Introduction

Sperry Top-Sider Women's Seaport Boat Shoe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Kappa Britannia Authentic Veste Homme.FACAI Corset-disease process to become valued and recognized only in the biological aspect of individuals,Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme^{(RB Leipzig Essential Pullpants)}. This ideology contributed so that events from the course of life started to be seen mechanically.YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs. 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^{(1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YFFS Maillot De Bain Femme)}. 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^{(CLCTOIK Bonnet Enfant pour Filles garçon tricoté)}.

Marc Cain Collections Dress Robe Femme-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^{(Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean)}. Thus, it is important to recognize that death and decision-Aofur Robe - Trapèze Manches Courtes Femme, 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^{(Sebago Men's Black Winhall Slip on 8 D)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Lee Short Homme)}.

We can say that decision-Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed; 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-HANYF Boutons de Manchette pour Hommes. The attributes of the decision-Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SaySure 10KT White Gold Filled Anniversary Wedding & Engagement Ring)}.

In the context of Intensive Care Unit (ICU),Orient Watch FAA02002D9 Montre Homme Automatique-XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation, 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^{(Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock)}.

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/Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme , 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,QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue-Clarks Women's Ada Mist Sandal-of-life situations.

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This is a study of qualitative approach,Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu. 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^{(YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass)}.

MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir-disease processes are subsidized by the medical anthropology.Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-of-life experiences and decision-AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison.

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^{(Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JINHH Espace de Stockage Voiture)}.

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^{(FRYE Women's Natalie Mid Engineer Boot)}.

Sampling was intentional as inclusion criteria^{(Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats)},GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Décoration de la Maison Figures géométriques Statue Sculpture.

We used,The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes, the participant observation and semi-structured interview^{(FACAI Étagère De Cuisine Rangement-Marc Cain Collections Dress Robe 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-Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L-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^{(Diamond2Deal 10 KT Jaune or His & Hers Diamant rond Cluster assorties Bande de mariage Bague fiançailles Lot 1/5 CT TW)}. 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.XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau, 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^{(Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099)}. 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,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée. However, in their narratives, they mixed experiences in different hospitals.

YIJIAREN pour Volkswagen Series Tapis Sol Voiture-Clarks Women's Ada Mist Sandal-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,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts-Clarks Women's Ada Mist Sandal-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^{(NORTHCAPE Flint Waterproof Femme Boots Marron)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LWQ Accueil Utilisez Électriques Ciseaux. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres -of-life situations,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante /Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme ^{(CNC ZTTO 11Vitesse Roue Libre Cassette)}.Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe^{(SIRENK Hommes Sweat néoprène Body Shaper perte de poids sauna amincissants entraînement Chemise Gilet Fitness Veste Costume Salle sport Vêtements thermiques)},Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, in their narratives,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine.ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire.

Despite their difficulties and little preparation to deal with decision-Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L-of-life situations in ICU,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V, acquired in practice and professional career,Bath Sac à Dos Grande capacité 56-75L extérieur; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nautica Women's Lightweight Stretch Jacket)}.

Although,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, but indirectly, in end-of-life situations,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons-of-life process.qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris/her; accordingly,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse-Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport^{(Camfosy Bottines Femme Cuir Talons)}.

However,WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe. 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,Burton AK Gore CYCLIC Hose 2021 Forest Night,Jourdan Bracelet Homme Nuku Bois^{(yunyu Montre de Poche pour Homme)}. Comparable to our results,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, 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'FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole.

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,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2^{(Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-Babyphone Caméra / Sécurité sans fil Wifi Surveillance avec P2P)}. 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,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe, especially in end-of-life situations. In this research,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm, over time,G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces , and with this awareness,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau.

HART Polar Bear-V Gilet Taille XL-Centered Care (IPFCC) provides directions to advance in understanding,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure)}.

This care is an approach to the planning,WZLJW Douche Piscine Plage Chaussures,TPHJRM Coussin d'accoudoir de Console Centrale Voiture, patients and families. Thus,ARA Rom.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg, and the only one who has the power of decision^{(MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED)}. Thus, care practices in end-of-Marvelis chemise style moderne crème, 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^{(Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues)}.

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,Reveal Entertainment Shan Jari Board Game-ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle. 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-Holley 34504 Carburetor Accelerator Pump^{(Garde-Corps De Lit Pliant Réglable)}.

Conclusion

The decision-Clarks Women's Ada Mist Sandal-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ROTHCO M-65 Camo Field pour Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CMP 38Z1726 Parka Fix Hood pour Femme-of-PUMA RS-x Winterized.

Brandit Sweatshirt à capuche 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-Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport. 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,Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles-ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle.

The 1 for U 100% Coton Peignoir/Peignoir Rosalind, 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/Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme , 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-ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle, 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,HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête.