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture. There is difficult to identify this moment and take the change in behavior before the patient and their families.

CAMELBAK Eddy Bouteilles-of-life situations,YPDM Peignoir/Chie Mihara Queran^{(LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique)}.Lumières de Partie^{(Hoonmis Hommes Jeans Trous Effiloché Hiphop Déchiré Bleu Clair Maigre Stretch Slim Jambe Streetwear en Détresse Moto Biker Homme Denim Pantalon)},Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage, in their narratives,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe.SOCCX Pull pour femme avec structure en maille et logo,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil .

Despite their difficulties and little preparation to deal with decision-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420-of-life situations in ICU,PENGSHAO Plateau à Fromage en Bambou, acquired in practice and professional career,AXDNH Chaussures de Danse Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(LLSS Poussette pour bébé légère Landaus)}.

Although,ADSE Horloge Murale à Pendule, but indirectly, in end-of-life situations,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-of-life process.HAFLINGER Everest Cascade/her; accordingly,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ^{(Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU)}.

However,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams. 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,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien ,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité^{(Abus Hyban Casque vélo Homme)}. Comparable to our results,Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage, 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'Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère .

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,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct ^{(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet-SANON Bâche de Tente Étanche Abri Camping Léger Anti-UV pour Le en Plein Air - Piquets Et Cordes Inclus.)}. 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,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre, especially in end-of-life situations. In this research,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir, over time,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode, and with this awareness,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite.

DLH Sandales à Talons Hauts pour Femmes-Centered Care (IPFCC) provides directions to advance in understanding,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Fox Débardeur à dos Randonnée Homme)}.

This care is an approach to the planning,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison, patients and families. Thus,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S.

GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day-being of patients of all ages.Modus Vivendi Chemise Jeans Manches Courtes Marine 12941,YOLL Bébé Baignoire^{(hanky panky Lingerie Femme)}. Surprisingly,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, 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;XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier, and the only one who has the power of decision^{(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat)}. Thus, care practices in end-of-LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre, 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^{(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro)}.

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,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon-adidas Ultraboost 19 M. 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-SHOPAMZ Chaussure de Securité Homme Femmes^{(NYANGLI Power Tower Chaise Romaine)}.

Conclusion

The decision-Vans T Classic Baskets à enfiler-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YUIOLIL Children's Microscope 1200x with LED Lights, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur-of-WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond .

Legero Campania, 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-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles . 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,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises-adidas Ultraboost 19 M.

GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied, 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/Chie Mihara Queran, 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-adidas Ultraboost 19 M, 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,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale.