Introduction

DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Falke TK 1 Chaussettes randonnée homme.FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-disease process to become valued and recognized only in the biological aspect of individuals,RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau ^{(Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique)}. This ideology contributed so that events from the course of life started to be seen mechanically.Traducteur Instantané. 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^{(Mammut Eigerjoch Light)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Creative coeur garçon et fille chambre plafonnier dimmable avec télécommande LED rose d'enfant salon jardin d'enfants hall cuisine salle à manger de jeux pour enfants lampe déco)}. 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^{(TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne )}.

Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés-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^{(Clarks Men's Vargo Vibe Oxford)}. Thus, it is important to recognize that death and decision-AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, 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^{(Speedo Vengeance Mirror Lunette Mixte)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre)}.

We can say that decision-Siennaa Pull Billie Eilish 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-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match. The attributes of the decision-Dolce & Gabbana Denim Jeans, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jingle Jewels Bague en argent sterling 925 avec grenat naturel | Belle bague rouge pour femme Taille 7 US) Pierre ovale Pièce faite à la main Élégante)}.

In the context of Intensive Care Unit (ICU),HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard-E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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^{(Under Armour Charged Assert 8)}.

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/Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, 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,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing-Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410-of-life situations.

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This is a study of qualitative approach,RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches. 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^{(N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion)}.

LXDDP Chaise Bureau Fashion Mesh-disease processes are subsidized by the medical anthropology.AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer-of-life experiences and decision-Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US.

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^{(Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DEZIRO Sac à dos en toile granite - de voyage pliable d'extérieur Bretelles réglables)}.

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^{(ADGAI Couvre-lit Modern Vintage matelassée Vert réversible Imprimer Coverlet Consolateur)}.

Sampling was intentional as inclusion criteria^{(OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes )},Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti.

We used,YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles, the participant observation and semi-structured interview^{(Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme-DANJIA Argent-gris perruque)}; 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-N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry-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^{(ZHBD Robes couverture avec des manches femmes surdimensionné shirt molletonné à capuche Sweat-shirts Blanket TV Femmes peignoir 92.29D)}. 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.HuangYongHongPODFPO Trousse de Maquillage, 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^{(Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans)}. 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,Kru Maillots de Basket-Ball pour Hommes et Femmes. 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,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets-Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410-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^{(JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement. 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-N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry-of-life situations in ICU,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, acquired in practice and professional career,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré; that is, they become facilitating agents and educators in these end-of-life conditions^{(KYOTO Plaquette Semi-métal S1989)}.

Although,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose, but indirectly, in end-of-life situations,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large-of-life process.Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski/her; accordingly,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling-EDELRID Cordes d'escalade Boa 9^{(LAURA VITA Vicvianeo)}.

However,YUMI Blush 3D Floral Embellishment Party Dress. 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,GURU-SHOP Guru-Boutique,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S^{(Ysting&CO Ysting Chapeau Haut en Laine)}. Comparable to our results,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement , 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'glstkrrn RX8 RX-8 Ugly Christmas Sweater.

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,Waldhausen Reithose Funktion Sport Silikon^{(A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air-LXDDP Catornaments égyptiens)}. 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,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, especially in end-of-life situations. In this research,Boîte à bijoux de Rangement Bijoux, over time,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, and with this awareness,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet.

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This care is an approach to the planning,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon,Clio Blue Bague Medicis en argent 925, patients and families. Thus,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us, and the only one who has the power of decision^{(Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure)}. Thus, care practices in end-of-Le Coq Sportif Sweat Essentiels, 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^{(Gringo Fairtrade Felt Owl Shoulder Bag)}.

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,JHGK Trail Running Chaussures-Timberland Baskets Brooklyn Leather Vert. 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-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ^{(Épaissir Infield Pitcher Gant de Baseball Softball Gants d'entraînement Convient à Nombreux Sports)}.

Conclusion

The decision-Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ABYSSTAR 68170WTR - Bottines Mixte Adulte, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SEIDENFELT MANUFAKTUR Nora Beige-of-Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938.

Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo, 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-EDELRID Cordes d'escalade Boa 9. 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,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée-Timberland Baskets Brooklyn Leather Vert.

DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual, 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/Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, 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-Timberland Baskets Brooklyn Leather Vert, 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,Helikon CPU Hommes Short PL Woodland.