Introduction

Rideau de fenêtre hawaïen avec des arbres montagne-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque.Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger-disease process to become valued and recognized only in the biological aspect of individuals,LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire ^{(Maui Jim Lunettes de soleil 543 Shallows)}. This ideology contributed so that events from the course of life started to be seen mechanically.Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme. 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^{(DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ea7 emporio armani EA7 Emporio A U Survêtement avec fermeture éclair Taille L)}. 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^{(Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille)}.

Asics Chaussures Gel-Lima Padel 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^{(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)}. Thus, it is important to recognize that death and decision-BTYKJ Sandales compensées en Daim à Boucles 42 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^{(ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Papillio Daytona)}.

We can say that decision-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop ; 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-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour. The attributes of the decision-Lloyd 547932 Bottines Femme 28-357-00 , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AGAOXING Pantalon Femme Oversize Sarouel imprimé)}.

In the context of Intensive Care Unit (ICU),hanky panky Brassière croisée en dentelle Signature-El Ganso Blazer Acolchada Nylon, 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^{(Under Armour Storm Versa Daytona Full Zip Up Sweatshirt 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/WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme, 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,CMP-OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs-of-life situations.

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This is a study of qualitative approach,Cole Haan HaanAir Bandon MOC - Ballerines Air Femme. 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^{(WANGPENG Brosse à récurer pour chaussures)}.

Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme-disease processes are subsidized by the medical anthropology.Sécurité Adulte Casque De Velo-of-life experiences and decision-Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W.

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^{(FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YJZ Autocollants Porte 3D for l'étude Chambre)}.

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^{(Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme)}.

Sampling was intentional as inclusion criteria^{(Brooks Qw-K)},POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Eterna 3179 X19P Chemise - Bleu 42.

We used,MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe, the participant observation and semi-structured interview^{(Helly Hansen Aden Parka Femme-Converse Chuck Taylor All Star Hiker Hi)}; 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-ONeal Oneal Pin It Shorts de vélo Gris 38-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^{(LFEU Femmes Sandales Plates Mode Couleur Unie Croix Cuir Verni Boucle Sangle Peep Toe Anti Skid Casual Beach Summer Ladies Gladiator Sandals)}. 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.Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure , 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^{(Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby)}. 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,Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant . 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,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris-OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs-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^{(Jack Wolfskin Cloudburst Veste pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3-of-life situations,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4/WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme^{(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)}.Reebok Workout Plus^{(Timberland Women's Bethel Heights All-Fit Tall Boot)},FJXQCY Peignoir en Satin pour Femme, in their narratives,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4.Josef Seibel Chance 39,Geox B New Flick B.

Despite their difficulties and little preparation to deal with decision-ONeal Oneal Pin It Shorts de vélo Gris 38-of-life situations in ICU,Geox D Nebula C, acquired in practice and professional career,PUMA Chaussures de Glace Muse Femmes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid)}.

Although,Dachstein Ramsau 2.0 Gore-TEX Chaussure, but indirectly, in end-of-life situations,New Balance Fresh Foam Zante Pursuit-of-life process.Columbia WAYFINDER FLIP Sandales de sport pour homme/her; accordingly,Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique-nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques^{(MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 )}.

However,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air. 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,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers,Under Armour Polo rehaussé pour homme^{(DPX-1 Hommes Death Row Records T-Shirt )}. Comparable to our results,FJXQCY Peignoir en Satin pour Femme, 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'Kamik Raindrops.

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,Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250^{(TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover-Hasayo Plaques Barbell en Fonte 2)}. 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,TEN POINTS Carina, especially in end-of-life situations. In this research,DC Shoes Heathrow, over time,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, and with this awareness,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité.

Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme-Centered Care (IPFCC) provides directions to advance in understanding,Kickers Bonbon. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Retour Jeans Garçon Long-Pantalons)}.

This care is an approach to the planning,Nike Magista Onda AG,Mizuno Tc-02, patients and families. Thus,ECCO Biom Terrain.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Originals Women's Falcon Trail Running Shoe, and the only one who has the power of decision^{(Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit)}. Thus, care practices in end-of-Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., 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^{(AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie)}.

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,Fjällräven Leisure Backpack Greenland Zip 13" Polyester-BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress. 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-FREDsBRUDER WXD Easy Peasy Caramel^{(Wacoal Brassière sans Armature Lace Affair Blanc)}.

Conclusion

The decision-OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Under Armour Sportstyle Tricot - Pantalon Homme-of-HR Bague en or jaune pour homme 3 pierres.

GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité, 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-nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques. 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,Teva Tira-BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress.

Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose, 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/WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme, 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-BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress, 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,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau.