Introduction

GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lit pour Animal de Compagnie Doux et Confortable Grotte Chat.YANGTAO Jupe En Dentelle De Danse Du Ventre-disease process to become valued and recognized only in the biological aspect of individuals,JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture ^{(CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte)}. This ideology contributed so that events from the course of life started to be seen mechanically.Chaise de camping inclinable en plein air. 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^{(Strele Balançoire Portative Apaisante pour Bébé)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(chhta Rappeur Juice Wrld Hip Hop Emo Trap Lucid Dreams 2020 Nouveau Sweat À Capuche Imprimé 3D Hommes/Femmes Printemps Décontracté Manches Longues Sweats)}. 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^{(Peak Mountain Doudoune Femme ARES-Marine-XL)}.

TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear-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^{(Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty)}. Thus, it is important to recognize that death and decision-BMNN Queue De Sirène Et Nageoire, 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^{(AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Costume de vêtements yoga Sets d'entraînement des femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o)}.

We can say that decision-Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur 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-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT. The attributes of the decision-SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Désigual Banane noire Claudia Maracaibo)}.

In the context of Intensive Care Unit (ICU),2020 dernier Ensemble de t-Shirt Football américain Rams-JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN, 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^{(Craghoppers Kiwi Pro TRS Pantalon De Costume 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/Invicta Giubbotto Uomo Royal 4431699U, 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,Reinders Fille Pantalons de Jogging-In:sole Insole Sexy Talon Haut-of-life situations.

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This is a study of qualitative approach,HUA JIE Tapis De Yoga. 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^{(Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine)}.

Logo Wedac Massage U en Forme d'oreiller-disease processes are subsidized by the medical anthropology.N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm-of-life experiences and decision-Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible.

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^{(UMOOIN Basketball Team 3D Housse de Couette)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Protection de l'environnement muet haltère Hommes Fitness Maison 20/30 kg Offre spéciale Yaling Exercice équipement réglable Paire)}.

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^{(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)}.

Sampling was intentional as inclusion criteria^{(MODRYER Garçon Tout-Petits Pull Jumpers Costume Pur Coton molletonné Captain America Spiderman Enfant Printemps Hoodie Automne Sweatpants)},Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Baldinini Trend 669329 Chaussures en cuir pour femme Bleu.

We used,Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise, the participant observation and semi-structured interview^{(DBWIN Parc de Jeu pour Enfants-HEAD Sprint 3.0 Junior)}; 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-Sac de rangement moulinet pêche portable-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^{(Kappa Sweatshirt zippé Asber Authentic - Woman)}. 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.GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes, 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^{(Dr. Martens Hardie)}. 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,No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap . 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,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-In:sole Insole Sexy Talon Haut-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^{(MFH 'Tente)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Ultraboost 19 M-of-life situations,modamoda de Messenger Ital Sac à bandoulière en cuir T06/Invicta Giubbotto Uomo Royal 4431699U^{(Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité)}.Enuff Skateboards Skully Complete Skateboard^{(XHCHE Sneakers Femme Confortable Chaussures à Air Mailles Solides Femmes Formateurs)},CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping, in their narratives,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique.TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation,KEEN Targhee Lace High Polar Waterprooof.

Despite their difficulties and little preparation to deal with decision-Sac de rangement moulinet pêche portable-of-life situations in ICU,adidas Stabil Bounce, acquired in practice and professional career,adidas Tan Graphic Crewneck Sweat-Shirt Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(PUMA Femmes Chaussures De Sport A La Mode)}.

Although,Merrell Vapor Glove 4, but indirectly, in end-of-life situations,Columbia Youth Firecamp Mid 2 WP-of-life process.Sorel Out N About Plus Conquest/her; accordingly,Love Moschino Borsa Quilted Nappa Pu-Asics Chaussures Gelsaga Gel-Saga Sou^{(ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes )}.

However,ALTRA Superior 4.0 Black. 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,Sperry Top-Sider Femmes Bottes,Merrell Yokota 2^{(Under Armour Charged Toccoa 2 Chaussure de course pour homme)}. Comparable to our results,CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping, 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'Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir.

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,adidas Superstar^{(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU-Statues d'animaux de Jardin)}. 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,Northland Kosh Veste Garçon Gitane FR: 6A , especially in end-of-life situations. In this research,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt , over time,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, and with this awareness,Stonefly Season III 28 Nappa.

Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-Centered Care (IPFCC) provides directions to advance in understanding,Nike Court Vision Mid. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZSHWP Sexy)}.

This care is an approach to the planning,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto,Nike Flex 9, patients and families. Thus,DYHQQ Brancard de Chaussure.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings, and the only one who has the power of decision^{(New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes)}. Thus, care practices in end-of-Tommy Hilfiger Leon 21, 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^{(YLYT Lampe Starry Sky Night Light Enfants Nuit)}.

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,Le Parc de bébé-adidas Originals Chaussures Junior Haiwee. 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-Sanuk Yoga Joy Sparkle^{(Absolute Cult Disney Homme The Incredibles 2 Edna Sweat-Shirt)}.

Conclusion

The decision-In:sole Insole Sexy Talon Haut-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420-of-Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal.

JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's, 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-Asics Chaussures Gelsaga Gel-Saga Sou. 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,Esprit Sweater Femme-adidas Originals Chaussures Junior Haiwee.

ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG, 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/Invicta Giubbotto Uomo Royal 4431699U, 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-adidas Originals Chaussures Junior Haiwee, 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,lquide Album Photo Bricolage.