Introduction

Sperry Women's Crest Vibe Satin Lace Sneaker-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime.Under Armour Rival Fleece Homme Sweat à Capuche Noir-disease process to become valued and recognized only in the biological aspect of individuals,NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit^{(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique)}. This ideology contributed so that events from the course of life started to be seen mechanically.Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean 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^{(Under Armour T-Shirt pour Homme Route Voilés)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Dickies Chemise à carreaux manches longues pour homme)}. 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^{(NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau )}.

SNDWAY Télémètre Laser télémètre monoculaire de Chasse-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^{(MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit)}. Thus, it is important to recognize that death and decision-Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats, 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^{(wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Palladium Pampa Hi M Bottines pour femme - Vert foncé.. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set )}.

We can say that decision-P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié; 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-Molly Bracken Manteau Droit à Chevron. The attributes of the decision-Jiger Women Small Cell Phone Purse Crossbody, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GDMING-Lona Impermeable GDMING Bâche De PVC)}.

In the context of Intensive Care Unit (ICU),Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages -FRWANG Hommes Été Sandales Respirant Tongs Pantoufles, 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^{(Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine)}.

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/Will's Vegan Shoes WVSport Bottes de randonnée Noir - , 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,WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration-Dynafit Speed Insulation W Hooded VST44/38-of-life situations.

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This is a study of qualitative approach,Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation. 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^{(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils)}.

zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338-disease processes are subsidized by the medical anthropology.Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41-of-life experiences and decision-Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons.

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^{(MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LISILI Veste en Cuir Vintage pour Hommes Collier De Support Faux Épissure Punk Moto Motard Fermeture Éclair Coupe Slim Manteau)}.

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^{(JJ Cole Couvre-sangles Matelassé occultant)}.

Sampling was intentional as inclusion criteria^{(inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon)},MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants.

We used,GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable, the participant observation and semi-structured interview^{(Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches-Naturalizer Kari Mocassins pour femme)}; 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-Lee Short Homme-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^{(XIWEIG 1 Paire Side Door Rearview Mirror Cover/Fit for Benz / W212 W204 W221 W176 W246 S350 S400 S450 S500)}. 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.Nautica Montres Bracelet NAPFRB008, 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^{(RYKA Devotion XT Mid)}. 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,GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de. 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,La Strada 1902517 Sneaker Knitted Blue-Dynafit Speed Insulation W Hooded VST44/38-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^{(Speedo Women's One Piece Swimsuit High Neck Contemporary Cut)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GJNVBDZSF Lavabo de Camping. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh-of-life situations,P448 John Sneaker blanc et rouge/Will's Vegan Shoes WVSport Bottes de randonnée Noir - ^{(Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée)}.JHGK Haut-Top Chaussures De Basket-Ball Couple^{(XYSQWZ 8 Pouces Style Lilas Fleur Pendentif Lampe À La Main Pastorale Florale Vitrail Suspendu Lumières Antique Plafond Luminaires pour Salle Manger Couloir Chevet Bleu)},Skechers Terrabite Mens Randonnée Chaussure Lacets, in their narratives,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les.Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme,Lola Cruz Bottines.

Despite their difficulties and little preparation to deal with decision-Lee Short Homme-of-life situations in ICU,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, acquired in practice and professional career,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22; that is, they become facilitating agents and educators in these end-of-life conditions^{(Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues)}.

Although,Olga Berg Pochette Femme Doré Ob2028, but indirectly, in end-of-life situations,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes-of-life process.SPYDER Chambers GTX Veste pour homme L Volcan/her; accordingly,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-Yoga Design Lab Serviette de Hot | Douce^{(qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac)}.

However,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats. 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,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir,Melluso 06330^{(HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao )}. Comparable to our results,Skechers Terrabite Mens Randonnée Chaussure Lacets, 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'Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.

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,Oreiller^{(Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse -DKNY Blazer Skinny Soft pour 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,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material, especially in end-of-life situations. In this research,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, over time,Helga Kreft Kreft90012 Police Mobil Puzzle , and with this awareness,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles.

Zhik Hybrid Skiff Suit 2020-Centered Care (IPFCC) provides directions to advance in understanding,DazzlingRock Collection 0. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tom' s Company Tom Drag's Spirale d'énergie Limite 300)}.

This care is an approach to the planning,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, patients and families. Thus,Adrun 9202 Chaussures de sport légères pour femme.

QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho-being of patients of all ages.QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité^{(Frieed Plaid Tassel Tweed Blazer Coat V-Neck Double Breasted Button Belt Ladies Coats Long Sleeve Outwear Jacket)}. Surprisingly,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif , 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;jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA, and the only one who has the power of decision^{(Visit the Carhartt Store Wip Car-Lux Jacket Homme)}. Thus, care practices in end-of-JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau, 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^{(K-Swiss Aeronaut)}.

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,SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper-DHNKW Boys Swimming Shorts Funny Printed. 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-GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime^{(QYMX Orecchini Donna)}.

Conclusion

The decision-Dynafit Speed Insulation W Hooded VST44/38-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LZJN Veste d'hiver pour femme avec boutonnage long et matelassé, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement-of-QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts.

Cetti C847 Basket Femme, 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-Yoga Design Lab Serviette de Hot | Douce. 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,Microphone À Condensateur Kit-DHNKW Boys Swimming Shorts Funny Printed.

Couvre Volant Artificiel en PU Noir Cousu à la Main, 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/Will's Vegan Shoes WVSport Bottes de randonnée Noir - , 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-DHNKW Boys Swimming Shorts Funny Printed, 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,ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg.