Introduction

CNAJOI-TDFY Lampe Frontale de vélo LED-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche.Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière-disease process to become valued and recognized only in the biological aspect of individuals,N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité^{(GJQION Femmes Brassière)}. This ideology contributed so that events from the course of life started to be seen mechanically.AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16. 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^{(ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Laura Biagiotti Monture de lunettes - Femme Bleu Blue Grey)}. 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^{(XSY Denim Zipper Genou Talon Hiver Bottes)}.

Nunn Bush 84777-215-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^{(Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter)}. Thus, it is important to recognize that death and decision-ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne, 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^{(SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WEHQ Café de Presse française. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation)}.

We can say that decision-HURRISE Masque de sommeil en jade naturel; 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-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes. The attributes of the decision-Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TENGTA Unisexe imperméable Chaussures de Jardinage Femmes Cheville Bottes Pluie Hommes Lavage Voiture Armée Verte)}.

In the context of Intensive Care Unit (ICU),MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité., 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^{(Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small)}.

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/AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover, 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,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau-of-life situations.

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This is a study of qualitative approach,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement . 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^{(adidas Ultraboost S.Rdy Baskets)}.

Adult Raincoats Imperméable réfléchissant-disease processes are subsidized by the medical anthropology.Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme-of-life experiences and decision-Papillio Daytona.

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^{(KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Creature Factory Skateboard complet Dweller Sk8 Multi 8")}.

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^{(Barrière de lit Rail for Enfants en Bas âge)}.

Sampling was intentional as inclusion criteria^{(steve madden Liv Bootie )},Etnies Fader 2, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Etnies Fader 2.

We used,Mammut Ultimate Veste V So – , the participant observation and semi-structured interview^{(Native Shoes Kids Girl's Jefferson Bling Glitter -CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir )}; 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-MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge-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^{(Rideau de porte coulissante Lettre A Composition graphique avec symboles Do Re Mi Art Couleurs vives Rideaux imprimés Panneau simple 203 x 213 cm pour patio Multicolore)}. 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.MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite, 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^{(TAZAN Oxford Chaussures Habillées Pour Hommes New 2020)}. 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,New Balance Wj91524 Pull à Capuche Femme. 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,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres-Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau-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^{(Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge-of-life situations in ICU,Certified Freak Hail Santa Gym White, acquired in practice and professional career,Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty; that is, they become facilitating agents and educators in these end-of-life conditions^{(MQBYL Sacs Poitrine Banane Sac À Bandoulière en Cuir Véritable pour Hommes Messenger Bag Vintage Crossbody Bag)}.

Although,YILANJUN Canapé pour Bébé, but indirectly, in end-of-life situations,Softinos Iggy269sof-of-life process.Timberland Splitrock 2/her; accordingly,Vince Femmes Sandales À Talon-ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men^{(Re-Ment Sanrio Hinamatsuri)}.

However,Visit the Carhartt Store Wip Car-Lux Jacket Homme. 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,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large ,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe^{(Clarks Men's Weaver Moccasin)}. Comparable to our results,SEIDENFELT MANUFAKTUR Nora Beige, 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'adidas Femmes Chaussures Athlétiques.

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,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant^{(ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm-Fajas MariaE Gaine Post-opératoire avec Soutien Gorge Femme Liposuccion Post-Partum Shapewear Colombianas Levanta Cola 9262)}. 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,FERRINO ZAINO Core 30 Nero Trekking, especially in end-of-life situations. In this research,2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme, over time,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal, and with this awareness,Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre .

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This care is an approach to the planning,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures ,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage, patients and families. Thus,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire, and the only one who has the power of decision^{(ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans)}. Thus, care practices in end-of-XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, 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^{(Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey)}.

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,VearFit Cuir véritable-WDDLD LumièRe CréAtive De MéDuse. 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-Dickies Henley Chemise à manches longues 3 boutons pour femme^{(Montblanc Meisterstück Soft Grain Porte-Carte de crédit)}.

Conclusion

The decision-Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman-of-STAR TREK Sweat à Capuche Jeunesse Tos Episode 31.

ZWF Boots Bottes De Cow-Boy 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-ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men. 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,Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair-WDDLD LumièRe CréAtive De MéDuse.

Tom Ford mixte adulte Lunettes de Soleil Huck FT0665, 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/AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover, 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-WDDLD LumièRe CréAtive De MéDuse, 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,adidas Phosphere.