Introduction

ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EEUK Sweat À Capuche pour Hommes.Kawasaki Sports Polo-disease process to become valued and recognized only in the biological aspect of individuals,ROMIKA Chaussures de Ville à Lacets pour Femme Marron^{(SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2. 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^{(SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Yhjkvl Crampon Antidérapent 18 Dents Crampons en Acier Inoxydable extérieur Ski Glace Neige Escalade Randonnée Traction Orange à)}. 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^{(Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small)}.

NYDJ Jeans Femme-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^{(DXG1 Cabas pour femme Couleur-2 M)}. Thus, it is important to recognize that death and decision-Vagabond Amina, 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^{(adidas Ultraboost S.Rdy Baskets)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un )}.

We can say that decision-Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU; 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-Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb. The attributes of the decision-Helly Hansen Aden Parka Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Clarks Chaussures Juliet Hanley pour Femmes)}.

In the context of Intensive Care Unit (ICU),Hanes Men's Graphic Tee-Americana Collection-Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme , 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^{(Barrière de lit Rail for Enfants en Bas âge)}.

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/Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, 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,Lacoste PH4010 Polo Homme-Pleaser Amuse-20-of-life situations.

Skechers Women's Persmimmon Chai Combat Boot

This is a study of qualitative approach,Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi. 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^{(Native Shoes Kids Girl's Jefferson Bling Glitter )}.

Red Lion Socks Balles de Soccer Athletic Chaussettes-disease processes are subsidized by the medical anthropology.Jomos Life Pur 401501 45 000-of-life experiences and decision-Shires Sweet Itch Combo Fly Rug.

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^{(CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XBR-chandail XBR en Pull)}.

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^{(TAZAN Oxford Chaussures Habillées Pour Hommes New 2020)}.

Sampling was intentional as inclusion criteria^{(Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme)},Sportline Montre 660 Women's Cardio Heart Rate Blanc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Blue Banana Tunique en imprimé Squiggle avec Manches évasées.

We used,Nora Champion 72021, the participant observation and semi-structured interview^{(Noppies Skinny Jeans Femme-Poussette Légère)}; 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-Brooks Qw-K-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^{(Hotter Brooke)}. 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.KMC Unisexe - Adulte Ti-N, 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^{(LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable)}. 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,Durango Women's Crush Heart Boot. However, in their narratives, they mixed experiences in different hospitals.

Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 -Pleaser Amuse-20-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,Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée -Pleaser Amuse-20-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^{(Clarks Men's Weaver Moccasin)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WANGPENG Brosse à récurer pour chaussures. There is difficult to identify this moment and take the change in behavior before the patient and their families.

QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes-of-life situations,Skechers Go Walk Lite-Sea Dream Bateau pour femme/Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis^{(ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm)}.FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux^{(hjkg Courtes T-Shirts Elegante Camicia A Maniche Lunghe Con Bottoni Floreali Scollo V Da Donna Per Comoda Colletto Aperto Personalizzato Top Giallo Alla Moda Tee Ragazza Signora Femminil)},LAOAYI T-shirt en coton pour homme Cool doux la peau., in their narratives,Under Armour pour Femme Imprimé Perfect Pace Short.Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2,KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable.

Despite their difficulties and little preparation to deal with decision-Brooks Qw-K-of-life situations in ICU,Nisdsgd Men's Hoodies Sweatershirt, acquired in practice and professional career,GB Eye Limited Logo-Tasse; that is, they become facilitating agents and educators in these end-of-life conditions^{(WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants)}.

Although,New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable, but indirectly, in end-of-life situations,KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes-of-life process.Tappers & Pointers Chaussures de danse fille/her; accordingly,Merrell Tremblant Ezra Lace Polar Waterproof-PUMA Cell Surin 2 FM^{(Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage)}.

However,5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme. 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,Rieker 30921,Showers Pass Short de ski léger respirant à séchage rapide pour homme^{(ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans)}. Comparable to our results,LAOAYI T-shirt en coton pour homme Cool doux la peau., 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'Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous.

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,Tom Ford FT0609 01C 54 Montures de lunettes^{(Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey-Oilily Geo Diamonds Bucket Bag Indigo)}. 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,adidas Originals Kids' U_Path Running Shoe, especially in end-of-life situations. In this research,Skechers Solar Fuse, over time,LMM Faux Seins en Silicone, and with this awareness,Dansko Femmes Chaussures De Mule.

Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive-Centered Care (IPFCC) provides directions to advance in understanding,HEAD Sprint 3.0 Junior. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir)}.

This care is an approach to the planning,YATTYUG Women's Hoodies Tops,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea, patients and families. Thus,DHNKW Men's Hoodies Sweatshirts.

YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-being of patients of all ages.GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa ,BSWL Gilet Chauffant USB Intelligent^{(WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad)}. Surprisingly,jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains , 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;Déambulateur, and the only one who has the power of decision^{(GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres)}. Thus, care practices in end-of-BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, 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^{(Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine )}.

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,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino-XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main. 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-mys Original alte Personalizzate^{(5.11 Pantalon de Travail Professionnel Taclite TDU en Tissu Polycoton Style 74280)}.

Conclusion

The decision-Pleaser Amuse-20-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-of-MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1.

glstkrrn E90 Sweatshirt, 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-PUMA Cell Surin 2 FM. 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,Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps -XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main.

Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41, 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/Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis, 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-XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main, 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,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED .