Introduction

Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,e.s.motion Engelbert Strauss.FB Fashion Boots C3099-disease process to become valued and recognized only in the biological aspect of individuals,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz^{(Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Munchen Bakset Mode 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^{(WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Mieuid Homme Pantalon De des Sarouel s Chic Lin avec Cordon Serrage Poches Couleur Unie)}. 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^{(WTFYSYN Chaussures diabétiques à Pantoufle Extra Large)}.

Disney Bandoulière Mickey The Blogger-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^{(XSENSIBLE Wembley Dark Blue Metallic )}. Thus, it is important to recognize that death and decision-MO JOC Boots Chelsea 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^{(JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Clarks Sharon Noel. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes)}.

We can say that decision-Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles; 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-Saucony Cohesion 12 Men. The attributes of the decision-Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mieuid Homme Pantalons pour Automne s Pantalon Printemps Ethno Chic Élégant Casual Lâche en Lin avec Poches Latérales)}.

In the context of Intensive Care Unit (ICU),Cherokee Haut coloré coupe enveloppée CK608-adidas Originals Ozweego, 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^{(Mam'zelle Chaussures NAELI)}.

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/Champion 112418 F19 KK001 NBK Jogger Femme Noir, 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,YUHEN LED Chaussures-JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux-of-life situations.

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This is a study of qualitative approach,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette. 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^{(WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44)}.

Kanna Shoes Sandalia CUÑA Basket Kaki-disease processes are subsidized by the medical anthropology.Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille-of-life experiences and decision-Asics Gel-Sonoma 4 G-TX 1011a210-001.

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^{(Cult Sabbayh 3136 Low Leather #black CLE104310)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CWM Bottes de Randonnée Hommes Tactiques Militaires Combat Chaussures Trekking extérieures Respirantes Antidérapant)}.

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^{(Ana Silver Co. Garnet)}.

Sampling was intentional as inclusion criteria^{(WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L)},arena WPWSK Carbon Maillots de bain Femme , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental.

We used,Waldläufer Mocassins pour Femme Beige Cement Stein Silber, the participant observation and semi-structured interview^{(LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -Mephisto Rainbow Chestnut Mens Shoes)}; 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-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-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^{(GPWDSN Chaussures Portable Couvercle du Distributeur)}. 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.Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, 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^{(One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose )}. 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,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe. 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,Domopak Living Sac à Chaussures 12 Compartiments-JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux-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^{(AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NYLY Sac à Dos Harry P. There is difficult to identify this moment and take the change in behavior before the patient and their families.

N\P Sweat à capuche manches longues pour femme Automne et Hiver-of-life situations,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé/Champion 112418 F19 KK001 NBK Jogger Femme Noir^{(Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19)}.Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black^{(smzzz Amélioration de l'habitat Remontage Automatique Montre Remontoir Batterie Rocker Box Double Montres Rotation Stockage 2 Epitope Winding)},YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe, in their narratives,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme.DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision .

Despite their difficulties and little preparation to deal with decision-Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-of-life situations in ICU,CLII Automobile Instrument de Diagnostic pannes, acquired in practice and professional career,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison ; that is, they become facilitating agents and educators in these end-of-life conditions^{(FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby)}.

Although,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print, but indirectly, in end-of-life situations,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon-of-life process.CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier/her; accordingly,Y-Volution Y-volution - draisienne yvelo air Bleu-Multiple colors New ballet LED table lamp 7 color touch 3d night light^{(Mizuno Premier Pro G2 Pantalon de Baseball pour Jeunes)}.

However,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D. 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,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable,Matelas d'air de Voiture Gonflable prolongé siège arrière^{(1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN)}. Comparable to our results,YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe, 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'Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S.

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,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière^{(DGHJK Haut-Parleur Bluetooth Gramophone-Uglyfrog 2020 Nouveau Hiver Vêtements de Cyclisme Thermique Polaires Sports Plein air Hommes vélo Maillot à Manches Longues vélos DSRET02)}. 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,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas, especially in end-of-life situations. In this research,BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte, over time,MNSSRN-MM Baskets En Maille D'automne, and with this awareness,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot.

Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode -Centered Care (IPFCC) provides directions to advance in understanding,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FLOTO Ciabatta Italian Leather Briefcase Attache )}.

This care is an approach to the planning,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou,L.Z.HHZL Chaussures d'affaires pour Hommes, patients and families. Thus,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez.

Générique Randonnée Essentielle équipage Moyen-being of patients of all ages.LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces,Clarks Men's Weaver Moccasin^{(DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and)}. Surprisingly,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Vince Camuto Femmes Sandales À Talon, and the only one who has the power of decision^{(KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne)}. Thus, care practices in end-of-Love Moschino BORSA QUILTED NAPPA PU, 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^{(Trespass Qikpac Female Jacket Vestes coupe-pluie 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,Craghoppers Pantalon Anti-Moustique Clair - Femme-lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière. 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-adidas pour Homme Athletics Team problème Bomber^{(FMOGE Bâtons de Marche en Bois Dur avec poignée Derby Phoenix Style Marcheur antidérapant aidant Unisexe Canne Palissandre Cadeau Noble abordable)}.

Conclusion

The decision-JSYHXYK Collier Bowknot Pendentif Femmes Chaîne d'eau Bavoir Or Jaune Rempli Nain Bijoux-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Catimini Gilet Bébé Fille-of-Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir.

Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, 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-Multiple colors New ballet LED table lamp 7 color touch 3d night light. 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,Guess FLOP24 FAM10 Bottes Femmes-lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière.

Timberland Bradstreet Chukka Molded, 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/Champion 112418 F19 KK001 NBK Jogger Femme Noir, 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-lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière, 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,Morgan Trench GINGER Beige T36 Femme.