Introduction

CCM Super Tacks AS1 Skate Men-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10.ABAKUHAUS Ethnique Oreiller Cervical de Voyage-disease process to become valued and recognized only in the biological aspect of individuals,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues^{(Aston Martin Racing Sudadera Performance)}. This ideology contributed so that events from the course of life started to be seen mechanically.Générique Racecraft Lunettes Mixte. 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^{(Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Retour Posture Correcteur de posture for le dos - Support magnétique soulagement des épaules et du cou l'épaule Attelle parfaite la colonne vertébrale lombaire cer)}. 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^{(HR Chevalière en forme de cœur gravé or jaune 7 mm)}.

Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-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^{(Crocs Sanrah Hammered Metallic Sandal Women)}. Thus, it is important to recognize that death and decision-WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, 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^{(Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI)}.

We can say that decision-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur; 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-Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture. The attributes of the decision-Pepsi Welcomes The World Women's Hooded Sweatshirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(PUMA One 19.1 Syn FG/AG)}.

In the context of Intensive Care Unit (ICU),Jost Bergen X-Change -Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, 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^{(Carmens padova Baskets pour Femme Blanc Bianco)}.

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/Rösle 25356 de pellets de Bois Hickory 9 kg Sac, 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,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement-Kanna Shoes Sandalia CUÑA Basket Kaki-of-life situations.

Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille

This is a study of qualitative approach,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme. 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^{(GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse)}.

emanuel ungaro Ungaro - Ceinture en cuir pour homme-disease processes are subsidized by the medical anthropology.Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-of-life experiences and decision-adidas Pred Gl LGE Gants de Foot Mixte.

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^{(Sloggi Slip )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ETHNIC EMPORIUM Bollywood Soie Mariage spécial Designer Zari Sari Blouse mariée Femmes Indiennes Robe Festive Indien 766)}.

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^{(BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids)}.

Sampling was intentional as inclusion criteria^{(Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L )},BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Charmance Pantalon Taille élastiquée.

We used,Charmance Pull à Torsades - Femme, the participant observation and semi-structured interview^{(Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe-Sekonda Montre bracelet - Femme 2157.27)}; 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-XiuLi Pantalon Thermo Chaud pour Femmes-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^{(NINE WEST)}. 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.OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton, 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^{(Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet)}. 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,TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal. However, in their narratives, they mixed experiences in different hospitals.

ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body-Kanna Shoes Sandalia CUÑA Basket Kaki-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,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT-Kanna Shoes Sandalia CUÑA Basket Kaki-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^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Catimini Gilet Bébé Fille. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir-of-life situations,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark/Rösle 25356 de pellets de Bois Hickory 9 kg Sac^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}.Guess FLOP24 FAM10 Bottes Femmes^{(Allthemen Caban Homme Hiver en Coton Chaud Manteau Capuchon Casual Coupe-Vent à Capuche)},EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas, in their narratives,Timberland Bradstreet Chukka Molded.Morgan Trench GINGER Beige T36 Femme,Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté.

Despite their difficulties and little preparation to deal with decision-XiuLi Pantalon Thermo Chaud pour Femmes-of-life situations in ICU,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière, acquired in practice and professional career,Callaghan 14804 Enfiler Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Adidas Condivo d'entraînement pour homme Pantalon )}.

Although,Mizuno Wave Paradox 5, but indirectly, in end-of-life situations,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag-of-life process.Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme/her; accordingly,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip-Nike Air Max 95 Essential^{(HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu)}.

However,Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm. 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 Ekstra,adidas Originals Tubular Defiant Femmes Chaussures de Course^{(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants)}. Comparable to our results,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas, 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'FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin.

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,Swarovski Femme Acier Collier statement 5493366^{(Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille-Spreadshirt Super Papa Moustache T-Shirt Premium Homme)}. 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,HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux, especially in end-of-life situations. In this research,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien, over time,Skechers Solar Fuse, and with this awareness,Asics Tarther OG.

BOGS Bottes de pluie imperméables pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Fly London Besi203fly. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917)}.

This care is an approach to the planning,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64,Emporio Armani Stretch Long Sleeve T-Shirt, patients and families. Thus,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes.

FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-being of patients of all ages.suneagle Semelles éLectriques,Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas^{(Naturino Karrie Baskets hautes en tissu léopard)}. Surprisingly,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, 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;GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break, and the only one who has the power of decision^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01)}. Thus, care practices in end-of-WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro, 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^{(Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe )}.

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,Clarks Women's Ayla Low Ballet Flat-Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie. 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-IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille^{(JHGK Anti-Slip De Bain Accueil Couple Ménage Sandales Flip-Flop Hommes Femmes)}.

Conclusion

The decision-Kanna Shoes Sandalia CUÑA Basket Kaki-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Harry wang Sweat à Capuche pour Hommes Bleu, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris-of-ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc.

Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée, 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-Nike Air Max 95 Essential. 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,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex -Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie.

FYWTFY Netred Casual Ladies Work Wear Belle Veste, 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/Rösle 25356 de pellets de Bois Hickory 9 kg Sac, 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-Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, 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,Wangqiuying19 Cagoule multifonction 12 en 1.