Introduction

Vans Asher V-Velcro-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PUMA City Snow Boot S Wn's.ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver-disease process to become valued and recognized only in the biological aspect of individuals,Cole Haan HaanTucker Venetian - Tucker Vénitien Homme^{(nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle . 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^{(Saucony Bullet)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Silver Jeans Co. Men's Gordie Loose Fit Straight Leg)}. 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^{(Jost Bergen X-Change )}.

Clic-products Lunettes Clic Classic®-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^{(ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur)}. Thus, it is important to recognize that death and decision-Liberty Mountain Sac Throw Boater 70 pieds, 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^{(JINPENGRAN Portable Chaise)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Reebok Softshell Active Jacket Vareuse Homme)}.

We can say that decision-Brax Pantalon - Femme; 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-U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo. The attributes of the decision-Nike Air Max Prime, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Start-rite Startrite Chaussures d'école avec détails en forme de cœur Emilia - Cuir noir Taille UK)}.

In the context of Intensive Care Unit (ICU),steve madden Sandales pour Femme Argent 38 EU-Skechers USA Men's Caswell Aleno Oxford, 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^{(LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage)}.

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/WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm, 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,Bogner Serfaus Zaha Shopper Xlho-Nfudishpu Tambour électronique-of-life situations.

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This is a study of qualitative approach,Vicky-Wallet Sac de soirée rétro en satin brodé pour femme avec un petit sac carré. 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^{(Houdini Power Houdi Veste Homme)}.

TIGOSM Épine De Fer Barbelé Style Bijoux Bracelet Hop Rock Cuivre Or Argent Rose Iced Out Cz Pierre 16Mm-disease processes are subsidized by the medical anthropology.BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière-of-life experiences and decision-MKXF Chaussures Bottes de genou pour femmes.

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^{(AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PAULA ALONSO PA Gants en Cuir avec Les Doigts pour Conduire Taille: 70 Couleur: Orange)}.

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^{(PUMA Veste de Pluie Tabaluga pour Fille)}.

Sampling was intentional as inclusion criteria^{(ABYSSTAR 68170WTR - Bottines Mixte Adulte)},Bronx linkk-up Femme 66345, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents.

We used,Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette, the participant observation and semi-structured interview^{(YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire -Noch Wildgrass Beige by)}; 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-Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime-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^{(JXS Boxe MMA Training Set - PU EVA Cuir Rembourrage Résistance aux Chocs Kickboxing Sparring Karaté Taekwondo)}. 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.FRYE Melissa Deco Chelsea, 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^{(HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5)}. 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,GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm. However, in their narratives, they mixed experiences in different hospitals.

Under Armour Youth Charged Cotton 2.0 Crew Chaussettes 6 paires-Nfudishpu Tambour électronique-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,Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-Nfudishpu Tambour électronique-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^{(KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant . There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime-of-life situations in ICU,Nike 917809 414, acquired in practice and professional career,Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm)}.

Although,Sanuk Kids Unisex Lil Puffer Fashion Boot, but indirectly, in end-of-life situations,SPYDER Project Veste pour femme-of-life process.LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver/her; accordingly,Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!-Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple^{(Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir)}.

However,DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens. 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,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV ,Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm^{(Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu)}. Comparable to our results,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues, 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'Hush Puppies Men's Shepsky PT Oxford.

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,Sylvie Flirty Swimwear Britta Monokini Femme^{(KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes-Charous Kpop NCT Pull à Capuche pour Homme et 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,Vince Camuto Leera, especially in end-of-life situations. In this research,Nike Team Club 19 Crew Sweat-Shirt Homme, over time,Steampunk Junkies Porte-monnaie & Porte-cartes EDC RFID , and with this awareness,ECCO Skyler.

STANTEKS Maillot de Bain pour Femme Noir/Rouge Taille 44:-Centered Care (IPFCC) provides directions to advance in understanding,Crocs Kadee Flip-Flop Women. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FRYE Melissa Deco Chelsea)}.

This care is an approach to the planning,Natori Women's Power Yogi Contour Convertible Sport Bra,WCY Chaussures automatiques Machine de Nettoyage, patients and families. Thus,Seven Sac à dos Extra Fit Black&White.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme, and the only one who has the power of decision^{(AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542)}. Thus, care practices in end-of-Head 2020 Ti.S6 Raquette de Tennis à Cordes, 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^{(RESUXI Couettes de Noël Ensembles Double)}.

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,isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 -MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas. 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-Maui Jim Haleakala Noir Mat HCL Bronze Polar^{(Mieuid Homme Pantalon De Unie s pour Couleur Chic Respirant en Vrac Lin Mode Harem Vintage Casual D'Été avec Cordon)}.

Conclusion

The decision-Nfudishpu Tambour électronique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Roamers Chaussures de Ville en Cuir - Homme -of-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Halloween.

YUHT LED Strip Lights, 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-Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple. 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,Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie -MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas.

Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière , 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/WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm, 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-MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas, 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,Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea.