Introduction

Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant.Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table -disease process to become valued and recognized only in the biological aspect of individuals,lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire^{(e.s.motion Engelbert Strauss)}. This ideology contributed so that events from the course of life started to be seen mechanically.WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum. 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^{(NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Salewa Puez Hybrid Pl W Fz Sweat Femme)}. 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^{(emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau)}.

Rideau de fenêtre hawaïen avec des arbres montagne-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^{(GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball )}. Thus, it is important to recognize that death and decision-CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque, 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^{(XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Steiff - 239588 Doudou Ours Dors Bien Bleu)}.

We can say that decision-LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire ; 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-Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme. The attributes of the decision-Asics Chaussures Gel-Lima Padel 2, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CASE XX Celtic Knot Antique Bone Cheetah Scrolled 1/200 Stainless Pocket Knife Knives)}.

In the context of Intensive Care Unit (ICU),BTYKJ Sandales compensées en Daim à Boucles 42 Noir-Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple, 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^{(AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG)}.

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/Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop , 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,N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour-JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans-of-life situations.

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This is a study of qualitative approach,Lloyd 547932 Bottines Femme 28-357-00 . 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^{(QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants)}.

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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^{(WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Rieker 68851)}.

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^{(XHH Creative Country Style Fer De Chevet/Fer Pendule Horloge Bureau )}.

Sampling was intentional as inclusion criteria^{(Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs)},CMP, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Cole Haan HaanAir Bandon MOC - Ballerines Air Femme.

We used,Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme, the participant observation and semi-structured interview^{(YMXYMM Bottes Tactiques avec Fermeture éclair latérale-Nautica Montres Bracelet NAPFRB008)}; 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-Sécurité Adulte Casque De Velo-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^{(Animaux de bande dessinée papier peint pour chambre ours autocollant mural enfants chambres décor sticker autocollants)}. 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.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, 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^{(PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir)}. 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,POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers. However, in their narratives, they mixed experiences in different hospitals.

Eterna 3179 X19P Chemise - Bleu 42-JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans-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,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches-JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans-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^{(TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LLSS Poussette pour bébé légère Landaus. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air-of-life situations,BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique/Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop ^{(Nike Magista Onda AG)}.Parcs pour Tout-Petits^{(Ding Lampisterie Chambre Moderne Et Minimaliste Éclairage Circulaire Chaud)},RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames, in their narratives,CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris.Trespass Qikpac Female Jacket Vestes coupe-pluie Femme ,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3.

Despite their difficulties and little preparation to deal with decision-Sécurité Adulte Casque De Velo-of-life situations in ICU,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4, acquired in practice and professional career,Reebok Workout Plus; that is, they become facilitating agents and educators in these end-of-life conditions^{(Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture)}.

Although,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4, but indirectly, in end-of-life situations,Josef Seibel Chance 39-of-life process.Geox B New Flick B/her; accordingly,Geox D Nebula C-PUMA Chaussures de Glace Muse Femmes^{(qazxsw Lumières Miroir de courtoisie)}.

However,Dachstein Ramsau 2.0 Gore-TEX Chaussure. 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,New Balance Fresh Foam Zante Pursuit,Columbia WAYFINDER FLIP Sandales de sport pour homme^{(CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir)}. Comparable to our results,RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames, 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'Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique.

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,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques^{(Reebok Royal Dashonic 2-Blousons Veste en Duvet Pliable pour Hommes)}. 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,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air, especially in end-of-life situations. In this research,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers, over time,Under Armour Polo rehaussé pour homme, and with this awareness,Kamik Raindrops.

Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250-Centered Care (IPFCC) provides directions to advance in understanding,TEN POINTS Carina. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Diamond Chandelier)}.

This care is an approach to the planning,DC Shoes Heathrow,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, patients and families. Thus,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ECCO Biom Terrain, and the only one who has the power of decision^{(SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc)}. Thus, care practices in end-of-ECCO Xpedition III, 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^{(BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches)}.

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,ECCO Xpedition III-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot. 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-adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes^{(Scott Ultimate DRX Veste de ski pour femme M Orange grenadine)}.

Conclusion

The decision-JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Ultraboost 19, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Originals Women's Falcon Trail Running Shoe-of-Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire..

Fjällräven Leisure Backpack Greenland Zip 13" Polyester, 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 Chaussures de Glace Muse Femmes. 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,FREDsBRUDER WXD Easy Peasy Caramel-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot.

Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S, 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/Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop , 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-Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot, 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,Under Armour Sportstyle Tricot - Pantalon Homme.