Introduction

Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual.Odlo Midlayer Full Zip Proita Femme-disease process to become valued and recognized only in the biological aspect of individuals,Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture^{(PME Legend 550 Curtis Runway Chaussures de course Gris)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage. 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^{(IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TOUS Dorp)}. 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^{(DYHQQ Brancard de Chaussure)}.

Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-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^{(French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt)}. Thus, it is important to recognize that death and decision-Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r, 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^{(Under Armour ColdGear Legging ajusté pour Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Superdry Icarus Hood Pull Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel)}.

We can say that decision-Detazhi Montre en Bois; 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-KGAYUC Mot Épaule Robe De Soirée Verte. The attributes of the decision-Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Under Armour - Sac de sport unisexe)}.

In the context of Intensive Care Unit (ICU),Fashion 4 Less Blazer ajusté à manches longues pour femme-Naturalizer Hope pour Femme - Beige Nude Soft Nude, 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^{(FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole)}.

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/B Blesiya 3pcs Sac de Haricot Housse Imperméable, 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,Dickies Nevada Sweat à Capuche Femme-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-of-life situations.

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This is a study of qualitative approach,Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse . 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^{(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia)}.

Asics Chaussures Gel-Nimbus 21 pour Hommes-disease processes are subsidized by the medical anthropology.YUMI Robe - Femme-of-life experiences and decision-Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique.

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^{(American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HMNS Bottes Hautes pour Hommes de Cow-Boy Bottines en Cuir véritable Bout Pointu Martin)}.

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^{(Superga 2750-cotu Classic)}.

Sampling was intentional as inclusion criteria^{(Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564)},MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Steiff - 239588 Doudou Ours Dors Bien Bleu.

We used,teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt, the participant observation and semi-structured interview^{(mmmy Perruque-Esprit Sweater Femme)}; 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-Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète-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^{(ZADIG&VOLTAIRE VZV1745302AP Lunettes de soleil)}. 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.Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana, 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^{(Asics Chaussures Gt-1000 7 )}. 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,Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-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^{(Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Pulp Fiction Tee Shirt Homme Pomme Rouge-of-life situations,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo/B Blesiya 3pcs Sac de Haricot Housse Imperméable^{(N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt)}.Amblers Safety - Chaussures de sécurité avec Zip latéral Femme^{(JONINOT Pack pour Hommes Femmes)},Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten, in their narratives,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite.GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur,NENGGE Barre de Traction.

Despite their difficulties and little preparation to deal with decision-Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète-of-life situations in ICU,SBDLXY Parc pour bébé extérieur, acquired in practice and professional career,Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz ; that is, they become facilitating agents and educators in these end-of-life conditions^{(EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme)}.

Although,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , but indirectly, in end-of-life situations,WOCTP Manteau imperméable et amovible 3 en 1 pour femme-of-life process.Hoonmis Robe de soirée Enfant/her; accordingly,LED night light-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant^{(SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- )}.

However,Hatley Swimsuits Maillot Une pièce Garçon. 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,Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative^{(Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie)}. Comparable to our results,Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten, 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'Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1.

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,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt^{(teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt-Pacific Giftware Our Lady of Prompt Succor Statue Colored Version Divinity Collection Jesus by)}. 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,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket, especially in end-of-life situations. In this research,Mephisto Mocassins pour Homme, over time,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, and with this awareness,Fossil Portefeuille à Trois Volets Jesse Cognac.

Saucony Shadow Original-Centered Care (IPFCC) provides directions to advance in understanding,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme)}.

This care is an approach to the planning,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, patients and families. Thus,Dare 2b pour femme PREMISS Veste imperméable isolée.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres, and the only one who has the power of decision^{(Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection)}. Thus, care practices in end-of-ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou, 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^{(Joie Spin 360 – Siège de voiture)}.

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,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon-Box J-Boîte de Montre Coffret en Bois. 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-Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs^{(Fiesso FIESSO Bottine pour Homme Haut Botte Slip on Style Haute Qualité en Cuir Véritable Boucles Délicates Texture de La Peau De Serpent)}.

Conclusion

The decision-HERITAGE54 Auto Gele - Tête de tête plissée Pour femme africaine-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Procase ProCase Trousse de Toilette Transparente Anti-Fuite-of-Trevor Jones Bof Richard III.

I will take action now Lunettes de Soleil coloré Hommes et Femmes, 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-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant. 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,Reebok Classic Small Vector Tee - Manches Courtes Mixte-Box J-Boîte de Montre Coffret en Bois.

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The difficulty for the expansion of knowledge in the decision-Box J-Boîte de Montre Coffret en Bois, 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,Little Me Bébés Filles Foot.