Introduction

HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sallypan ModeAntler Mur lumière.Burton Covert Veste de Snowboard Homme-disease process to become valued and recognized only in the biological aspect of individuals,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes^{(WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S)}. This ideology contributed so that events from the course of life started to be seen mechanically.ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL. 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^{(KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LILONGXI Pyjamas)}. 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^{(XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple )}.

ARA Sapporo-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^{(Pulp Fiction Tee Shirt Homme Pomme Rouge)}. Thus, it is important to recognize that death and decision-Wacoal Bra Underwire Soutien-Gorge de Sport Femme, 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^{(JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap )}.

We can say that decision-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne; 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-Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39. The attributes of the decision-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Generies Mode Outdoor Bag Beautiful Windsurfer Seaside View Réglable Bandoulière Nice Handbags For Women Girls Ladies Over Shoulder Cross Body Tool)}.

In the context of Intensive Care Unit (ICU),Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, 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^{(Machine de Jeu vidéo Arcade 2350 Jeux Classiques)}.

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/XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, 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,Marco Ferretti Cadre Beatles 172146 Moss Noir-IGI&CO Donna Gore-tex-41710-of-life situations.

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This is a study of qualitative approach,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes. 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^{(LHY LOFT Cactus Enfants Plafonnier)}.

cartoon Chemisier de dessin animé long 1/1 bras-disease processes are subsidized by the medical anthropology.DYM Chaussures de Sport Baskets Mode & athlétique Femme-of-life experiences and decision-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey.

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^{(Earth Origins Savoy Siena Women's Black 6 Medium)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Elisa Cavaletti Veste Blazer Medusa EJW207040606 - EJW207040606-3-L-Bleu L)}.

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^{(eeddoo Ti Gloss Titan - BCR Klemmring )}.

Sampling was intentional as inclusion criteria^{(Franck Muller Geneve Cuir Noir Bracelet de Montre 16 mm)},LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Studio Untold Femme Grandes Tailles Jupe plissée.

We used,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, the participant observation and semi-structured interview^{(ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween-qazxsw Ensembles de Pyjama Printemps et Automne Sexy Femmes Rouge à Manches Longues Fronde Chemise Nuit Robe Deux pièces Ensemble vêtements Peignoirs)}; 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-DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge-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^{(Asolo TPS 535 LTH V EVO Backpacking Boot - Men's by)}. 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.FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, 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^{(Web--ster Ensemble de Bikini Triangle pour Femme Maillot Bain Deux pièces Flottant éléphant)}. 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,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres. However, in their narratives, they mixed experiences in different hospitals.

TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-IGI&CO Donna Gore-tex-41710-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,sunminey sac à dos en cuir pour femmes I'm Not Yelling-IGI&CO Donna Gore-tex-41710-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^{(LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche. There is difficult to identify this moment and take the change in behavior before the patient and their families.

weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm-of-life situations,HXF Charmant Filles Princesse Blanche Robe/XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste^{(AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M)}.Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche^{(Maillot de bain fille Bain Enfant à séchage Rapide avec Protection Solaire et Plage)},QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM, in their narratives,adidas B P TT Sweat-Shirt Garçon.Victoria Tenis Velcros Piel/Leopardo,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme.

Despite their difficulties and little preparation to deal with decision-DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge-of-life situations in ICU,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile, acquired in practice and professional career,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564; that is, they become facilitating agents and educators in these end-of-life conditions^{(Clarks Sandales Sillian2.0 Joy pour Femmes)}.

Although,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets , but indirectly, in end-of-life situations,Pliable Barrière De Le Lit-of-life process.Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL/her; accordingly,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème -Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection^{(Tosca Blu Ankle Boot Kiruna)}.

However,ZYFXZ Mesdames Bottes de travail Groundwork. 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,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles^{(Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs)}. Comparable to our results,QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM, 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'GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime.

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,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L^{(Josef Seibel Chance 39-RFWPA Parapluie Mini Capsule Protection Solaire à Cinq Plis Anti-UV Pliant Femme de Poche chez Les Femmes)}. 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,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite, especially in end-of-life situations. In this research,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm, over time,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, and with this awareness,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité.

Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine-Centered Care (IPFCC) provides directions to advance in understanding,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Napapijri Varco Short Homme)}.

This care is an approach to the planning,LDH Mi-Longueur Doudoune Femme Hiver,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, patients and families. Thus,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Aubade Haut de Maillot Bain Noir Taille100D, and the only one who has the power of decision^{(Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams)}. Thus, care practices in end-of-Bisgaard 63102218, 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^{(Guess Robe à manches longues pour femme)}.

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,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling -Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme. 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-Inov8 F-Lite G290 Chaussure De Course à Pied - AW20^{(Hardwood Shoto)}.

Conclusion

The decision-IGI&CO Donna Gore-tex-41710-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir-of-New Balance Lav V1 Hard Court.

Under Armour Charged Rogue Twist Ice 302, 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-Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection. 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,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU-Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme.

Champion Cropped Coaches Jacket Blouson de survêtement 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/XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, 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-Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme, 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,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme.