Introduction

Geox D Nebula C-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PUMA Chaussures de Glace Muse Femmes.Dachstein Ramsau 2.0 Gore-TEX Chaussure-disease process to become valued and recognized only in the biological aspect of individuals,New Balance Fresh Foam Zante Pursuit^{(BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier )}. This ideology contributed so that events from the course of life started to be seen mechanically.Columbia WAYFINDER FLIP Sandales de sport pour homme. 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^{(Blackstone Sg30)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Festartikel Müller GmbH Costume sirène Nele Dames Robe Vert Brillant Tissu Carnaval)}. 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^{(Dolce & Gabbana Denim Jeans)}.

Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique-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^{(Natori Pure Allure: FF Contour UW Soutien-Gorge Femme)}. Thus, it is important to recognize that death and decision-nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques, 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^{(The North Face Women's Aphrodite Motion Capri)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux)}.

We can say that decision-Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers; 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-Under Armour Polo rehaussé pour homme. The attributes of the decision-Kamik Raindrops, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Clarks Chaussures Cora Poppy pour Femmes)}.

In the context of Intensive Care Unit (ICU),Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250-TEN POINTS Carina, 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^{(CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set)}.

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/DC Shoes Heathrow, 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,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron-ATOMIC Savor GT AMID Visor HD Casque Mixte-of-life situations.

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This is a study of qualitative approach,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité. 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^{(Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir)}.

Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme-disease processes are subsidized by the medical anthropology.Kickers Bonbon-of-life experiences and decision-Nike Magista Onda AG.

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^{(YALION Chaussures Souple pour bébé )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DZWJ Mens Clipper Cheveux)}.

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^{(Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire )}.

Sampling was intentional as inclusion criteria^{(Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura )},Mizuno Tc-02, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ECCO Biom Terrain.

We used,ECCO Xpedition III, the participant observation and semi-structured interview^{(BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement )}; 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-ECCO Xpedition III-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^{(Tttyy Carte du Drapeau Vermont Casquette de Baseball Ajustable Papa Chapeaux Camionneur Sandwich)}. 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.adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes, 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^{(Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive)}. 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 Ultraboost 19. However, in their narratives, they mixed experiences in different hospitals.

adidas Originals Women's Falcon Trail Running Shoe-ATOMIC Savor GT AMID Visor HD Casque Mixte-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,Manteaux Nouveau de Trench Longue Femme pour l'automne et l'hiver-ATOMIC Savor GT AMID Visor HD Casque Mixte-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^{(Maui Jim Haleakala Noir Mat HCL Bronze Polar)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues . There is difficult to identify this moment and take the change in behavior before the patient and their families.

LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre -of-life situations,LSX - Fauteuil Roulant Roulant/DC Shoes Heathrow^{(Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno)}.Merrell Jungle MOC^{(LPATTERN Fille Blouson d'hiver Mi Longue Doudoune Manteau Epaisse Chaude avec Capuche Fourrure)},ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X, in their narratives,PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm.The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble,SAKURAM Couvre-Chaussures ImperméAbles Bottes De Pluie en Silicone Lavables Et RéUtilisables ModèLes pour Hommes Femmes avec des éLastiques à Long Tube.

Despite their difficulties and little preparation to deal with decision-ECCO Xpedition III-of-life situations in ICU,Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6, acquired in practice and professional career,DONDUP Pantalon Jambe Droite Quadro. P586A432-XXX913 TG; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hoonmis Robe de soirée Enfant)}.

Although,SPEED Dresden RK-1 Racewear Protection sur Le Haut du Corps, but indirectly, in end-of-life situations,WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44-of-life process.SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox/her; accordingly,REFRESH Bottine Plate avec Fermeture Éclair pour Femme-HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'^{(KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale)}.

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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,SKYROPNG Chaussures Mme Muller^{(Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-XCNGG Nier Automata Portefeuille RFID bloquant en Cuir véritable Portefeuilles zippés Sac à Main de Voyage Autour du Porte-Carte Organisateur Pochette)}. 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,HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger , especially in end-of-life situations. In this research,Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection, over time,XYZMDJ Sac à Main épaule Slung Polyvalent bandoulière, and with this awareness,HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme.

Lacoste Veste Homme-Centered Care (IPFCC) provides directions to advance in understanding,HAIGAFEW Impression Simple de Motifs Autour des Manteaux d'hiver pour Hommes et Femmes Doudounes Vestes légères. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HENGTONGTONGXUN Hamac Anti-Renversement)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA, and the only one who has the power of decision^{(Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress)}. Thus, care practices in end-of-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust, 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^{(Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt)}.

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,ZHLZH Balance de précision Laboratoire-FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL. 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-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39^{(No branded Pyjamas Femme Printemps 3 pièces de Nuit Sexy en Dentelle Soie Faux Pyjama Ensemble Femmes Sling Manches Pantalon d'été JFCUICAN)}.

Conclusion

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ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46, 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-HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d'. 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,adidas Terrex Eastrail-FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL.

Clarks Sandales Step Cali Sand pour Femmes, 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/DC Shoes Heathrow, 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-FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL, 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,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants .