Introduction

FB Fashion Boots C3099-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz.adidas Munchen Bakset Mode Homme-disease process to become valued and recognized only in the biological aspect of individuals,Disney Bandoulière Mickey The Blogger^{(KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle )}. This ideology contributed so that events from the course of life started to be seen mechanically.MO JOC Boots Chelsea Femme. 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^{(ECCO Biom Vojage)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Femmes Edge Lux 2 Chaussures Athlétiques)}. 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^{(GIOSEPPO Oulu)}.

Clarks Sharon Noel-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^{(Lola Cruz Bottines)}. Thus, it is important to recognize that death and decision-Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles, 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^{(AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Saucony Cohesion 12 Men. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante )}.

We can say that decision-Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt; 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-Cherokee Haut coloré coupe enveloppée CK608. The attributes of the decision-adidas Originals Ozweego, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SWDZM Chaussures de Danse Fille)}.

In the context of Intensive Care Unit (ICU),Champion 112418 F19 KK001 NBK Jogger Femme Noir-YUHEN LED Chaussures, 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^{(Reebok TS Layering Pant - Pantalon Homme)}.

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/MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, 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,Kanna Shoes Sandalia CUÑA Basket Kaki-HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear-of-life situations.

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This is a study of qualitative approach,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille. 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^{(Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore)}.

Asics Gel-Sonoma 4 G-TX 1011a210-001-disease processes are subsidized by the medical anthropology.arena WPWSK Carbon Maillots de bain Femme -of-life experiences and decision-Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental.

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^{(Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Carter's Lot de 6 paires chaussettes pour bébé fille)}.

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^{(NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire)}.

Sampling was intentional as inclusion criteria^{(CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport)},Waldläufer Mocassins pour Femme Beige Cement Stein Silber, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille.

We used,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie, the participant observation and semi-structured interview^{(Réservoir D'eau Extérieur Avec Robinet-Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's)}; 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-WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe-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^{(/A Chaussons)}. 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.Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, 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^{(Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes)}. 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,WWTTE Sequin V-Cou Robe Banquet annuel de soirée. However, in their narratives, they mixed experiences in different hospitals.

WWTTE Yoga serré Snakeskin Leggings 2V -HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear-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,N\P Sweat à capuche manches longues pour femme Automne et Hiver-HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear-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^{(LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-of-life situations,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme/MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette^{(Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness )}.DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt^{(Oluola Were Listening Dalmatian Yoga Mat Non-Slip Print Thick Pad Durable Exercise Fitness Gym Lose Weight)},NIEWEI-YI Sweatshirts Unisexe, in their narratives,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision .CLII Automobile Instrument de Diagnostic pannes,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison .

Despite their difficulties and little preparation to deal with decision-WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe-of-life situations in ICU,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print, acquired in practice and professional career,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon; that is, they become facilitating agents and educators in these end-of-life conditions^{(HJTLK Chariot de magasinage léger 39L)}.

Although,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier, but indirectly, in end-of-life situations,Y-Volution Y-volution - draisienne yvelo air Bleu-of-life process.Multiple colors New ballet LED table lamp 7 color touch 3d night light/her; accordingly,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable^{(Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass)}.

However,Matelas d'air de Voiture Gonflable prolongé siège arrière. 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,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière^{(Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm)}. Comparable to our results,NIEWEI-YI Sweatshirts Unisexe, 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'EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas.

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,BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte^{(JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-FRWANG Plage Hommes Velcro Bout Ouvert Sandales Cuir Creux Antidérapant Respirant Sport Chaussons Été Surf Piscine Outdoor Trekking Sports)}. 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,MNSSRN-MM Baskets En Maille D'automne, especially in end-of-life situations. In this research,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot, over time,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode , and with this awareness,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté.

Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou-Centered Care (IPFCC) provides directions to advance in understanding,L.Z.HHZL Chaussures d'affaires pour Hommes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@)}.

This care is an approach to the planning,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez,Générique Randonnée Essentielle équipage Moyen, patients and families. Thus,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces.

Clarks Men's Weaver Moccasin-being of patients of all ages.ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange,Vince Camuto Femmes Sandales À Talon^{(LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville)}. Surprisingly,Love Moschino BORSA QUILTED NAPPA PU, 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;Craghoppers Pantalon Anti-Moustique Clair - Femme, and the only one who has the power of decision^{(Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales)}. Thus, care practices in end-of-adidas pour Homme Athletics Team problème Bomber, 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^{(CMP Manteau Feel Warm Flat)}.

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,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT-LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes. 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-Catimini Gilet Bébé Fille^{(New Balance Lacets à lacets bulles)}.

Conclusion

The decision-HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark-of-Guess FLOP24 FAM10 Bottes Femmes.

Timberland Bradstreet Chukka Molded, 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-XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable. 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,Morgan Trench GINGER Beige T36 Femme-LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes.

Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, 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/MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, 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-LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes, 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,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière.