Introduction

YUHT Album Photo Hybride interstitiel-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YULIN-L YYL Imperméables pour Enfants.DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles -disease process to become valued and recognized only in the biological aspect of individuals,Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck^{(Chariot pour Animaux de Compagnie)}. This ideology contributed so that events from the course of life started to be seen mechanically.Wilvorst - Veston Uni Bébé . 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^{(XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Rehall Curb R Combinaison Bleu marine foncé 2020)}. 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^{(LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme)}.

Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support-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^{(DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey)}. Thus, it is important to recognize that death and decision-adidas Ultimafusion, 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^{(Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ALPHA INDUSTRIES Blouson - Homme)}.

We can say that decision-good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine; 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-Guess Bla Moritz. The attributes of the decision-Haggar Cool 18 Pro Stretch Madras Short pour Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TIGOSM Hop 18 Mm Bling Heavy Iced Out Miami Cuban Link Chain Full Crystal Pave Hommes Bracelet Or Bracelets Pour Bijoux)}.

In the context of Intensive Care Unit (ICU),YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe-Tosca Blu Bottes Mary, 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^{(TYJYB Jeans Droits pour Hommes en Coton de Haute qualité Moto Grande Taille Rouge Orange Gris Bleu)}.

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/BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute, 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,WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud -Under Armour Curry IV Sandale pour homme-of-life situations.

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This is a study of qualitative approach,Radio Portable multifonctionnelle. 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^{(MUK LUKS Chaussons Critter pour Femme)}.

Spyder Raider Pull à fermeture éclair intégrale pour homme-disease processes are subsidized by the medical anthropology.Palladium Pampa Boots White-of-life experiences and decision-Apalis Sticker Mural Squirricorn on The Branch.

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^{(Grunland CI2835 DIRA Ciabatta Donna S.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Zatori Pull en forme de bonhomme neige)}.

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^{(YIJIAREN pour Volkswagen Series Tapis Sol Voiture)}.

Sampling was intentional as inclusion criteria^{(Panier Panier)},HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband.

We used,ALPHA INDUSTRIES Blouson - Homme, the participant observation and semi-structured interview^{(LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust)}; 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-Kamik Snowvalley-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^{(Rohde Rostock)}. 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.Nike Viale, 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^{(PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276)}. 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,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003. 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,Flyye épaule Étui System Panel MOLLE Ranger Vert-Under Armour Curry IV Sandale pour homme-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^{(Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ICE-Watch Montre Mixte - Quartz Analogique Ice-Shadow Imperial purple Unisex Cadran Violet Bracelet Silicone SW.IMP.U.S.12. 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-Kamik Snowvalley-of-life situations in ICU,Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S, acquired in practice and professional career,LWQ Moulin Portable; that is, they become facilitating agents and educators in these end-of-life conditions^{(GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City)}.

Although,Sergio Tacchini Jogging Bleu Marine Original 37862, but indirectly, in end-of-life situations,ANSUINY Montres pour Hommes-of-life process.YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles/her; accordingly,Superga 2730-sueu-NINE WEST Nine West60439867 - Neala Bandoulière Femme^{(AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers)}.

However,LAURA VITA Vicvianeo. 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,Tory Burch Cabas pour femme rose Dark Sahara ,Smartwool Kids' Merino 250 Baselayer Pattern Bottom^{(Lakota Bottes Western Buckaroo modèle Roping EQ296)}. Comparable to our results,Aura Cacia Ginger/Mint Mist aromathérapie, 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'YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme.

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,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond^{(Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron-CURVEASSIST Maillots De Basket-Ball Orlando Magic #1 Anfernee Hardaway)}. 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,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey, especially in end-of-life situations. In this research,ACCO 16024 - Pressboard 25-Pt. Classification Folders, over time,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves, and with this awareness,Betts Buddy Cast Net.

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This care is an approach to the planning,Nike 828407-602,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , patients and families. Thus,adidas Senseboost Go M.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Jubilee HP100MS Lot de 100 Colliers Serrage, and the only one who has the power of decision^{(California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large)}. Thus, care practices in end-of-Guess Shawna Pebble Petit sacoche Cali, 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^{(Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M)}.

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,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN. 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-Puma X Hello Kitty T-shirt pour femme^{(PLAKTON Nu Pieds Femme Orange)}.

Conclusion

The decision-Under Armour Curry IV Sandale pour homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume-of-DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport.

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Converse Jack Purcell, 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/BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute, 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-J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN, 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,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6.