Introduction

teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Filet de Camouflage De for La Chasse Tournage Pêche .NO LOGO X-Baofu-disease process to become valued and recognized only in the biological aspect of individuals,Smartwool PhD Lumière extérieure Micro^{(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure)}. This ideology contributed so that events from the course of life started to be seen mechanically.alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes. 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^{(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WXH SLL- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Garder au Chaud)}. 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^{(Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans)}.

Filet de sécurité pour enfants-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^{(adidas JB A AAC Ft Pt Pantalon Fille)}. Thus, it is important to recognize that death and decision-CHENDX Chaussures, 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^{(Head Ultimate Power 2020 Raquette de padel Verte)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Think! Comoda_3-000089. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm)}.

We can say that decision-Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B; 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-One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir . The attributes of the decision-Jouailla Bracelet PERLAS LATINAS perles de verre rouge, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JSGJHXF Combinaison de Ski JSGJHXFGsou Snow Jacket Pantalon De en Plein Air Snowboard Ensemble pour Les Femmes Randonnée Ou Camping Vêtements Haute Qualité Femme Suit)}.

In the context of Intensive Care Unit (ICU),One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose -Jouailla Bracelet médaille motif pieds émail rose et argent 925/1000 rhodié , 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^{(Pleaser Flamingo 1050FS Bottines à talons hauts)}.

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/Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, 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,Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune-Under Armour Essential-of-life situations.

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This is a study of qualitative approach,CM Sandale Talon carré Femme Fashion 9CM Sangle Ajustable Chaussure Noire Tendance Mode France. 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^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes)}.

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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^{(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MISLD Région Velvet Coral Tapis de Jeu Crawling Nursery bébé Tout-Petits Enfants Chambre d'enfant)}.

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^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}.

Sampling was intentional as inclusion criteria^{(GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette)},HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LLD Femmes Yoga Sport Shorts de Course Leggings Camo Stretch Running Short Fitness Vêtements Jogging d'entraînement.

We used,LeeAX Chaussures De Sécurité Anti-Crevaison Travail Indestructibles À Bout en Acier Antidérapant Plein Air Respirantes pour Hommes, the participant observation and semi-structured interview^{(SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements-mys Scarpe PersonalizzateOriginal )}; 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-XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet-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^{(LUOYLYM À Manches Longues Casual 2020 Hiver Nouveau Lambsweater Hommes Et Femmes Veste Pull Capuche Lâche Plus Épaississement De Velours)}. 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.Orchid Jewelry Naturel Améthyste, 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^{(George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over)}. 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,KHSKX Planche à roulettes de Sport. 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,CCM Super Tacks AS1 Skate Men-Under Armour Essential-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^{(Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ABAKUHAUS Ethnique Oreiller Cervical de Voyage-of-life situations,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues/Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage^{(ALTRA Escalante 2.0 Black)}.Générique Racecraft Lunettes Mixte^{(Veilleuse pour enfant)},Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, in their narratives,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc.WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs .

Despite their difficulties and little preparation to deal with decision-XUHRA Montre De Poche Vintage Bronze Cadran Rond Quartz Classique Petit Échelle Romaine Et Bracelet-of-life situations in ICU,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, acquired in practice and professional career,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture; that is, they become facilitating agents and educators in these end-of-life conditions^{(Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal)}.

Although,Pepsi Welcomes The World Women's Hooded Sweatshirt, but indirectly, in end-of-life situations,Jost Bergen X-Change -of-life process.Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA/her; accordingly,Rösle 25356 de pellets de Bois Hickory 9 kg Sac-APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement^{(Cofra V415-0-04.Z52 Tecka Veste Softshell )}.

However,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme. 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,emanuel ungaro Ungaro - Ceinture en cuir pour homme,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme^{(SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation)}. Comparable to our results,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, 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'adidas Pred Gl LGE Gants de Foot Mixte.

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,BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids^{(LIUCHANG Trotteur-NIEWEI-YI Shorts d'Été de Femmes Sports Yoga d'Entraînement à la Plage Pantalons Courts Course Pied Gymnastique pour Exercice Danse Beer)}. 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,Charmance Pantalon Taille élastiquée, especially in end-of-life situations. In this research,Charmance Pull à Torsades - Femme, over time,XiuLi Pantalon Thermo Chaud pour Femmes, and with this awareness,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton.

TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-Centered Care (IPFCC) provides directions to advance in understanding,ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Roxy Femme ARJX403329 Bas de Bikini)}.

This care is an approach to the planning,Craft Pro Dry Nanoweight Short Sleeve Maillots Femme,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag, patients and families. Thus,Filet de protection Sécurité Maille De for Enfants.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe, and the only one who has the power of decision^{(Maier Sports Oberjoch Pantalon Fonctionnel pour Homme)}. Thus, care practices in end-of-Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping, 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^{(Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne)}.

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,NIEWEI-YI Sweatshirts Unisexe-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales. 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-Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt^{(YATTYUG Women's Hoodies Tops)}.

Conclusion

The decision-Under Armour Essential-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CLJ Lunettes de Lecture pour Hommes-of-VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes..

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EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15, 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/Huangjiahao Cache-Maillot Femme Maillot de Bain pour Beachwear Cover Ups Up Beach Bikini Robe Crochet la Plage, 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-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des .