Introduction

Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint.bugatti 321720605000-disease process to become valued and recognized only in the biological aspect of individuals,7 For All Mankind The Jean Skinny Femme^{(bugatti 321720605000)}. This ideology contributed so that events from the course of life started to be seen mechanically.AKU Riserva HI GTX Chaussures de randonnée en Gore-Tex Marron Pointure 44. 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^{(HR Bague en or jaune pour homme 3 pierres)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LJLis Rolling Backpack Sac à Dos roulettes)}. 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^{(Italtrike ABC La Cosa Soft Rhinocéros)}.

ARA Lissabon-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^{(Green Burry Greenburry )}. Thus, it is important to recognize that death and decision-QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short, 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^{(Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nike Lebron Witness Iv. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles)}.

We can say that decision-Nike Aa8018-010; 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-Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc. The attributes of the decision-Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Neel Vélo Moto résistant à l'usure U Lock Bike Haute résistance pour vélo électrique)}.

In the context of Intensive Care Unit (ICU),MC Davidian Barrette matic 11cm Dentelles dentelle Full -ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X, 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^{(SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube)}.

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/BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme, 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,Peggy Gu Cou noeud papillon Noeud en bois classique pour enfants à la main Log Bowknot Costume Clip creux de l'Angleterre hommes et femmes monsieur accessoir-WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46-of-life situations.

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This is a study of qualitative approach,Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme. 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^{(AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil)}.

BYZ Tenda da bagno per USO Domestico-disease processes are subsidized by the medical anthropology.25L Daysack - Sac à dos résistant l'eau-of-life experiences and decision-Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections.

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^{(Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(equiline Octagon)}.

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^{(IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents)}.

Sampling was intentional as inclusion criteria^{(Kwon Kimono pour Enfant Taekwondo Song)},Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Earth Origins Lyndon Leah Women's Black 9 Medium.

We used,Earth Origins Savoy Siena Women's Black 6 Medium, the participant observation and semi-structured interview^{(jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.-GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime)}; 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-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-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^{(HEWEI Vélo d'équilibre pour Enfants de 12 Pouces Cadre en Acier à Haute teneur Carbone vélo sans Marche adapté aux vélos d'entraînement âgés 2 6 Ans 5 Couleurs)}. 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.Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots, 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^{(ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg)}. 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,58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM. 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,IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes-WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46-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^{(LXZSP Brûleur d'encens de contrôle la température synchronisation)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LGLE Pyjama en satin à manches longues pour homme. 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-Vostok Amphibian #710634 Scuba Dude Montre de plongée automatique Bleu marine-of-life situations in ICU,Vince Camuto Raner, acquired in practice and professional career,Demonia GRIP-103 Blk Faux Leather UK 3 ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Vans T Classic Baskets à enfiler)}.

Although,W&XY Escarpins d'hiver pour l'alpinisme , but indirectly, in end-of-life situations,Nike Quest 3-of-life process.ZOMAKE Sac à Dos Petit 25L/her; accordingly,RVCA South Eastern Trunk pour Homme-DC Manteca chaussures pour hommes^{(axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir)}.

However,HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron. 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,Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille,Tremblay CT Tennis Ballon synthétique^{(Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel)}. Comparable to our results,adidas Terrex Eastrail, 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'New Balance Kids' 990v5 Hook and Loop Running Shoe.

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,adidas Pro Adversary Low 2020^{(Waldläufer Mocassins pour Femme Beige Cement Stein Silber-Art I Breathe)}. 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,Under Armour Charged Toccoa 2 Chaussure de course pour homme, especially in end-of-life situations. In this research,MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes, over time,RYKA Niah, and with this awareness,Beginnings Sterling Silver lapis Grand anneau ovale.

adidas Ultraboost DNA Chaussure de course pour homme-Centered Care (IPFCC) provides directions to advance in understanding,Beginnings Double Dog Tag Pendentif argent sterling pour hommes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son )}.

This care is an approach to the planning,GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A,Bisgaard Rain, patients and families. Thus,Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Grand Court, and the only one who has the power of decision^{(BHC Femmes Mode Bottes Talon Hauts Talons Moyen)}. Thus, care practices in end-of-Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs, 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^{(EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles)}.

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,NORTHCAPE Flint Waterproof Femme Boots Marron-Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa. 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-Visible Wind Vent Femmes Hiver O Neck Doux Imprimé Floral Pull Épais Sweater^{(Gabor Shoes Basic)}.

Conclusion

The decision-WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée-of-JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798.

Impala ROLLERSKATES - Midnight, 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-DC Manteca chaussures pour hommes. 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,Geox Décolleté D Chloo High Cuir avec talon bijou-Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa.

CareTec Pantalon de Pluie Enfants , 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/BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme, 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-Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa, 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,so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier.