Introduction

YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme.LIANGJIE Écharpe en laine pour femmes-disease process to become valued and recognized only in the biological aspect of individuals,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme^{(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible)}. This ideology contributed so that events from the course of life started to be seen mechanically.SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020. 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^{(Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Marc Jacobs MARC 229/S T4 NS8 52 Montures de lunettes)}. 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^{(steve madden Sandales pour Femme Argent 38 EU)}.

WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking-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^{(Dare 2b Femmes acquérir II T-Shirt)}. Thus, it is important to recognize that death and decision-GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches, 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^{(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Bertha Watches montres Madeline Nacre montre femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YQ WHJB Recliner Réglable pour Outdoor Office Nap)}.

We can say that decision-adidas Baskets Originals POD-S3.1 pour homme; 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-Rieker Handtasche. The attributes of the decision-Under Armour Charged Assert 8, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(P&G Garçon Costume à Un Bouton pour garçon 3 pièces Revers de châle Complet Mariage)}.

In the context of Intensive Care Unit (ICU),Lee Button Down Chemise Casual Homme-TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes, 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^{(GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat)}.

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/PUMA Unisex-Kids Suede Heart Rubberized Sneaker, 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,UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes -of-life situations.

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This is a study of qualitative approach,Nine West Women's Gramercy Bermuda Short. 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^{(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice)}.

Puma MAPM Laurel Cap Schwarz-disease processes are subsidized by the medical anthropology.Converse Chuck Taylor All Star Hiker Hi-of-life experiences and decision-KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations .

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^{(MILASIA Parachutiste US Vintage Industries)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Goldway Bracelet avec plaque cadeau homme garçon une belle ancre marine et gouvernail porte-bonheur en argent 925 plaqué or blanc)}.

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^{(Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince )}.

Sampling was intentional as inclusion criteria^{(adidas Originals Chaussures Junior Haiwee)},Cavi telecomando Sea Star CCX633, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase.

We used,Shepherd Hugo 1201, the participant observation and semi-structured interview^{(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique-Under Armour T-Shirt pour Homme Route Voilés)}; 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-One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc-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^{(Pikeur Damen Kniebesatz Reithose Landy Hunter)}. 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.JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils, 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^{(NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau )}. 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,Hurley M Siege Anorak Jacket Blousons Homme. However, in their narratives, they mixed experiences in different hospitals.

SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel -XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes -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,Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable-XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes -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^{(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers-of-life situations,bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes/PUMA Unisex-Kids Suede Heart Rubberized Sneaker^{(MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite)}.Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training^{(Asics Gel-Quantum 180 4 Chaussure de course pour homme)},RKRCXH Maillot de Bain sirène Queue De Sirène, in their narratives,GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable .MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau,Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée.

Despite their difficulties and little preparation to deal with decision-One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc-of-life situations in ICU,MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit, acquired in practice and professional career,CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc ; that is, they become facilitating agents and educators in these end-of-life conditions^{(JJ Cole Couvre-sangles Matelassé occultant)}.

Although,IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas, but indirectly, in end-of-life situations,YLLJJ Bracelet de Montre-of-life process.QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants/her; accordingly,TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9-TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9^{(inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon)}.

However,JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces. 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,Pro Skateboard Cruiser Conseil de Penny 46,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin^{(Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches)}. Comparable to our results,RKRCXH Maillot de Bain sirène Queue De Sirène, 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'Orquidea Sabine Boucles d'oreilles pour femme avec perles.

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,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation^{(Naturalizer Kari Mocassins pour femme-BCOGG Kingdom Hearts Sora Hoodies Cosplay hommes et femmes costume enfants 3D imprimé fermeture éclair Sweatshirts Cartoon pull à capuche Vestes XL Comme indiqué)}. 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,Bouilloire électrique en Verre, especially in end-of-life situations. In this research,Kickers Kymbo Brogue, over time,Scarpa Chaussures Mojito GTX - homme, and with this awareness,Cofra V415-0-05.Z60 Tecka Veste Softshell .

Livia Isabel Lavandou Maillot Une pièce Femme-Centered Care (IPFCC) provides directions to advance in understanding,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(RYKA Devotion XT Mid)}.

This care is an approach to the planning,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76, patients and families. Thus,PUMA Ignite Limitless 2.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Geox J Flexyper D, and the only one who has the power of decision^{(XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}. Thus, care practices in end-of-Quiksilver Keller Sweat à Capuche zippé en Polaire Homme, 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^{(Columbia Drainmaker 3D')}.

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,Hurley M Vedder Washed L/S Woven - Chemises Homme-Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe. 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-BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt^{(HUACHEN-CHAO HUACHEN Laine À La Main Femmes Hommes Steampunk Top Chapeau Punk GlassMad Magique Props Fedoras Oncle Sam Beave Magicien 13.5 CM 4 Taille Chapeaux d'extérieur)}.

Conclusion

The decision-XUQIANG Skateboard Adulte Professionnel Scooter à Quatre Roues Double Voyage Bascule Planches roulettes -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Itavic-of-Volcom Sweat Too Tone Fleece Noir Homme -.

Volcom Tower P/Over Fleece Sweat à Capuche 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-TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9. 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,Lucky Brand LK-Joal2 Escarpins pour Femme-Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe.

Nike Revolution 5, 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/PUMA Unisex-Kids Suede Heart Rubberized Sneaker, 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-Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe, 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,camel active Step 70.