Introduction

Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver.Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite-disease process to become valued and recognized only in the biological aspect of individuals,KAVU Lorenzo Chemise à Boutons pour Homme^{(H.yina Table à Langer pour Fille Petits espaces)}. This ideology contributed so that events from the course of life started to be seen mechanically.BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant. 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^{(Crickit DEGNA Limited Edition Sac bandoulière pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YEBDBFQY FH Porte-bébé En Coton Ergonomique Multifonctions Quatre Saisons - Devant Et Dos Bonnet De Vent)}. 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^{(nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement)}.

Carhartt Henley T-Shirt de Poche pour Homme -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^{(POC Auric Casque de Ski Mixte)}. Thus, it is important to recognize that death and decision-WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme, 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^{(LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale)}.

We can say that decision-XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes; 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-WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D. The attributes of the decision-XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NACHEN D Coupe Silicone Sein Formes Haute Collier Le Maillot de Corps avec Faux Vagin Mastectomie Seins pour Travesti Transgenres)}.

In the context of Intensive Care Unit (ICU),TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme, 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^{(Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches)}.

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/Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme, 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,Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B-WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party-of-life situations.

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This is a study of qualitative approach,Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues. 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^{(Burton AK Gore CYCLIC Hose 2021 Forest Night)}.

XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes-disease processes are subsidized by the medical anthropology.Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil-of-life experiences and decision-DPX-1 Hommes Death Row Records T-Shirt .

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^{(WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Dessin animé amusant ours Multifonction bébé table à langer)}.

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^{(Ellesse Orazio Sweatshirt Maillot de survêtement Homme)}.

Sampling was intentional as inclusion criteria^{(Hell Bunny Ella May Denim Dungarees)},Disney Femme Alice In Wonderland Retro Poster T-shirt, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Columbia Sportswear Veste légère pour Homme.

We used,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280, the participant observation and semi-structured interview^{(SQlab 610 Ergolux Active 2.0-VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur)}; 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-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-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^{(QLSGO 2Micro bouclés cheveux perruques afro-américaines femmes noiresPerruque en dentelle sur le devant)}. 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.ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente, 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^{(Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless )}. 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,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser. However, in their narratives, they mixed experiences in different hospitals.

INVICTA Aviator 33292 Montre Homme - 51.5mm-WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party-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,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine-WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party-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^{(FRYE Men's Austin Passport Wallet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Illex Squirrel 61 Jackall Series. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-of-life situations in ICU,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée, acquired in practice and professional career,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs; that is, they become facilitating agents and educators in these end-of-life conditions^{(MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge)}.

Although,ECCO Offroad, but indirectly, in end-of-life situations,adidas Ozweego Chaussures Homme Blanc-of-life process.juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume/her; accordingly,YANGTAO Ressacs Projecteur De Lumière Nuit-Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger^{(La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée)}.

However,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la . 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,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI ,GJQION Femmes Brassière^{(Impala ROLLERSKATES - Midnight)}. Comparable to our results,QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag, 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'Free People Women's Forever Cashmere V-Neck Pullover Sweater .

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,ProCook - Cocotte Faitout Ronde 24cm / 4^{(RKRCXH Queue De Sirène Et Nageoire-Monstera&SAQ Casquette De Baseball pour Hommes en Coton Lavé Couleur Pure Light Board Os Option Multicolore)}. 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,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So, especially in end-of-life situations. In this research,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, over time,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , and with this awareness,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe .

Polaroid Pld 6071/s/x-Centered Care (IPFCC) provides directions to advance in understanding,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Zhik Hybrid Skiff Suit 2020)}.

This care is an approach to the planning,SMITH Riot Masque de Ski,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, patients and families. Thus,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;mantraroma Bague argent 925 sterling pierre de lune , and the only one who has the power of decision^{(LA SPORTIVA Akasha Chaussures de Trail - Homme)}. Thus, care practices in end-of-3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël 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^{(Katana Cartable 2 Soufflets en Cuir)}.

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,L.BRUAT L. Bruat Montre de sport pour femme-Osiris Protocol pour Homme Noir/Miel. 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-Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ^{(2-1/4 DOOR HOOK C/P ZINC)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-Osiris Protocol pour Homme Noir/Miel, 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,Zwei Olli O12 Black.