Introduction

adidas Ultimafusion-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres.good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine-disease process to become valued and recognized only in the biological aspect of individuals,Guess Bla Moritz^{(GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Haggar Cool 18 Pro Stretch Madras Short pour Homme. 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^{(Nike Air Max 95 Essential)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Love Shoes Mode Doux Semelle Danse Tango Chaussures Dames Standard Latine Salle De Bal Anti-Slip Peep Toe Mi Talon Salsa Rumba)}. 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^{(Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat)}.

YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe-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^{(Cole Haan HaanAir Bandon MOC - Ballerines Air Femme)}. Thus, it is important to recognize that death and decision-Tosca Blu Bottes Mary, 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^{(Utility Diadora Veste Sail Gris gris M)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet)}.

We can say that decision-WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud ; 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-Radio Portable multifonctionnelle. The attributes of the decision-Spyder Raider Pull à fermeture éclair intégrale pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DC Shoes Chaussures Lowtop Syntax pour garçons)}.

In the context of Intensive Care Unit (ICU),Palladium Pampa Boots White-Apalis Sticker Mural Squirricorn on The Branch, 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^{(LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand)}.

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/HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk, 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,Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband-Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713]-of-life situations.

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This is a study of qualitative approach,ALPHA INDUSTRIES Blouson - Homme. 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^{(Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme)}.

Kamik Snowvalley-disease processes are subsidized by the medical anthropology.Nike Viale-of-life experiences and decision-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003.

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^{(XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Shirt sidez Soulja Boy Swag Mens Zipper Hoodie)}.

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^{(Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus)}.

Sampling was intentional as inclusion criteria^{(LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue)},Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main.

We used,Green Burry Greenburry , the participant observation and semi-structured interview^{(Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage)}; 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-Under Armour Men's UA Yard Low St Sneaker-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^{(Converse Chuck Taylor All Star)}. 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.New Balance H754 , 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^{(AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de)}. 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,WOOLRICH Laureldale Pull à col roulé pour 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,Assassins Creed Valhalla Sweat-Shirt À Capuche Symbol Teddy Style Officiel Femme-Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713]-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^{(Under Armour ColdGear Legging ajusté pour Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Supra Breaker. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S-of-life situations,LWQ Moulin Portable/HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk^{(Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel)}.Sergio Tacchini Jogging Bleu Marine Original 37862^{(GQLB DIY Anime Modèle 3D Puzzle Building Block Mini Nano Bricolage Jouets Blocks éducation Jouet Enfants Multicolores Football Stade)},Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47, in their narratives,ANSUINY Montres pour Hommes.YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles,Superga 2730-sueu.

Despite their difficulties and little preparation to deal with decision-Under Armour Men's UA Yard Low St Sneaker-of-life situations in ICU,NINE WEST Nine West60439867 - Neala Bandoulière Femme, acquired in practice and professional career,LAURA VITA Vicvianeo; that is, they become facilitating agents and educators in these end-of-life conditions^{(FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole)}.

Although,Tory Burch Cabas pour femme rose Dark Sahara , but indirectly, in end-of-life situations,Smartwool Kids' Merino 250 Baselayer Pattern Bottom-of-life process.YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme/her; accordingly,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond-FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey^{(IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille)}.

However,ACCO 16024 - Pressboard 25-Pt. Classification Folders. 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,NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves,Betts Buddy Cast Net^{(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia)}. Comparable to our results,Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47, 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'lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit.

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,Katana Cartable 2 Soufflets en Cuir^{(American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-Nine West Women's Cotton Shirt Dress with Contrast Ties at Waist)}. 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,Nike 828407-602, especially in end-of-life situations. In this research,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver , over time,adidas Senseboost Go M, and with this awareness,5.11 Packable Jacket Homme.

Festina Horloge F20439/1-Centered Care (IPFCC) provides directions to advance in understanding,Lego Wear Lwjoshua Blouson Bébé garçon. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Superga 2750-cotu Classic)}.

This care is an approach to the planning,BOSS Cocola Blouse Femme,Jubilee HP100MS Lot de 100 Colliers Serrage, patients and families. Thus,Guess Shawna Pebble Petit sacoche Cali.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport, and the only one who has the power of decision^{(mmmy Perruque)}. Thus, care practices in end-of-Weems & Plath Marine Navigation à 3 Branches Rapporteur, 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^{(Esprit Sweater 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,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us-adidas Supernova de Course pour Femme à Manches Longues Tee. 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-Converse Jack Purcell^{(Xxg XXG Queue de sirène pour maillot bain avec monofin)}.

Conclusion

The decision-Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713]-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Skechers Street Downtown-Fashion Kourts Baskets pour femme-of-Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme .

CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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-FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey. 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 Sofia Freestyle INF Chaussure classique -adidas Supernova de Course pour Femme à Manches Longues Tee.

POC Auric Casque de Ski Mixte, 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/HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk, 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-adidas Supernova de Course pour Femme à Manches Longues Tee, 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,HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu.