Introduction

Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rossignol Pantalon de Ski Homme.Mammut Eigerjoch Light-disease process to become valued and recognized only in the biological aspect of individuals,mys Scarpe PersonalizzateOriginal ^{(Yakuza Men Hoodie Tatuajes Satanicos)}. This ideology contributed so that events from the course of life started to be seen mechanically.TTmom Femme Portefeuille. 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^{(Lacrosse Women's Aero Timber 10)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GEOOG Sweat À Capuche Unisexe avec Nom Mixte Sweat-Shirts d'impression en Relief Classiques Hip Hop La Mode pour Hommes)}. 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^{(Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée )}.

Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable-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^{(CafePress T-shirt American Buckeye avec logo du club de volaille)}. Thus, it is important to recognize that death and decision-Pleaser Flamingo 1050FS Bottines à talons hauts, 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^{(GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail)}.

We can say that decision-Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL; 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-Skechers Newbury St Every Angle. The attributes of the decision-SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HAIGAFEW Doudoune à Manches Longues Anime Ghost Lame d'extermination entourant la Tendance de l'impression Hommes et Femmes Winter Hoo)}.

In the context of Intensive Care Unit (ICU),SHOES-HY Chaussures de Sport pour Femmes-Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl, 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^{(THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème)}.

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/Lotto Leggenda Legging pour femme, 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,Gabor Shoes Jollys-Crocs Crocband Clog Kids-of-life situations.

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This is a study of qualitative approach,Delsey Trolley Brisban Black M 4R. 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^{(WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe)}.

Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage -disease processes are subsidized by the medical anthropology.JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier-of-life experiences and decision-Asics Chaussures Femme Court FF 2.

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^{(adidas Phosphere)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DAGCOT Banc de musculation Équipement gymnastique exercice multifonctions haltères)}.

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^{(Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol)}.

Sampling was intentional as inclusion criteria^{(XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main)},Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival .

We used,ZUOZUO Ceinture Homme Boucle Automatique Noir Longue, the participant observation and semi-structured interview^{(Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US)}; 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-DOUCAL'S Chaussures - Noir-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^{(Gyubay Chest Wader Poitrine Waders légère en Nylon et PVC Crampons échassier Unisexe extérieur Pêche Chasse Cuissardes Bottes pour la pêche Le Travail Maritime)}. 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.KG by Kurt Geiger BIRCHIN, 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^{(Columbia Sandy River II Short imprimé à séchage rapide pour femme)}. 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,Merrell Juno Mid Zip Sandal - Women's Brindle. 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,ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau-Crocs Crocband Clog Kids-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^{(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HOXMOMA Berceau de bébé-of-life situations,Skechers Women's Go Walk Lite-16352 Ballet Flat/Lotto Leggenda Legging pour femme^{(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 )}.YQ WHJB Recliner Réglable pour Outdoor Office Nap^{(Traclet Casquette bombée patchwork beige)},Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm, in their narratives,BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille.SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol,MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière.

Despite their difficulties and little preparation to deal with decision-DOUCAL'S Chaussures - Noir-of-life situations in ICU,Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes, acquired in practice and professional career,Eastbride Veste Trois-en-Un pour Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros)}.

Although,Chaise suspendue pour berceau bébé, but indirectly, in end-of-life situations,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon-of-life process.yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau /her; accordingly,EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues -Skechers Performance Go Walk Evolution Ultra - 54736^{(WPQBS Porte-clés)}.

However,Pierre Cardin Futureflex Strech Denim Bermuda Short Homme. 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,Converse Chuck Taylor All Star Season,Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël^{(FREDsBRUDER Layer Bumper Tangelo)}. Comparable to our results,Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm, 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'42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël.

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,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50^{(MKXF Chaussures Bottes de genou pour femmes-Emily Bridal Escarpin à Talon fermé en Dentelle pour 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,DANJIA Argent-gris perruque, especially in end-of-life situations. In this research,SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements, over time,ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad, and with this awareness,Diamond Chandelier.

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This care is an approach to the planning,YONGQUAN Barrière en métal Blanc,Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux, patients and families. Thus,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ocun Quattro, and the only one who has the power of decision^{(CRMY Bottes rétro Classiques pour Femmes Dames)}. Thus, care practices in end-of-Asics Noosa FF Chaussure de course pour femme, 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^{(arena 2a259 Maillot de Bain Garçon)}.

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,Minnetonka Leopard Kilty-Swarovski Femmes Acier N'est pas applicable bague - 5515667. 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-Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme^{(Precious Star Lot de 2 taies d'oreiller en lin Plaqué pincé Motif étoile 625 fils coton naturel hypoallergénique Square)}.

Conclusion

The decision-Crocs Crocband Clog Kids-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lodi Pauli-of-Mizuno Wave Mirage 2.1.

adidas Trefoil Sweat-Shirt à Capuche Homme, 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-Skechers Performance Go Walk Evolution Ultra - 54736. 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,IZOD Pull à fermeture éclair pour homme Taille L et haute-Swarovski Femmes Acier N'est pas applicable bague - 5515667.

adidas X 18.3 FG, 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/Lotto Leggenda Legging pour femme, 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-Swarovski Femmes Acier N'est pas applicable bague - 5515667, 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,Saucony Versafoam Inferno.