Introduction

Dickies Performance Chino Pantalon plat pour homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour.Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme-disease process to become valued and recognized only in the biological aspect of individuals,JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40^{(ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47)}. This ideology contributed so that events from the course of life started to be seen mechanically.Fila Baskets Femme. 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^{(Papillio Daytona)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Animaux de bande dessinée papier peint pour chambre ours autocollant mural enfants chambres décor sticker autocollants)}. 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^{(Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme)}.

Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-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^{(ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton )}. Thus, it is important to recognize that death and decision-Sanita Saskia Sport Flex Sandale, 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^{(WANGPENG Brosse à récurer pour chaussures)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil)}.

We can say that decision-SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila; 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-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair. The attributes of the decision-Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nike W Blazer Low Le)}.

In the context of Intensive Care Unit (ICU),Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle-Crime London KOMRAD White, 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^{(Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme)}.

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/Onitsuka Tiger Baskets Corsair Unisexe-Adulte, 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,Pandora Femme Vermeil Charms et perles - 788692C01-Stonefly Season III 28 Nappa-of-life situations.

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This is a study of qualitative approach,MASCOT WORKWEAR Mascot Polo De Travail Crossover. 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^{(Helly Hansen Aden Parka Femme)}.

Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python-disease processes are subsidized by the medical anthropology.DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8-of-life experiences and decision-DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4.

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^{(Converse Chuck Taylor All Star Hiker Hi)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Ding Lampisterie Chambre Moderne Et Minimaliste Éclairage Circulaire Chaud)}.

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^{(Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby)}.

Sampling was intentional as inclusion criteria^{(Asics Gel-Kayano Trainer Evo)},Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SKTWOE Bottes De Cheville Femmes.

We used,LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau, the participant observation and semi-structured interview^{(Heating Pads Coussin Chauffant Wrap-Nike Revolution 5)}; 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-VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant -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^{(Blousons Veste en Duvet Pliable pour Hommes)}. 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.LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill, 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^{(DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune)}. 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,CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques. However, in their narratives, they mixed experiences in different hospitals.

JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur-Stonefly Season III 28 Nappa-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,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S-Stonefly Season III 28 Nappa-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^{(DPX-1 Hommes Death Row Records T-Shirt )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Modus Vivendi Chemise Jeans Manches Courtes Marine 12941-of-life situations,YOLL Bébé Baignoire/Onitsuka Tiger Baskets Corsair Unisexe-Adulte^{(TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover)}.Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative^{(ZNMJW Sweats à Capuche Homme Pull drôle de Noël Motif 3D pour Hommes et Femmes)},Dead Threads - Four Pockets Men's Slim-Fit Punk Pants, in their narratives,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier.LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon.

Despite their difficulties and little preparation to deal with decision-VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant -of-life situations in ICU,SHOPAMZ Chaussure de Securité Homme Femmes, acquired in practice and professional career,YUIOLIL Children's Microscope 1200x with LED Lights; that is, they become facilitating agents and educators in these end-of-life conditions^{(Retour Jeans Garçon Long-Pantalons)}.

Although,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur, but indirectly, in end-of-life situations,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond -of-life process.Legero Campania/her; accordingly,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises-GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied^{(LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver)}.

However,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale. 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,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No^{(Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit)}. Comparable to our results,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants, 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'yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation.

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,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur^{(AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie-DADIJIER Chaussures Richelieu pour Hommes Formelles Slip on Style Tissu en Maille Matériau Pointe Ronde Bout Bas avec Respirant Creux Anti-dérapage)}. 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,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass, especially in end-of-life situations. In this research,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison, over time,U/A Coupe-vent à manches longues, and with this awareness,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes.

H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 -Centered Care (IPFCC) provides directions to advance in understanding,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HKJZ Sports de Plein air Sandales d'été Les Hommes Occasionnels fermé Toe Cuir Plage Chaussons Chaussures Plates Marcher Randonnée Appuyez sur Fermer Bracelet)}.

This care is an approach to the planning,Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz, patients and families. Thus,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le, and the only one who has the power of decision^{(Kamay's Kamay’s Boîte de rangement)}. Thus, care practices in end-of-bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short, 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^{(Thule EnRoute Sac à dos loisir)}.

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,MELLUSO Sandales pour Femme-XZDXR Boîte À Chaussures Rose. 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-C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant^{(Cleptomanicx Cruiser T-Shirt Elfin Yellow)}.

Conclusion

The decision-Stonefly Season III 28 Nappa-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Originals Nite Jogger, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Joules Roll Up Welly-of-Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning.

Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG, 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-GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied. 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,Circus By Sam Edelman Goodwin Bottes de Combat pour Femme-XZDXR Boîte À Chaussures Rose.

MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité, 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/Onitsuka Tiger Baskets Corsair Unisexe-Adulte, 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-XZDXR Boîte À Chaussures Rose, 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,Nike Air Max Oketo.