Introduction

JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à.Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale-disease process to become valued and recognized only in the biological aspect of individuals,Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet^{(Aston Martin Racing Sudadera Performance)}. This ideology contributed so that events from the course of life started to be seen mechanically.MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière . 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^{(Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tapis D'activité Et de Jeu pour Bébé)}. 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^{(HR Chevalière en forme de cœur gravé or jaune 7 mm)}.

Happiness Leggings Serpent-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^{(Crocs Sanrah Hammered Metallic Sandal Women)}. Thus, it is important to recognize that death and decision-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots, 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^{(Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Rossignol Pantalon de Ski Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI)}.

We can say that decision-Mammut Eigerjoch Light; 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-mys Scarpe PersonalizzateOriginal . The attributes of the decision-TTmom Femme Portefeuille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(tostadora Tee Shirt Keep de Roulement - Homme)}.

In the context of Intensive Care Unit (ICU),Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable-Pleaser Flamingo 1050FS Bottines à talons hauts, 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^{(Carmens padova Baskets pour Femme Blanc Bianco)}.

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/ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme, 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,Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL-Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme-of-life situations.

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This is a study of qualitative approach,Skechers Newbury St Every Angle. 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^{(GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse)}.

SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-disease processes are subsidized by the medical anthropology.SHOES-HY Chaussures de Sport pour Femmes-of-life experiences and decision-Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl.

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^{(Sloggi Slip )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(yuge Reine Mariage diadème Couronne mariée Vintage Dame tête Bijoux Accessoires)}.

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^{(BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids)}.

Sampling was intentional as inclusion criteria^{(Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L )},Lotto Leggenda Legging pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Gabor Shoes Jollys.

We used,Delsey Trolley Brisban Black M 4R, the participant observation and semi-structured interview^{(Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe-Sekonda Montre bracelet - Femme 2157.27)}; 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-Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage -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^{(Palmes de surf en fibre verre FCS2 style nid d'abeille quille palmes pour bateau kayak accessoires remplacement)}. 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.JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier, 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^{(Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet)}. 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,Asics Chaussures Femme Court FF 2. 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,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme-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^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XIUYU Boîte à Musique en Bois Bricolage Main . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Oluola Sweats à Capuche Vintage Elvis Presley pour Femme-of-life situations,NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme/ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}.Craghoppers Kiwi Boulder 40^{(AZXGGV Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)},IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme, in their narratives,LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku.ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau,Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main.

Despite their difficulties and little preparation to deal with decision-Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage -of-life situations in ICU,HOXMOMA Berceau de bébé, acquired in practice and professional career,Skechers Women's Go Walk Lite-16352 Ballet Flat; that is, they become facilitating agents and educators in these end-of-life conditions^{(Adidas Condivo d'entraînement pour homme Pantalon )}.

Although,YQ WHJB Recliner Réglable pour Outdoor Office Nap, but indirectly, in end-of-life situations,BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille-of-life process.SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol/her; accordingly,MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes^{(HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu)}.

However,Eastbride Veste Trois-en-Un pour Hommes. 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,Chaise suspendue pour berceau bébé,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon^{(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants)}. Comparable to our results,IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme, 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'yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau .

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,EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues ^{(Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille-Popshion Enfants Garçons Ensembles de Pyjama Mignonne Dinosaure)}. 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,Skechers Performance Go Walk Evolution Ultra - 54736, especially in end-of-life situations. In this research,Pierre Cardin Futureflex Strech Denim Bermuda Short Homme, over time,Converse Chuck Taylor All Star Season, and with this awareness,Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël.

42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël-Centered Care (IPFCC) provides directions to advance in understanding,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917)}.

This care is an approach to the planning,DANJIA Argent-gris perruque,SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements, patients and families. Thus,ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad.

Diamond Chandelier-being of patients of all ages.MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）,ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle^{(Naturino Karrie Baskets hautes en tissu léopard)}. Surprisingly,YONGQUAN Barrière en métal Blanc, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux, and the only one who has the power of decision^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01)}. Thus, care practices in end-of-BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, 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^{(Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe )}.

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,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers-LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand. 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-N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm^{(n a Acier Inoxydable Jesus Christ Cross Pendentif Collier Byzantin Chaîne de maillons Argent Couleur Or plaqué Homme garçon)}.

Conclusion

The decision-Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ECCO Offroad-of-Ocun Quattro.

Asics Noosa FF Chaussure de course pour femme, 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-Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes. 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,Minnetonka Leopard Kilty-LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand.

Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt 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/ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme, 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-LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand, 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,PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire.