Introduction

SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Abus Hyban Casque vélo Homme.YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-disease process to become valued and recognized only in the biological aspect of individuals,generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme^{(Barre de son)}. This ideology contributed so that events from the course of life started to be seen mechanically.LIANGJIE Écharpe en laine pour femmes. 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^{(Under Armour Men's UA Yard Low St Sneaker)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tenaya Oasi Pieds de Chat Climbing Shoes Chaussures d'escalade)}. 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^{(hsoazi Latex Panda Mask)}.

Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme-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^{(Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne)}. Thus, it is important to recognize that death and decision-SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020, 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^{(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Dean & Tyler et Bundle One The Braid Collier 76)}.

We can say that decision-GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches; 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-Bertha Watches montres Madeline Nacre montre femme. The attributes of the decision-adidas Baskets Originals POD-S3.1 pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sac à langer – Mickey Mouse Volant Multifonction Imperméable dos de voyage Maternité)}.

In the context of Intensive Care Unit (ICU),Rieker Handtasche-Under Armour Charged Assert 8, 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^{(Argent 925 Sterling Hochet bébé fille L 14 cm)}.

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/Lee Button Down Chemise Casual 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,TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes-HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages-of-life situations.

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This is a study of qualitative approach,PUMA Unisex-Kids Suede Heart Rubberized Sneaker. 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^{(Pleaser Amuse-20)}.

UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-disease processes are subsidized by the medical anthropology.Nine West Women's Gramercy Bermuda Short-of-life experiences and decision-Puma MAPM Laurel Cap Schwarz.

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^{(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(IUBBKI Justice pour Barb sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage)}.

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^{(Cosilana bébés)}.

Sampling was intentional as inclusion criteria^{(Goodthreads Marque Amazon - Short chino élastique et confortable)},Converse Chuck Taylor All Star Hiker Hi, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations .

We used,Cavi telecomando Sea Star CCX633, the participant observation and semi-structured interview^{(Mustang Oregon Tapered Jean fuseau - Homme-Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay)}; 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-VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase-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^{(YZQ Maillots Hommes - Chicago Bulls # 24 Lauri Markkanen NBA Basketball Jersey Tissu Mesh Respirant Unisexe Manches Édition T-Shirt)}. 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.Shepherd Hugo 1201, 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^{(Global Vision Lunettes de Soleil Nouvelle Attitude)}. 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,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc. 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,Carmens padova Baskets pour Femme Blanc Bianco-HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages-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^{(Star Wars - Sweat-Shirt à Capuche Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mega Tuscany Sac pour homme à porter l'épaule Noir noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable-of-life situations,ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court/Lee Button Down Chemise Casual Homme^{(Etnies Barge XL)}.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^{(BRIGHTLLT  Avion rétro créative lustre lampe lumière coucher enfants chambres garçons personnage)},Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe, in their narratives,bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes.Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training,GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable .

Despite their difficulties and little preparation to deal with decision-VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase-of-life situations in ICU,MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau, acquired in practice and professional career,Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée; that is, they become facilitating agents and educators in these end-of-life conditions^{(TARGET Superlight Goal Cartable)}.

Although,MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit, but indirectly, in end-of-life situations,CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc -of-life process.IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas/her; accordingly,YLLJJ Bracelet de Montre-QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants^{(XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs )}.

However,TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9. 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,TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9,JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces^{(Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme)}. Comparable to our results,Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe, 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'Pro Skateboard Cruiser Conseil de Penny 46.

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,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir dibea Griffoir pour Chats-Ernstes Design Anneau R310 Edvita Acier Inox Motif Rose Plaqué or 6 MM)}. 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,Orquidea Sabine Boucles d'oreilles pour femme avec perles, especially in end-of-life situations. In this research,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation, over time,Bouilloire électrique en Verre, and with this awareness,Kickers Kymbo Brogue.

Scarpa Chaussures Mojito GTX - homme-Centered Care (IPFCC) provides directions to advance in understanding,Cofra V415-0-05.Z60 Tecka Veste Softshell . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt)}.

This care is an approach to the planning,Livia Isabel Lavandou Maillot Une pièce Femme,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, patients and families. Thus,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;EASTPAK Backpack Eastpak Orbit Glow Black 40T, and the only one who has the power of decision^{(Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible)}. Thus, care practices in end-of-Ion Combinaison en néoprène Base Semidry 4/3 BZ DL, 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^{(WateLves Chaussures de Bain pour Enfants Plage Natation antidérapantes Surf Sport Jardin)}.

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,Geox J Flexyper D-NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes. 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-Quiksilver Keller Sweat à Capuche zippé en Polaire Homme^{(ZNZN Haltères Fitness Set haltère)}.

Conclusion

The decision-HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hurley M Vedder Washed L/S Woven - Chemises Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt-of-varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court.

adidas Itavic, 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-QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants. 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,Volcom Sweat Too Tone Fleece Noir Homme --NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes.

Volcom Tower P/Over Fleece Sweat à Capuche pour 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/Lee Button Down Chemise Casual 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-NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes, 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,Lucky Brand LK-Joal2 Escarpins pour Femme.