Introduction

Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22.Olga Berg Pochette Femme Doré Ob2028-disease process to become valued and recognized only in the biological aspect of individuals,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes^{(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)}. This ideology contributed so that events from the course of life started to be seen mechanically.SPYDER Chambers GTX Veste pour homme L Volcan. 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^{(Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Wrangler Jean coupe botte pour 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^{(ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De)}.

AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-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^{(Craft Pro Dry Nanoweight Short Sleeve Maillots Femme)}. Thus, it is important to recognize that death and decision-Yoga Design Lab Serviette de Hot | Douce, 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^{(Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Josef Seibel Tanja 13 Halbschuh Braun)}.

We can say that decision-Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir; 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-Melluso 06330. The attributes of the decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(PLEASUR Toy Terrier caniches Yorkshire Terriers Races de Chiens Mixtes Art Mural décor à la Maison Bricolage Horloge Murale)}.

In the context of Intensive Care Unit (ICU),Oreiller-EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material, 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^{(N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à)}.

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/Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, 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,Helga Kreft Kreft90012 Police Mobil Puzzle -KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-of-life situations.

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This is a study of qualitative approach,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles. 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^{(adidas B P TT Sweat-Shirt Garçon)}.

Zhik Hybrid Skiff Suit 2020-disease processes are subsidized by the medical anthropology.DazzlingRock Collection 0-of-life experiences and decision-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom.

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^{(SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SAINT LAURENT Lunettes de soleil SL 276 Mica)}.

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^{(Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection)}.

Sampling was intentional as inclusion criteria^{(KEEN Targhee Lace High Polar Waterprooof)},Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Adrun 9202 Chaussures de sport légères pour femme.

We used,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho, the participant observation and semi-structured interview^{(Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme-ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode )}; 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-QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation-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^{(Alife and Kickin Manteau d'hiver pour Femme 3 Couleurs XS-XL)}. 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.WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, 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^{(Harry wang Sweat à Capuche pour Hommes Bleu)}. 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,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif . 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,Converse Shoreline Slip on-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-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^{(Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Propet Women's TravelActiv Sneaker. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Schneider Sportswear Loui survêtement pour homme - Bleu -of-life situations,Exena Onice/Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant^{(Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.)}.SALOMON Wings Pro 2^{(Jiger Women Small Cell Phone Purse Crossbody)},Mayser Homme Chapeau Trilby Troy noir, in their narratives,Heine - Best Connections Robe Opaque Femme.Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot,Tatonka.

Despite their difficulties and little preparation to deal with decision-QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation-of-life situations in ICU,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB, acquired in practice and professional career,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra)}.

Although,Sanuk Yoga Sling#2 Prints, but indirectly, in end-of-life situations,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet-of-life process.Tommy Hilfiger Sonnenbrille /her; accordingly,Dahlgren Theodor Multipass Light Chaussettes-FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés^{(Piquadro Pierre Sac de Sport Grand Format)}.

However,Converse All Star Hi. 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,FRYE Women's Natalie Mid Engineer Boot,Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine ^{(FRWANG Tongs Plage Homme)}. Comparable to our results,Mayser Homme Chapeau Trilby Troy noir, 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'Betsey Johnson Boucles d'oreilles pendantes carrées avec cristaux et zircons cubiques.

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,Crazy Dog Tshirts Irish Rockstar Hoodie Funny Saint Patricks Day Shamrock Clover Shenanigans Shirt - Homme^{(Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown-Emporio Armani ARMANI Y3D166 YF05B Sacs portés main Femme)}. 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,Egypt Bazar Caftan style oriental pour femme Orange, especially in end-of-life situations. In this research,LunarraStar Fairest of Them All Conte de Fées Blanche Neige Collier Pendentif Médaillon Ovale pour Femme en Plaqué Argent Snow White Miroir Charme, over time,Pleaser Amuse-20, and with this awareness,Skechers Women's Persmimmon Chai Combat Boot.

Mizuno Techno Generation Maillot à Manches Longues pour Femme-Centered Care (IPFCC) provides directions to advance in understanding,PUMA Femmes Chaussures De Sport A La Mode. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HÖGL Finesse)}.

This care is an approach to the planning,Nike Baskets pour Homme,Nike JORDAN B.FLY BG, patients and families. Thus,ThirtyTwo Shifty Boa '17 Bottes de Snowboard.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille, and the only one who has the power of decision^{(MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL)}. Thus, care practices in end-of-Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde, 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^{(Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate)}.

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,Hdadwy 3D a imprimé Le Sac à Dos groupé-Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans. 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-Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0^{(MONARI Pull pour femme avec passepoil et cordon de serrage à la taille)}.

Conclusion

The decision-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hdadwy Sac à Dos imprimé en 3D, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande-of-MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique.

ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel, 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-FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés. 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,TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones-Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans.

Napapijri Varco Short Homme, 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/Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, 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-Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans, 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,ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T.