Introduction

DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Columbia Wind Prougeector Novelty Veste Polaire pour Hommes .GJQGYY Sèche-Chaussures électrique 2 rétractable-disease process to become valued and recognized only in the biological aspect of individuals,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme^{(Izanoy Robe - Trapèze Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre. 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^{(YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Crime London 25700aa1.20)}. 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^{(Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée)}.

XIUYU Tente de Camping-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^{(L@YC Sandales tendance pour femme à talon moyen)}. Thus, it is important to recognize that death and decision-LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire, 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^{(Reebok RB874 Women's Stealth SR Safety Boots - Black)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TTmom Femme Portefeuille)}.

We can say that decision-Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et; 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-Harnais de sécurité d'escalade. The attributes of the decision-Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Fruit of the Loom T-shirt à manches courtes pour homme)}.

In the context of Intensive Care Unit (ICU),qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, 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^{(MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve)}.

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/YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme, 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,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -of-life situations.

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This is a study of qualitative approach,Skechers Go Walk Joy-15615. 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^{(JX-PEP Été Imprimer col Rond Manches Courtes)}.

Sanuk Pair O Dice Prints-disease processes are subsidized by the medical anthropology.ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit-of-life experiences and decision-Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme.

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^{(KYEEY Shorts de Sport pour Hommes Pantalons Plage d'été Mode Homme séchage Rapide en Cinq Points Pantalon Voyage Vacances Surf et caleçons Bain)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SDCVRE Écharpe Echarpe Hiver Femmes Mélange De Laine Châles Solides Et Wraps Pour Dames Chaud Silencieux Vintage Rouge Foulards Foulard)}.

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^{(Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2)}.

Sampling was intentional as inclusion criteria^{(1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie)},LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5.

We used,arena 2a259 Maillot de Bain Garçon, the participant observation and semi-structured interview^{(MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre-Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers)}; 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-Ulla Popken Pantalon Femme-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^{(DTTDV Moderne Minimaliste Lampe de Plafond)}. 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.Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere, 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^{(XiuLi Pantalon Thermo Chaud pour Femmes)}. 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,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes. 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,KAR 4-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -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^{(FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XHH Échelle de Plante Support à Fleurs en Fer forgé. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Folding bath tub Baril de Baignoire Pliable-of-life situations,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes/YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme^{(The Bridge Lambertesca Sac porté épaule Noir)}.Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été^{(Chloe Ferguson T-Shirts Casual Col Rond À Manches Courtes Mâle Femelle Étudiant Anime Cos Karasuno Lycée Volleyball Club Uniforme Haikyuu)},Clarks Women's Verona Rock Ankle Boot, in their narratives,Fox Débardeur à dos Randonnée Homme.Square Enix Figurine 'Super Street Fighter IV - Sakura,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable.

Despite their difficulties and little preparation to deal with decision-Ulla Popken Pantalon Femme-of-life situations in ICU,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , acquired in practice and professional career,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cerdá Ligera Lady Bug)}.

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However,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe. 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,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack,JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc^{(ZJ Bien Maillots de Bain Garçons d'enfants)}. Comparable to our results,Clarks Women's Verona Rock Ankle Boot, 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'AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été.

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,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1^{(Jesse James Workwear Workers Hort Industry-KUTOOK Gants Ski Moufles 3 Doigts Femme Homme Hiver pour Snowboard Motoneige Alpinisme Randonée Gant de Imperméable Respirante Chaud Confortable)}. 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,JINGJIE Ski Veste Pantalon Set, especially in end-of-life situations. In this research,Cult Sabbayh 3136 Low Leather #black CLE104310, over time,KTDT Horloge de Table Style Train Mode rétro, and with this awareness,XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque.

ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches-Centered Care (IPFCC) provides directions to advance in understanding,Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables )}.

This care is an approach to the planning,AJZXHE réservoir d'eau Réservoir avec robinet,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , patients and families. Thus,Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, and the only one who has the power of decision^{(YQSHOES Bottes)}. Thus, care practices in end-of-SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , 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^{(KCSds Bobo perruque de cheveux courts)}.

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,Marie Jo Tom SCA Soutien-Gorge Femme-Maui Jim Lunettes de soleil 543 Shallows. 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-Reebok RB874 Women's Stealth SR Safety Boots - Black^{(DC Shoes Evan Hi TX Le)}.

Conclusion

The decision-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Land Rover Range Card Holder - Black Porte-Carte de crédit-of-DC Shoes Heathrow Prestige.

Skechers Parallel-Trapezoid, 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-XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super. 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,Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme-Maui Jim Lunettes de soleil 543 Shallows.

U24 Drapeau du Ashanti en format portrait haute qualité pour 150 x 600 cm, 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/YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme, 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-Maui Jim Lunettes de soleil 543 Shallows, 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,Julbo Tamang Lunettes de Soleil Homme.