Introduction

Tête de coupe pneumatique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Reebok TS Layering Pant - Pantalon Homme.1200Mbps USB WiFi Adapter-disease process to become valued and recognized only in the biological aspect of individuals,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA^{(Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige)}. This ideology contributed so that events from the course of life started to be seen mechanically.DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust. 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^{(RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sunferkyh ClôTure De Lit Enfant Universal bébé Baffle Clôture de Chevet Garde-Corps Anti lit Permanent Convient Aux Voyages Et à La Famille)}. 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^{(Nike Viale)}.

ZHLZH Balance de précision Laboratoire-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^{(Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011)}. Thus, it is important to recognize that death and decision-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39, 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^{(Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SageBrown Small Zip Around Accordion Coin Purse. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MASCOT WORKWEAR Mascot Polo De Travail Crossover)}.

We can say that decision-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg; 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-LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies. The attributes of the decision-ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Karralli 4228. Chaussures confortables au design raffiné. Semelle anatomique et souple. Collection printemps été 2020. - Blanc Blanc)}.

In the context of Intensive Care Unit (ICU),adidas Terrex Eastrail-Clarks Sandales Step Cali Sand pour Femmes, 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^{(WGE Mailles de 5 / 10cm)}.

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/BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants , 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,Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air-DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG-of-life situations.

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This is a study of qualitative approach,DZWYM Chaussure De Securité Homme Légères. 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^{(ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court)}.

adidas JB A AAC Ft Pt Pantalon Fille-disease processes are subsidized by the medical anthropology.Hoonmis Robe de soirée Enfant-of-life experiences and decision-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.

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^{(Prana Summit Tall Pantalon pour Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DIY fun shop Sac à bandoulière en Cuir pour Femme)}.

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^{(L.TSA Lámpara colgante de vidrio minimalista moderno)}.

Sampling was intentional as inclusion criteria^{(DC Manteca chaussures pour hommes)},Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PUMA Style Rider Ride on.

We used,LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur, the participant observation and semi-structured interview^{(Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds-BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour)}; 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-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-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^{(DF-GJV LED Lampe de Tube à Eau Papillon rétro en Fer forgé)}. 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.Moulinets de pêche, 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^{(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique)}. 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,Porte-Serviettes Chauffant Intelligent. 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,AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats-DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG-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^{(Columbia Women's Saturday Trail ii Convertible Pants)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JFF Gilet Chauffant. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -of-life situations,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison/BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants ^{(Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in)}.Native Shoes Kids Girl's Jefferson Bling Glitter ^{(WEIYIM Echarpe Hiver Femmes Écharpe Cachemire Dot Imprimer Châles Enveloppes Dames Épais Pashmina Rouge Automne 200 Cm)},CareTec Pantalon de Pluie Enfants , in their narratives,The North Face Zipline Vestes imperméable Fille.IKKS Jupe Nœud Tulle Noir Fille,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /.

Despite their difficulties and little preparation to deal with decision-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-of-life situations in ICU,Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir, acquired in practice and professional career,Brooks Mazama 2; that is, they become facilitating agents and educators in these end-of-life conditions^{(Sanuk Yoga Sling#2 Prints)}.

Although,Skechers Go Walk Lite - Rise, but indirectly, in end-of-life situations,adidas Dragon OG-of-life process.PUMA Sneaker Smash WNS Perf Métallique pour femme/her; accordingly,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris-MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E^{(Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt)}.

However,puseky Barboteuse - 0 à 24 mois Pour bébé . 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,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100,DKNY Homme DMMDO4HT Manteaux en Laine^{(Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt)}. Comparable to our results,CareTec Pantalon de Pluie Enfants , 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'Fergalicious Jolene.

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,Merrell Forestbound Waterproof^{(Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles-ejendals Ejendals 1540-38 Chaussures de sécurité Jalas 1540 Route Taille 38)}. 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,Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon, especially in end-of-life situations. In this research,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0, over time,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads, and with this awareness,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure.

überleben Coppa leggera in Legno Con moschettone Backpacking-Centered Care (IPFCC) provides directions to advance in understanding,Kipling 100 Pens Organiseur de Sac à Main. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Helga Kreft Kreft90012 Police Mobil Puzzle )}.

This care is an approach to the planning,Lacrosse Women's Aero Timber 10,YQ QY Chaussons Description du produitpointureTableau des Tailles , patients and families. Thus,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet.

EXTON 246 Sneakers Man-being of patients of all ages.LLNB Zip Veste À Capuche,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir ^{(Aden Anais Sac de Couchage Mousseline 100% Coton)}. Surprisingly,Lora di Collier Indi Celebrate. court, 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;Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron, and the only one who has the power of decision^{(Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose)}. Thus, care practices in end-of-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper, 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^{(JHGK Trail Running Chaussures)}.

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,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches -YZT QUEEN Bottes Cuissardes Femmes. 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-Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes^{(CHOUCHOU Cendrier pour cigares - incassable métal Salon Maison Bar 24)}.

Conclusion

The decision-DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux-of-HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage .

Tamaris Femme Chaussures à Lacets, 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-MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E. 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,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre-YZT QUEEN Bottes Cuissardes Femmes.

Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, 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/BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants , 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-YZT QUEEN Bottes Cuissardes Femmes, 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,Joules Golightly Imperméable Femme.