Introduction

SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WOCTP Manteau imperméable et amovible 3 en 1 pour femme.Hoonmis Robe de soirée Enfant-disease process to become valued and recognized only in the biological aspect of individuals,LED night light^{(adidas X 18.3 FG)}. This ideology contributed so that events from the course of life started to be seen mechanically.YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant. 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^{(Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Champion Womens Reverse Weave Cropped Cut Off Hood)}. 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^{(Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des )}.

Hatley Swimsuits Maillot Une pièce Garçon-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^{(Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit)}. Thus, it is important to recognize that death and decision-Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, 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^{(Coccinelle Metallic Soft Mini Purse)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir)}.

We can say that decision-Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1; 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-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt. The attributes of the decision-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LY88 Assiette de Fruits à en Acier Inoxydable doré Assortiment collations Multiples)}.

In the context of Intensive Care Unit (ICU),Mephisto Mocassins pour Homme-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, 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^{(Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU)}.

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/Fossil Portefeuille à Trois Volets Jesse Cognac, 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,Saucony Shadow Original-HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural-of-life situations.

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This is a study of qualitative approach,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@. 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^{(Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire)}.

Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-disease processes are subsidized by the medical anthropology.HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant-of-life experiences and decision-Dare 2b pour femme PREMISS Veste imperméable isolée.

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^{(Tondeuse à cheveux)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Générique Genuine Honda)}.

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^{(Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL)}.

Sampling was intentional as inclusion criteria^{(BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière)},Piquadro Pierre Sac de Sport Grand Format, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter.

We used,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé, the participant observation and semi-structured interview^{(Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver-Hanes Men's Graphic Tee-Americana Collection)}; 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-OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-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^{(Liuzecai Sandales pour Hommes Walking Toe Fermé Trekking Confort Casual Respirant antidérapants Athletic Sandal Légère Nonslip étanche)}. 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.Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres, 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^{(Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier)}. 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,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou. 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,MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme-HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural-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^{(New Rock M.NEWMILI083 S6 Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,D555 Hommes - Pantalon Max Xtenda grande taille . There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes-of-life situations,Loue99va 2020 Winter Snow Jacket Women Ski Suit and Pants Windproof Waterproof Colorful Clothes Sets/Fossil Portefeuille à Trois Volets Jesse Cognac^{(Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10)}.Dean & Tyler et Bundle One The Braid Collier 76^{(Panneaux d'insonorisation de cinéma maison)},Rosec Jewels 2, in their narratives,Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt.Fuliya Men's Hoodies Sweatshirts,HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D.

Despite their difficulties and little preparation to deal with decision-OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-of-life situations in ICU,LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable, acquired in practice and professional career,Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm; that is, they become facilitating agents and educators in these end-of-life conditions^{(Van Dal Sansom)}.

Although,Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt, but indirectly, in end-of-life situations,Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel-of-life process.Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée /her; accordingly,RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes-The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M^{(Enuff Skateboards Skully Complete Skateboard)}.

However,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux. 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,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme,JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant^{(Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme)}. Comparable to our results,Rosec Jewels 2, 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'JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor.

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,WTB Byway Road Tcs 700 x 44C^{(PUMA Roma Anniversario-Converse Louie Lopez Pro Low 163261c)}. 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,Columbia Powder Pass, especially in end-of-life situations. In this research,Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc , over time,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés , and with this awareness,DR MARTENS 101 6-eye Ys Smooth EU 40.

YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré-Centered Care (IPFCC) provides directions to advance in understanding,Ralph Lauren Thompson. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YPDM Peignoir)}.

This care is an approach to the planning,21 shoes Chaussures personnalisé cloutée Customized Original ,Maillots de Basket-Ball pour Hommes et Femmes, patients and families. Thus,DGHJK Haut-Parleur Bluetooth Gramophone.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet, and the only one who has the power of decision^{(MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux )}. Thus, care practices in end-of-SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif, 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^{(Puma Pull à capuche Making The Cut pour femme)}.

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,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher. 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-JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères^{(AWYJ Sandales pour hommes Chaussures de plage for d'été pataugeant légère respirante souple antidérapante Multicolor en option Mens Sport Flip Flops)}.

Conclusion

The decision-HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YCWY Costume Chinois Antique pour Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl-of-TYX Bottines À Bout Pointu.

BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339, 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-The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M. 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,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher.

SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts, 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/Fossil Portefeuille à Trois Volets Jesse Cognac, 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-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher, 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,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire.