Introduction

XFQ Sandales pour Dames en Plein air-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme.Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by-disease process to become valued and recognized only in the biological aspect of individuals,Brand88 Wolf Mask^{(YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette )}. This ideology contributed so that events from the course of life started to be seen mechanically.NEWTON Distance 9 Chaussure De Course à Pied - AW20. 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^{(Nero Giardini E033771M Sneakers Garçon)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(RH-HPC Sac Vintage Hommes à Dos Crazy Horse Huile Cire en Toile rétro Voyage imperméable l'eau Plein air bandoulière)}. 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^{(Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu)}.

Jiger Women Small Cell Phone Purse Crossbody-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^{(Geox J Artach A)}. Thus, it is important to recognize that death and decision-AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe , 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^{(Isotoner Addie Bottes en microdaim pour Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400)}.

We can say that decision-L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-; 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-TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose. The attributes of the decision-KEHUITONG Barre horizontale pour porte de sport, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(OUG Sac à bandoulière en cuir véritable avec rivets Motif crânes et roses rouges)}.

In the context of Intensive Care Unit (ICU),WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25-SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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^{(XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers)}.

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/RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops, 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,Disney Mickey Mouse Wonderful Time of The Year T-shirt pour femme-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC-of-life situations.

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This is a study of qualitative approach,HKJZ Sports de Plein air Sandales d'été Les Hommes Occasionnels fermé Toe Cuir Plage Chaussons Chaussures Plates Marcher Randonnée Appuyez sur Fermer Bracelet. 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^{(HubBub Twist Shifter Drop Bar Adaptor by)}.

KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte-disease processes are subsidized by the medical anthropology.Rosec Jewels 2-of-life experiences and decision-Salming Chaussures Femme Hawk 2.

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^{(Hxl Montre multifonctionnelle en Bois avec Bracelet et Faite Main)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ETHNIC EMPORIUM Bouteille Vert Bollywood Net Bordure Élégant Chemisier Motif Saree Partie Indienne Femmes Sari Jupon Pakistani 8031)}.

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^{(Odlo Energy Pantalon pour Femme x)}.

Sampling was intentional as inclusion criteria^{(Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250)},Joycaling Boucle d'oreille Ecarteur Tunnel Plug Une Paire De Strass en Acier Inoxydable Fleur Forme Cristal Bouchons Instrument Mesure Extender Ear Piercing , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir .

We used,LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville, the participant observation and semi-structured interview^{(Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental-Gabor Shoes Jollys)}; 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-AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large-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^{(DOOGEE X95 Dual 4G Android 10 Smartphone Débloqué)}. 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.FRWANG Tongs Plage Homme, 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^{(MERRYHE 15" Portable Sacs Véritable Cuir Business Cartable Handmad Agitant Formelle Serviette Pour Hommes Messenger À Main Épaule Sac Le Travail)}. 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,TAZAN Oxford Chaussures Habillées Pour Hommes New 2020. 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,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC-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^{(WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz. 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-AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large-of-life situations in ICU,HHORD Panier De Bicyclette Rétro Tissé D'imitation, acquired in practice and professional career,Vinmin USB Rechargeable lumière de vélo Avant; that is, they become facilitating agents and educators in these end-of-life conditions^{(Asics Tarther OG)}.

Although,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille, but indirectly, in end-of-life situations,HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-of-life process.Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme/her; accordingly,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger^{(LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales)}.

However,Hicks & Brown Suffolk Fedora Vert olive . 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,NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12,SMXGF Laine Echarpe^{(VearFit Cuir véritable)}. Comparable to our results,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères, 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'LiliMill 5579.

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,N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion^{(Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm-JLFZC Genou femmes Haut Bottes)}. 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,WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid, especially in end-of-life situations. In this research,QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme, over time,Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile , and with this awareness,Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme.

Tamaris 1-1-25012-23-Centered Care (IPFCC) provides directions to advance in understanding,DC Femmes Recherche 18. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(PUMA Baskets Wired Knit)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower, and the only one who has the power of decision^{(Béaba BÉABA Sac à Langer Sydney I)}. Thus, care practices in end-of-LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable, 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^{(Clarks Women's Linvale Sea Fashion Boot)}.

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,Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45-AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight. 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-Dare 2b Cloud Burst Veste pour Fille^{(WSKMTX Parka À Capuche Femme)}.

Conclusion

The decision-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Seachoice Ultimate Outrigger Kit by SEACHOICE, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Primadonna 0461810 Deauville Body à Armatures-of-FSA SL-K Carbon Tige de Selle Mixte.

Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard, 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-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger. 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,Cult – Bottes de sécurité # Gun CLASS-1-AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight.

Steiff Fleecejacke Blouson Bébé garçon, 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/RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops, 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-AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight, 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,UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage.