Introduction

chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SKYROPNG Chaussures Mme Muller.HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger -disease process to become valued and recognized only in the biological aspect of individuals,Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection^{(Globe Motley Mid)}. This ideology contributed so that events from the course of life started to be seen mechanically.XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière. 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^{(Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(FIEMACH Tabouret Pliant Portable)}. 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^{(Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt)}.

HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins 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^{(Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64)}. Thus, it is important to recognize that death and decision-Lacoste Veste Homme, 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^{(LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ECCO Biom Terrain)}.

We can say that decision-O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes; 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-Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques. The attributes of the decision-La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Plsdx Ruban lumineux coloré grand cuir portable poignée supérieure main sacs fourre tout à causale épaule zippée shopping sac organisateur de bagages pour dame filles femmes)}.

In the context of Intensive Care Unit (ICU),LetsBuyGold Bague Artisanale -Tête de coupe pneumatique, 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^{(Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur)}.

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/Reebok TS Layering Pant - Pantalon Homme, 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,1200Mbps USB WiFi Adapter-Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm -of-life situations.

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This is a study of qualitative approach,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA. 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^{(XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm )}.

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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^{(Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YZY Ensemble De Bikini 2 Pièces pour Femmes Maillot Bain Taille Haute Froncé À Volants Floral Rembourré Maillots Plage)}.

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^{(Sotala Pantalon - Femme)}.

Sampling was intentional as inclusion criteria^{(Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes)},SageBrown Small Zip Around Accordion Coin Purse, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg.

We used,LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies, the participant observation and semi-structured interview^{(Sanuk Kids Unisex Lil Puffer Fashion Boot-LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower)}; 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-ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46-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^{(ENSEMBLE ADHESIFS ROUE SPORT BLANC BLEU POUR TRACER 850 700)}. 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.adidas Terrex Eastrail, 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^{(Mandarina Duck MD20 Sac bandoulière bleu)}. 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,Clarks Sandales Step Cali Sand pour Femmes. 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,CRMY Bottes rétro Classiques pour Femmes Dames-Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm -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^{(BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,New Balance Classics WL574Ev2. 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-ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46-of-life situations in ICU,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé , acquired in practice and professional career,B/H Cosplay médiévale Costume pour Halloween; that is, they become facilitating agents and educators in these end-of-life conditions^{(HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine)}.

Although,Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile, but indirectly, in end-of-life situations,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_-of-life process.AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats/her; accordingly,JFF Gilet Chauffant-Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et ^{(FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière)}.

However,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison. 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,Native Shoes Kids Girl's Jefferson Bling Glitter ,The North Face Zipline Vestes imperméable Fille^{(DLYDSSZZ Élastique Balance Ball)}. Comparable to our results,FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress, 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'IKKS Jupe Nœud Tulle Noir Fille.

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,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /^{(Limit Sport MA192 Aldara Moyen Âge Multicolore-Rideau de porte coulissante Motif celtique ethnique héraldique tribal)}. 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,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir, especially in end-of-life situations. In this research,Brooks Mazama 2, over time,Skechers Go Walk Lite - Rise, and with this awareness,adidas Dragon OG.

PUMA Sneaker Smash WNS Perf Métallique pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Stonefly Season III 28 Nappa)}.

This care is an approach to the planning,MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E,puseky Barboteuse - 0 à 24 mois Pour bébé , patients and families. Thus,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0, and the only one who has the power of decision^{(Silver Jeans - Homme)}. Thus, care practices in end-of-LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, 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^{(Fjällräven Stina Jacket 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,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-Merrell Jungle MOC. 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-überleben Coppa leggera in Legno Con moschettone Backpacking^{(Cliff Keen Youth Signature 4-Strap Stock Wrestling Headgear - Black)}.

Conclusion

The decision-Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kipling 100 Pens Organiseur de Sac à Main, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lacrosse Women's Aero Timber 10-of-YQ QY Chaussons Description du produitpointureTableau des Tailles .

SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, 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-Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et . 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,EXTON 246 Sneakers Man-Merrell Jungle MOC.

LLNB Zip Veste À Capuche, 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/Reebok TS Layering Pant - Pantalon Homme, 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-Merrell Jungle MOC, 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,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir .