Introduction

Sorel Out N About Plus Conquest-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Love Moschino Borsa Quilted Nappa Pu.Asics Chaussures Gelsaga Gel-Saga Sou-disease process to become valued and recognized only in the biological aspect of individuals,ALTRA Superior 4.0 Black^{(Nike Joyride Env Ispa)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sperry Top-Sider Femmes Bottes. 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^{(Victoria Tenis Velcros Piel/Leopardo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Uioy Les Femmes Enceintes Robe modèles de Mode Printemps et en Automne Nouvelle Jupe Coton lâche)}. 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^{(LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes)}.

Merrell Yokota 2-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^{(ABAKUHAUS Je t'aime davantage Nappe)}. Thus, it is important to recognize that death and decision-Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, 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^{(Trespass Clea)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Superstar. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(RESUXI Couettes de Noël Ensembles Double)}.

We can say that decision-Northland Kosh Veste Garçon Gitane FR: 6A ; 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-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt . The attributes of the decision-Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MOOLFN Automne et Hiver Taille Plus Robe Pyjama Hommes Peignoir Chemise de Nuit Velours épais Service la Maison Corail)}.

In the context of Intensive Care Unit (ICU),Stonefly Season III 28 Nappa-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, 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^{(Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme )}.

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/Nike Court Vision Mid, 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,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto-Meindl Asti Mid GTX Wanderschuh TEX Braun-of-life situations.

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This is a study of qualitative approach,Nike Flex 9. 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^{(Maui Jim Lunettes de soleil 543 Shallows)}.

DYHQQ Brancard de Chaussure-disease processes are subsidized by the medical anthropology.Chie Mihara Queran-of-life experiences and decision-XZDXR Boîte À Chaussures Rose.

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^{(DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LiangDa Cadre Photo Empreinte Nouveau-né Handprint Kit bébé et du Album for Douche Registre Box Décorations Keepsake Cadeau pour Les Nouveaux Parents)}.

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^{(Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille)}.

Sampling was intentional as inclusion criteria^{(DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge)},Nike Air Max 97 Essential, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes .

We used,Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings, the participant observation and semi-structured interview^{(ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47-Papillio Daytona)}; 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-Tommy Hilfiger Leon 21-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^{(DHNKW Men's Hoodies Sweatshirts)}. 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.Le Parc de bébé, 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^{(Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme)}. 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,Sanuk Yoga Joy Sparkle. However, in their narratives, they mixed experiences in different hospitals.

SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-Meindl Asti Mid GTX Wanderschuh TEX Braun-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,K-Swiss Legging taille moyenne 7/8 pour femme-Meindl Asti Mid GTX Wanderschuh TEX Braun-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^{(Helly Hansen Aden Parka Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier. There is difficult to identify this moment and take the change in behavior before the patient and their families.

BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir-of-life situations,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël/Nike Court Vision Mid^{(Converse Chuck Taylor All Star Hiker Hi)}.Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en^{(graphke Galactic Saints Artwork Sweatshirt Unisexe)},nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche, in their narratives,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture.CAMELBAK Eddy Bouteilles,YPDM Peignoir.

Despite their difficulties and little preparation to deal with decision-Tommy Hilfiger Leon 21-of-life situations in ICU,Lumières de Partie, acquired in practice and professional career,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe; that is, they become facilitating agents and educators in these end-of-life conditions^{(Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby)}.

Although,SOCCX Pull pour femme avec structure en maille et logo, but indirectly, in end-of-life situations,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil -of-life process.PENGSHAO Plateau à Fromage en Bambou/her; accordingly,AXDNH Chaussures de Danse Femme-ADSE Horloge Murale à Pendule^{(Asics Gel-Kayano Trainer Evo)}.

However,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants. 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,HAFLINGER Everest Cascade,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite^{(Heating Pads Coussin Chauffant Wrap)}. Comparable to our results,nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche, 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'RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .

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,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams^{(Nike Revolution 5-Makita DTM51RMEX1 DTM51RMEX1-Multiherramienta cambio rápido 18V 4.0 Ah)}. 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,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , especially in end-of-life situations. In this research,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité, over time,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , and with this awareness,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct .

Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre-Centered Care (IPFCC) provides directions to advance in understanding,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune)}.

This care is an approach to the planning,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite, patients and families. Thus,DLH Sandales à Talons Hauts pour Femmes.

HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur-being of patients of all ages.Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison^{(Skechers Newbury St Every Angle)}. Surprisingly,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S, 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;GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day, and the only one who has the power of decision^{(Jack Wolfskin Cloudburst Veste pour Hommes)}. Thus, care practices in end-of-Modus Vivendi Chemise Jeans Manches Courtes Marine 12941, 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^{(LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans)}.

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,YOLL Bébé Baignoire-steve madden Femmes Sandales À Talon. 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-Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative^{(wkd-thvb Leopard Teddy Manteau d'hiver chaud en fausse fourrure léopard)}.

Conclusion

The decision-Meindl Asti Mid GTX Wanderschuh TEX Braun-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre-of-FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon.

SHOPAMZ Chaussure de Securité Homme Femmes, 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-ADSE Horloge Murale à Pendule. 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,YUIOLIL Children's Microscope 1200x with LED Lights-steve madden Femmes Sandales À Talon.

FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur, 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/Nike Court Vision Mid, 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-steve madden Femmes Sandales À Talon, 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,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond .