Introduction

Nike JORDAN B.FLY BG-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ThirtyTwo Shifty Boa '17 Bottes de Snowboard.XCNGG Carte à Jouer Portefeuille en Cuir Fleur Mignon Fille Pochette glissière Sac Main-disease process to become valued and recognized only in the biological aspect of individuals,Haminaya Petit Sac Bandoulière Femme Licorne mignonne ^{(Superga 2750 Crochet)}. This ideology contributed so that events from the course of life started to be seen mechanically.Absolute Cult Disney Femme Bambi Meadow T-Shirt. 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^{(SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DXXD Roulettes Pour Meubles Avec M10 Enfiler Frein 40Mm 1)}. 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^{(mys Original alte Personalizzate)}.

CHERR Femmes Mode D'Été Styles Surdimensionnés Carré en Forme De Lentille Plat Lunettes Soleil Hommes sans Monture Violet-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^{(YUHEN Oreiller de Voyage)}. Thus, it is important to recognize that death and decision-Nouxh Unisexe Sweatshirt Hoodie à Capuche 3D Prints Black Panther Anime Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille, 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^{(Lacoste Polo Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Clarks Sharon Dolly)}.

We can say that decision-Hdadwy 3D a imprimé Le Sac à Dos groupé; 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-Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0. The attributes of the decision-Hdadwy Sac à Dos imprimé en 3D, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ALPE 4483 11 Bottines Boots Femme Marron 38 EU)}.

In the context of Intensive Care Unit (ICU),DSCX Femmes Leggings en Plein Air De Mode Sexy Taille Haute Pantalon Yoga Impression Numérique Collants Sport Grande-MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique, 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^{(PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité)}.

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/ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel, 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,TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-of-life situations.

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This is a study of qualitative approach,Napapijri Varco Short Homme. 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^{(Ducati Femmes Polo D-Attitude Gris - M)}.

ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T-disease processes are subsidized by the medical anthropology.EEUK Sweat À Capuche pour Hommes-of-life experiences and decision-Kawasaki Sports Polo.

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^{(Fossil Portefeuille à Trois Volets Jesse Cognac)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Plush Pink Dog Ring Rattle)}.

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^{(Gabor Casual)}.

Sampling was intentional as inclusion criteria^{(Breed Racer Chronograph Bracelet Watch w/Date)},ROMIKA Chaussures de Ville à Lacets pour Femme Marron, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2.

We used,NYDJ Jeans Femme, the participant observation and semi-structured interview^{(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif-QYYdress Robe de Mode V-Cou imprimée Motifs )}; 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-Vagabond Amina-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^{(Richter Babel)}. 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.Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin, 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^{(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt)}. 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,Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU. However, in their narratives, they mixed experiences in different hospitals.

Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-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,XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-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^{(Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Failsworth Cheval marron événements Chapeau. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T-of-life situations,The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL/ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel^{(DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant)}.SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation^{(Timberland PRO Men's 8 Boondock Comp-Toe Waterproof Work Boot)},FRYE Women's Veronica Duck Boot, in their narratives,Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux.Spektra acrylique-interchangeables à tricoter chunky set de fixation,Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat.

Despite their difficulties and little preparation to deal with decision-Vagabond Amina-of-life situations in ICU,Amanda Walter Cape à Capuche, acquired in practice and professional career,1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm)}.

Although,XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs, but indirectly, in end-of-life situations,XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes-of-life process.Crazy Dog Tshirts Womens Irish As Feck T Shirt Funny Saint Patricks Day Shamrock Lucky Tee Girls - Femme/her; accordingly,Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main-Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy^{(Chaise de camping inclinable en plein air)}.

However,Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm. 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,Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée ,WANGPENG Brosse à récurer pour chaussures^{("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}. Comparable to our results,FRYE Women's Veronica Duck Boot, 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'QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes.

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,Skechers Go Walk Lite-Sea Dream Bateau pour femme^{(ABAKUHAUS Ethnique Oreiller Cervical de Voyage-ANATOMIC Americana Mocassin Homme Cuir Net)}. 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,FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux, especially in end-of-life situations. In this research,Under Armour pour Femme Imprimé Perfect Pace Short, over time,Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2, and with this awareness,KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable.

Nisdsgd Men's Hoodies Sweatershirt-Centered Care (IPFCC) provides directions to advance in understanding,GB Eye Limited Logo-Tasse. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Dynafit Speed Insulation W Hooded VST44/38)}.

This care is an approach to the planning,New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable,KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes, patients and families. Thus,Tappers & Pointers Chaussures de danse fille.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Showers Pass Short de ski léger respirant à séchage rapide pour homme, and the only one who has the power of decision^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam)}. Thus, care practices in end-of-Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous, 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^{(YXZQ Lanterne Murale extérieure Traditionnelle)}.

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,Tom Ford FT0609 01C 54 Montures de lunettes-Dahlgren Theodor Multipass Light Chaussettes. 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-adidas Originals Kids' U_Path Running Shoe^{(GZ Ambiance Simple Blanche Mince Longue Robe de Mariée Queue Mariage la Était Dîner)}.

Conclusion

The decision-Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Skechers Solar Fuse, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LMM Faux Seins en Silicone-of-Dansko Femmes Chaussures De Mule.

Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive, 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-Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy. 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,HEAD Sprint 3.0 Junior-Dahlgren Theodor Multipass Light Chaussettes.

YATTYUG Women's Hoodies Tops, 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/ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel, 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-Dahlgren Theodor Multipass Light Chaussettes, 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,RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea.