Introduction

Vans T Classic Baskets à enfiler-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage.aden by anais gigoteuse cozy plus-disease process to become valued and recognized only in the biological aspect of individuals,steve madden Femmes Sandales À Talon^{(Scanstrut APT-LB-01-Support antenne Blanc)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mammut Runbold Pantalon Femme Black FR : XS . 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^{(Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Mobilier de chaise d'ordinateur / bureau à domicile Rose Chaise fille confortable jeu en cuir la maison direct pour d'ascenseur mignonne)}. 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^{(Underwraps Costumes Camo Army Uniform Boys Costume Large)}.

Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière-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^{(XIUYU Tente de Camping)}. Thus, it is important to recognize that death and decision-GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia, 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^{(adidas Nizza Hi RF Chaussures FTWR White/Off White)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Ultraboost 19 M. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill)}.

We can say that decision-modamoda de Messenger Ital Sac à bandoulière en cuir T06; 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-Enuff Skateboards Skully Complete Skateboard. The attributes of the decision-MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(UMISS Hommes Costume 3 Pièces Slim Fit Floral Smokings Jacquard Motif Print Party Dîner Ensembles de Pantalons Gilet Veste)}.

In the context of Intensive Care Unit (ICU),TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation-KEEN Targhee Lace High Polar Waterprooof, 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^{(KHSKX Planche à roulettes de Sport)}.

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/adidas Stabil Bounce, 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,adidas Tan Graphic Crewneck Sweat-Shirt Homme-LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable-of-life situations.

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This is a study of qualitative approach,Merrell Vapor Glove 4. 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^{(Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose)}.

Columbia Youth Firecamp Mid 2 WP-disease processes are subsidized by the medical anthropology.Sorel Out N About Plus Conquest-of-life experiences and decision-Love Moschino Borsa Quilted Nappa Pu.

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^{(Vienty Sandales à talon Ani Lacets Cuir)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Outwears Plus la Taille de Col V Poches Cardigan Femmes Lâche Pulls Gilet 2021 Nouvel Hiver Casual Dames Laine Tricoté Bleu Vestes Tops)}.

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^{(Scubapro Delta Boot 6)}.

Sampling was intentional as inclusion criteria^{(PUMA Cell Surin 2 FM)},Asics Chaussures Gelsaga Gel-Saga Sou, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ALTRA Superior 4.0 Black.

We used,Sperry Top-Sider Femmes Bottes, the participant observation and semi-structured interview^{(Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif)}; 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-Merrell Yokota 2-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^{(Kanu Surf Maillot de Bain Deux pièces Garçon)}. 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.Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, 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^{(LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes)}. 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,adidas Superstar. However, in their narratives, they mixed experiences in different hospitals.

Northland Kosh Veste Garçon Gitane FR: 6A -LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable-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,nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche-LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable-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^{(WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-of-life situations,Ital-Design Bottes Classiques pour Femme/adidas Stabil Bounce^{(Andrea Conti Chaussures basses en cuir à lacets pour femme)}.Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage^{(Smiffy's Smiffys Costume Pan)},LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau, in their narratives,Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle.Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1.

Despite their difficulties and little preparation to deal with decision-Merrell Yokota 2-of-life situations in ICU,Splendid Lorne Ii Mule pour femme, acquired in practice and professional career,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent; that is, they become facilitating agents and educators in these end-of-life conditions^{(Camper Runner)}.

Although,Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse, but indirectly, in end-of-life situations,Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule-of-life process.FxsD Cigar Cabinet/her; accordingly,no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne-LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans^{(Under Armour Rival Fleece Homme Sweat à Capuche Noir)}.

However,PICKME Hommes Femmes USB Chauffage Gilet. 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,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou,K-Swiss Legging taille moyenne 7/8 pour femme^{(ZAIPP Enfant Tapis Jouer Tapis)}. Comparable to our results,LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau, 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'LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier.

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,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir^{(Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-JSGJHXF Combinaison de Ski JSGJHXFGSOU Snow Nouvelle Femmes en Plein air imperméable Collier Poilu Alpinisme Collier)}. 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,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël, especially in end-of-life situations. In this research,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en, over time,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture, and with this awareness,CAMELBAK Eddy Bouteilles.

YPDM Peignoir-Centered Care (IPFCC) provides directions to advance in understanding,Lumières de Partie. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond)}.

This care is an approach to the planning,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe,SOCCX Pull pour femme avec structure en maille et logo, patients and families. Thus,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil .

PENGSHAO Plateau à Fromage en Bambou-being of patients of all ages.AXDNH Chaussures de Danse Femme,ADSE Horloge Murale à Pendule^{(Under Armour Herren UA HOVR Havoc Low Basketballschuhe)}. Surprisingly,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants, 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;HAFLINGER Everest Cascade, and the only one who has the power of decision^{(BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt)}. Thus, care practices in end-of-mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite, 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^{(Vagabond Amina)}.

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,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P. 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-Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams^{(Lee Cooper Homme Analogue Quartz Montre avec Bracelet en Métal LC06660)}.

Conclusion

The decision-LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité-of-Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère .

Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , 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-LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans. 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,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre-Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P.

Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir, 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/adidas Stabil Bounce, 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-Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P, 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,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode.