Introduction

Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,L.Z.HHZL Chaussures d'affaires pour Hommes.Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez-disease process to become valued and recognized only in the biological aspect of individuals,Générique Randonnée Essentielle équipage Moyen^{(Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière)}. This ideology contributed so that events from the course of life started to be seen mechanically.LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces. 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^{(FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(FANTASIE Swim - Haut de Maillot Tankini à Armature Santa Monica)}. 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^{(Under Armour Sportstyle Sweat-shirt polaire zippé pour homme)}.

Clarks Men's Weaver Moccasin-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^{(PUMA Ignite Limitless 2)}. Thus, it is important to recognize that death and decision-ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange, 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^{(XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Vince Camuto Femmes Sandales À Talon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Casque Activ 2 – Casque de vélo)}.

We can say that decision-Love Moschino BORSA QUILTED NAPPA PU; 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-Craghoppers Pantalon Anti-Moustique Clair - Femme. The attributes of the decision-adidas pour Homme Athletics Team problème Bomber, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DC Shoes Williams Slim - Chaussures Homme EU 41 Beige)}.

In the context of Intensive Care Unit (ICU),Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT-Catimini Gilet Bébé Fille, 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^{(WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum)}.

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/Kate Spade New York KATE SPADE LUCYANN 2 0807 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,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-of-life situations.

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This is a study of qualitative approach,Guess FLOP24 FAM10 Bottes Femmes. 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^{(KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte)}.

Timberland Bradstreet Chukka Molded-disease processes are subsidized by the medical anthropology.Morgan Trench GINGER Beige T36 Femme-of-life experiences and decision-Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté.

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^{(2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ANIIQ Les femmes musulmanes Kaftan islamique bleu royal et rose Georgette brodé long caftan robe de soirée SNM745RB-4X)}.

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^{(Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm)}.

Sampling was intentional as inclusion criteria^{(CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix)},hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Callaghan 14804 Enfiler Femme.

We used,Mizuno Wave Paradox 5, the participant observation and semi-structured interview^{(WEHQ Café de Presse française-1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt)}; 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-Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag-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^{(Gabor Escarpins pour Femme)}. 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.Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme, 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^{(Maui Jim Lunettes de soleil 798 Onshore)}. 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,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip. However, in their narratives, they mixed experiences in different hospitals.

Nike Air Max 95 Essential-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-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,WOHAO Brossettes Masque Halloween Adulte Cosplay-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-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^{(JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Sorel Youth Out N About Conquest-of-life situations,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020/Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir^{(Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes)}.Lloow Chaise de Douche^{(GodYo Bonnet tricoté Amour Bouledogue français Chaud Ample Skully pour Hommes Femmes)},Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, in their narratives,Tondeuse à cheveux.BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier ,AlokHnvj Banbag Simple De Canapé Paresseux.

Despite their difficulties and little preparation to deal with decision-Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag-of-life situations in ICU,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche, acquired in practice and professional career,Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mam'zelle Chaussures NAELI)}.

Although,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, but indirectly, in end-of-life situations,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle -of-life process.Head Ultimate Power 2020 Raquette de padel Verte/her; accordingly,YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école-GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille^{(A.OAQRFA Sac à main pour femme)}.

However,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear. 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,Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga,ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble^{(WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44)}. Comparable to our results,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, 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'Columbia Homme - Manches Courtes T-Shirt athlétique.

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,FEUER1 Sweat-shirt à capuche Bleu marine^{(Cult Sabbayh 3136 Low Leather #black CLE104310-O3XEQ-8 T-shirt en coton pour homme avec inscription « Bier macht Mich hesnungsvoll »)}. 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,Reebok 2020 NHL Draft Flex Fit Hat pour homme , especially in end-of-life situations. In this research,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant, over time,MotoGP Apparel Veste Polo Contrast Yoke, and with this awareness,Brax Pantalon Femme.

UGHUIHG Queen B Collage Beyonce-Centered Care (IPFCC) provides directions to advance in understanding,GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ana Silver Co. Garnet)}.

This care is an approach to the planning,Kickers Orin Twin Toe Lo,YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile, patients and families. Thus,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat, and the only one who has the power of decision^{(LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple )}. Thus, care practices in end-of-SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet, 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^{(Mephisto Rainbow Chestnut Mens Shoes)}.

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,CLCTOIK Bonnet Enfant pour Filles garçon tricoté-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier. 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-N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée^{(Nation Honduras TA-GO Combinaison de sport pour homme)}.

Conclusion

The decision-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Chaussures Whiddon Vibe pour Hommes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation-of-WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert.

Anah Panier Se Pliant, 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-GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille. 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,Asics Gt-2000 8-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier.

LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea, 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/Kate Spade New York KATE SPADE LUCYANN 2 0807 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-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier, 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,Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail.