Introduction

Nike Lebron Witness Iv-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Nike Aa8018-010.Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc-disease process to become valued and recognized only in the biological aspect of individuals,Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women^{(Reebok Classic Small Vector Tee - Manches Courtes Mixte)}. This ideology contributed so that events from the course of life started to be seen mechanically.MC Davidian Barrette matic 11cm Dentelles dentelle Full . 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^{(Prana prAna)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ziyi Bottes en Cuir véritable Punk Hommes Cheville Lacent de Cow-Boy Militaire Haut Sangle Respirante Cool Chaussures Fourrure Casual)}. 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^{(Furla Portefeuille en Cuir Babylon S Bi-Fold)}.

ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X-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^{(RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois)}. Thus, it is important to recognize that death and decision-BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme, 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^{(Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau)}.

We can say that decision-Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme; 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-BYZ Tenda da bagno per USO Domestico. The attributes of the decision-25L Daysack - Sac à dos résistant l'eau, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(PLEASUR Arts Martiaux Judo Bricolage Horloge Murale Jiu Jitsu Combattant Boxe Grande Jujitsu Forte Fitness Attaque Sport Art Mural)}.

In the context of Intensive Care Unit (ICU),Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections-Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet, 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^{(NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness)}.

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/Earth Origins Lyndon Leah Women's Black 9 Medium, 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,Earth Origins Savoy Siena Women's Black 6 Medium-Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa-of-life situations.

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This is a study of qualitative approach,Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine. 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^{(Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl)}.

Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots-disease processes are subsidized by the medical anthropology.58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM-of-life experiences and decision-ARMADA Baxter Insulated Snow Jacket.

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^{(Fournitures de salle bain Piscine gonflable Baignoire)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SWEET Perruque Cheveux Courts Bouclés Gratuits Micro-Volume Long Maïs Envoyez-Vous ou Un ami Femmes Perruques synthétiques avec)}.

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^{(Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt)}.

Sampling was intentional as inclusion criteria^{(YHDNCG Large Clip arrière en Y Solide Noir Gris Rouge sur écharpe réglable pour Enfants Bas âge garçons Filles)},Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GALLDEALS Queue de Sirène pour Nager Monopalme Filles.

We used,Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M, the participant observation and semi-structured interview^{(GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de-DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant)}; 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-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver-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^{(MPOQZI Silencieux d'échappement de Tuyau Voiture)}. 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.WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues , 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^{(DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre)}. 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,LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre . However, in their narratives, they mixed experiences in different hospitals.

LSX - Fauteuil Roulant Roulant-Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa-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,Mandarina Duck Hera 3.0 Portafoglio-Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa-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^{(Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vince Camuto Raner. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Demonia GRIP-103 Blk Faux Leather UK 3 -of-life situations,W&XY Escarpins d'hiver pour l'alpinisme /Earth Origins Lyndon Leah Women's Black 9 Medium^{(WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables)}.Nike Quest 3^{(Cadeau idéal :Robe princesse à manches longues - Deux parties Tutu de ballet)},Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport, in their narratives,ZOMAKE Sac à Dos Petit 25L.RVCA South Eastern Trunk pour Homme,DC Manteca chaussures pour hommes.

Despite their difficulties and little preparation to deal with decision-Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver-of-life situations in ICU,HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron, acquired in practice and professional career,Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille; that is, they become facilitating agents and educators in these end-of-life conditions^{(mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex )}.

Although,Tremblay CT Tennis Ballon synthétique, but indirectly, in end-of-life situations,New Balance Kids' 990v5 Hook and Loop Running Shoe-of-life process.adidas Pro Adversary Low 2020/her; accordingly,Under Armour Charged Toccoa 2 Chaussure de course pour homme-MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes^{(DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt)}.

However,RYKA Niah. 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,Beginnings Sterling Silver lapis Grand anneau ovale,adidas Ultraboost DNA Chaussure de course pour homme^{(GJQION Femmes Brassière)}. Comparable to our results,Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport, 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'Beginnings Double Dog Tag Pendentif argent sterling pour hommes.

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,GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A^{(ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs -MARYYUN Queue De Sirène Et Nageoire)}. 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,Bisgaard Rain, especially in end-of-life situations. In this research,Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme, over time,Clarks Kitna Vibe, and with this awareness,FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress.

arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back-Centered Care (IPFCC) provides directions to advance in understanding,CAPRICE Femme Bottines 26365-23. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XSY Denim Zipper Genou Talon Hiver Bottes)}.

This care is an approach to the planning,adidas Grand Court,Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs, patients and families. Thus,NORTHCAPE Flint Waterproof Femme Boots Marron.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Impala ROLLERSKATES - Midnight, and the only one who has the power of decision^{(SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB)}. Thus, care practices in end-of-Geox Décolleté D Chloo High Cuir avec talon bijou, 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^{(SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation)}.

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,CareTec Pantalon de Pluie Enfants -YROD Canne À Pêche. 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-so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier^{(Andersen Shopper Manufaktur Chariot de Courses Unus avec Sacoche Kira Bleue)}.

Conclusion

The decision-Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LW Sandales Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux -of-SJLHP Sac À Dos Voyage en Toile Vintage.

CRMY Bottes rétro Classiques pour Femmes Dames, 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-MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes. 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,New Balance Classics WL574Ev2-YROD Canne À Pêche.

Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique, 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/Earth Origins Lyndon Leah Women's Black 9 Medium, 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-YROD Canne À Pêche, 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,Wsreyj Chaussures Femme Pantoufles Femmes Papillon Noeud   Chaussures De Plage Slip on Tongs Dames -C_7.5.