Introduction

1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle.ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route-disease process to become valued and recognized only in the biological aspect of individuals,Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille^{(CRMY Bottes rétro Classiques pour Femmes Dames)}. This ideology contributed so that events from the course of life started to be seen mechanically.MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture. 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^{(arena 2a259 Maillot de Bain Garçon)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KaiKai Boot Sèche-chaussures Sèche-linge)}. 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^{(Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune)}.

Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure-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^{(Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain)}. Thus, it is important to recognize that death and decision-GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots, 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^{(Sperry Top-Sider Striper CVO Hawaiian Print)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme)}.

We can say that decision-GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons; 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-ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière. The attributes of the decision-NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(pzcvo Coussin Equilibre d'Équilibre La stabilité Planche D'équilibre Balance Board Physio Disque équilibre Vaciller Conseils)}.

In the context of Intensive Care Unit (ICU),Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie-Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne, 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^{(Columbia Wayfinder Outdry')}.

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/JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail , 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,JVSISM Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot-Lloyd 547932 Bottines Femme 28-357-00 -of-life situations.

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This is a study of qualitative approach,CMP Giacca Full Zip Wooltech Jacket Femme. 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^{(KYWBD Ensemble Lingerie Sexy)}.

YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique-disease processes are subsidized by the medical anthropology.CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore-of-life experiences and decision-Soie Droite cachée Fil Pleine tête Morceau de Cheveux 22"Perruques d'extension d'une Seule pièce réglable pour Les Femmes.

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^{(Bamex Chariot De Course Seattle Noir)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Prada Luxury Fashion Femme PR15XV1AB1O1 Noir Acétate Lunettes | Saison Permanent)}.

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^{(YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse)}.

Sampling was intentional as inclusion criteria^{(RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau )},GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex.

We used,Inline Skate Roller First Walkers, the participant observation and semi-structured interview^{(Superga 2750 Crochet-SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S)}; 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-Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau-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^{(thedifferent Body de bébé à manches longues unisexe pour enfant Motif Rocky Entraînement – Gris)}. 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.DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe, 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^{(mys Original alte Personalizzate)}. 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,LXSNH Bijoux Pratique Flanelle Boîte de Rangement Organisateur Affichage Boucles d'oreilles Collier Pendentif Coffret Stockage Cas Cadeau for Fille. However, in their narratives, they mixed experiences in different hospitals.

Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des -Lloyd 547932 Bottines Femme 28-357-00 -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,adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes-Lloyd 547932 Bottines Femme 28-357-00 -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^{(Ducati Femmes Polo D-Attitude Gris - M)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Ultraboost 19. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Originals Women's Falcon Trail Running Shoe-of-life situations,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire./JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail ^{(Fossil Portefeuille à Trois Volets Jesse Cognac)}.Fjällräven Leisure Backpack Greenland Zip 13" Polyester^{(Esprit Manteau Femme)},nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, in their narratives,FREDsBRUDER WXD Easy Peasy Caramel.Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S,Under Armour Sportstyle Tricot - Pantalon Homme.

Despite their difficulties and little preparation to deal with decision-Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau-of-life situations in ICU,HR Bague en or jaune pour homme 3 pierres, acquired in practice and professional career,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité; that is, they become facilitating agents and educators in these end-of-life conditions^{(Gabor Casual)}.

Although,Teva Tira, but indirectly, in end-of-life situations,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose-of-life process.ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau/her; accordingly,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation-WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46^{(Breed Racer Chronograph Bracelet Watch w/Date)}.

However,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan. 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,Dickies Pantalon moulant en sergé 4 poches pour femme,Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.^{(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif)}. Comparable to our results,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, 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'FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil.

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,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe^{(QYYdress Robe de Mode V-Cou imprimée Motifs -ZWNSWD Argent Sterling 925 Bracelet Femme Trèfle à Quatre Feuilles Mode Ajustable Articulé Utiliser des éléments Swarovski)}. 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,FRYE Robin Feather Criss Sandale plate pour femme, especially in end-of-life situations. In this research,Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, over time,ZCY Remontoir À Montres Automatique, and with this awareness,Champion Mens Powerblend Fleece Joggers C Logo .

Montura Outdoor Nice T-Shirt pour Femme-Centered Care (IPFCC) provides directions to advance in understanding,Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt)}.

This care is an approach to the planning,Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.,Bauer Skate Vapor X2.9 - Senior S19, patients and families. Thus,YROD Canne À Pêche.

FRYE Carson Ballet plat pour femme-being of patients of all ages.FRYE Men's Austin Passport Wallet,Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures^{(Loungefly X Disney Mini sac à dos Motif portrait)}. Surprisingly,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée, 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;Copytec 31605 First Responder Pologne de secours sanitaire, and the only one who has the power of decision^{(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20)}. Thus, care practices in end-of-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M, 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^{(RefrigiWear Mead Jacket Veste de Sport Femme)}.

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,Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL-Sécurité Adulte Casque De Velo. 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-FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint^{(LCCYJ Femmes Plat Antidérapante Souple Fluffy Fausse Fourrure Slipper Flip Flop Sandal)}.

Conclusion

The decision-Lloyd 547932 Bottines Femme 28-357-00 -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.bugatti 321720605000, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;7 For All Mankind The Jean Skinny Femme-of-AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44.

ARA Lissabon, 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-WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46. 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,QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short-Sécurité Adulte Casque De Velo.

Nike Lebron Witness Iv, 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/JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail , 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-Sécurité Adulte Casque De Velo, 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,Nike Aa8018-010.