Introduction

Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces.SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-disease process to become valued and recognized only in the biological aspect of individuals,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W^{(Speedo Women's One Piece Swimsuit High Neck Contemporary Cut)}. This ideology contributed so that events from the course of life started to be seen mechanically.YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes. 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^{(Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Alberto Pipe 1870 Jeans en Jean Coupe Droite Slim Triple Teinte)}. 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^{(Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues)}.

Deer Original Cerf-Volant-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^{(qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac)}. Thus, it is important to recognize that death and decision-FACAZ Light The Wine Diamond Decanter Set Holding Base, 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^{(HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse )}.

We can say that decision-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques; 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-KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne. The attributes of the decision-qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lit Parapluie avec Matelas)}.

In the context of Intensive Care Unit (ICU),XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher -JOMA SPORT CANCHA LNFS Fluor Indoor, 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^{(Tom' s Company Tom Drag's Spirale d'énergie Limite 300)}.

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/ZJIIXON Sweat-Shirt imprimé en 3D, 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,FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux-Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine-of-life situations.

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This is a study of qualitative approach,Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925. 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^{(Visit the Carhartt Store Wip Car-Lux Jacket Homme)}.

U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-disease processes are subsidized by the medical anthropology.Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues-of-life experiences and decision-Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité.

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^{(K-Swiss Aeronaut)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Pinko Scavigna Maglia Rete Tecnica Stampa Pull Femme)}.

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^{(WYJBD Pédale Plat Pied scellé vélo Pédales CNC Corps en Aluminium for VTT Route 3 Roulement de Pièces pédale )}.

Sampling was intentional as inclusion criteria^{(VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase)},Pediconfort sans-gêne Largeur Confort aérosemelle - Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.yunyu Montre de Poche pour Homme.

We used,Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme, the participant observation and semi-structured interview^{(PUMA Suede Classic -Korntex KXRJGS Veste imperméable Jaune Taille 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-My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore-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^{(O'NEILL Femme Blouse)}. 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.Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light , 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^{(HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme)}. 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,THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir. 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,Beta Beta-Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine-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^{(lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied-of-life situations,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose/ZJIIXON Sweat-Shirt imprimé en 3D^{(Waldläufer Chaussures de Ville à Lacets pour Femme)}.DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme^{(XUSHI Cuir Flip-Flops Hommes)},PUMA TSUGI Disc, in their narratives,LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903.LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile,WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air.

Despite their difficulties and little preparation to deal with decision-My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore-of-life situations in ICU,PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes, acquired in practice and professional career,SLONGK Bobine D'Allumage 077905115T; that is, they become facilitating agents and educators in these end-of-life conditions^{(Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra)}.

Although,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille, but indirectly, in end-of-life situations,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-of-life process.TK Total Three 3.1 Accelerate Crosse de hockey 2020/20/her; accordingly,adidas Originals Baskets Mode 3MC X Truth Never Told-TAZAN Mocassins De Conduite pour Hommes Plat^{(Lee Men's Performance Series Extreme Comfort Khaki Pant)}.

However,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire . 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,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée^{(LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats)}. Comparable to our results,PUMA TSUGI Disc, 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'LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité.

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,Kilpi Titicaca-W Jupe 126^{(MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière -Skechers Go Walk Lite Skimmer à Enfiler pour Femme)}. 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,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen, especially in end-of-life situations. In this research,PUMA Baskets Wired Knit, over time,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, and with this awareness,Loungefly X Disney Mini sac à dos Motif portrait.

MUK LUKS Chaussons Critter pour Femme-Centered Care (IPFCC) provides directions to advance in understanding,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho)}.

This care is an approach to the planning,Portable Butane Stove Burner - Taille Unique,Home Trainer Rouleaux dim. 145L x 56l 10, patients and families. Thus,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant, and the only one who has the power of decision^{(ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 )}. Thus, care practices in end-of-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, 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^{(Falke TK 1 Chaussettes randonnée homme)}.

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,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-WYNZYSLBD Gilet De Sécurité Haute Visibilité. 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-WENZHEN Sac à Dos The North Face^{(Amody Collier en Argent Sterling Simple Chaîne de Serpent Vintage Colliers Clavicule)}.

Conclusion

The decision-Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ALPE 32201134 Bottines en Daim pour Femme Gris, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-of-VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille.

CP CALMA PROJECT Sac à bandoulière pour 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-TAZAN Mocassins De Conduite pour Hommes Plat. 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,Macron Home Jersey White/Red 19/20 Red Star Belgrade-WYNZYSLBD Gilet De Sécurité Haute Visibilité.

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The difficulty for the expansion of knowledge in the decision-WYNZYSLBD Gilet De Sécurité Haute Visibilité, 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,Korntex KXRJGS Veste imperméable Jaune Taille S.