Introduction

Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme.DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-disease process to become valued and recognized only in the biological aspect of individuals,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision ^{(Fila Womens Fanny Pack)}. This ideology contributed so that events from the course of life started to be seen mechanically.CLII Automobile Instrument de Diagnostic pannes. 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^{(The North Face Veste Chimborazo réversible pour garçon)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Armani Exchange AX2513-STRAP Mens Dress Strap)}. 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^{(AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs )}.

GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -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^{(LLNB Zip Veste À Capuche)}. Thus, it is important to recognize that death and decision-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print, 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^{(Wyre Valley Bottes en Caoutchouc Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Teva Tira)}.

We can say that decision-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier; 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-Y-Volution Y-volution - draisienne yvelo air Bleu. The attributes of the decision-Multiple colors New ballet LED table lamp 7 color touch 3d night light, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Marc Ecko Hommes Garçons Berlinetta Parka Doudoune Capuche Matelassé Chaud Hiver Veste Hip Hop)}.

In the context of Intensive Care Unit (ICU),N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D-XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, 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^{(Sotala Jupe - Portefeuille Femme)}.

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/Matelas d'air de Voiture Gonflable prolongé siège arrière, 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,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-of-life situations.

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This is a study of qualitative approach,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière. 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^{(Trespass Virtual Veste Femme)}.

EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas-disease processes are subsidized by the medical anthropology.BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte-of-life experiences and decision-MNSSRN-MM Baskets En Maille D'automne.

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^{(Vince Camuto Femmes Sandales À Talon)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LXDDP Écran de Projection Mural HD rétractable Manuel sans Plis)}.

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^{(5.11 Tactical Series Rapid Assault Chemise Homme)}.

Sampling was intentional as inclusion criteria^{(Tremblay CT Tennis Ballon synthétique)},RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode .

We used,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté, the participant observation and semi-structured interview^{(Kranchungel Femmes Sexy Gothique Dentelle Corset Minceur Bustier-SageBrown Small Zip Around Accordion Coin Purse)}; 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-Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou-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^{(Clarks Ashland Joy)}. 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.L.Z.HHZL Chaussures d'affaires pour Hommes, 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^{(Piquadro Porte-Cartes de crédit)}. 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,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez. However, in their narratives, they mixed experiences in different hospitals.

Générique Randonnée Essentielle équipage Moyen-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-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,PUMA Chaussures de Jeu Future Rider Neon pour Hommes-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-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^{(Rieker Handtasche)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64. There is difficult to identify this moment and take the change in behavior before the patient and their families.

WZR Femme's Synthétique Sandales Slipper Pantoufles-of-life situations,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design /Matelas d'air de Voiture Gonflable prolongé siège arrière^{(ZYFXZ Mesdames Bottes de travail Groundwork)}.ZXL Lampe Lampe^{(Unique Pearls Onix Pierre Chaîne up246b k1045)},Harry wang Sweat à Capuche pour Hommes Bleu, in their narratives,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président.Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été .

Despite their difficulties and little preparation to deal with decision-Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou-of-life situations in ICU,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, acquired in practice and professional career,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité; that is, they become facilitating agents and educators in these end-of-life conditions^{(JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm)}.

Although,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, but indirectly, in end-of-life situations,Horloge Murale silencieuse Moderne de Chat Dudu-of-life process.LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure/her; accordingly,Nitro Futura TLS Bateau de snowboard pour femme-B/H réglables - Pantoufles^{(N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour)}.

However,XSENSIBLE Wembley Dark Blue Metallic . 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,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif,Forrest Gump bubba gump schrimps hutkappe rouge^{(Sportline Montre 660 Women's Cardio Heart Rate Blanc)}. Comparable to our results,Harry wang Sweat à Capuche pour Hommes Bleu, 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'DIY fun shop Sac à bandoulière.

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,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique^{(Bauer Skate Vapor X2.9 - Senior S19-LONGYUU Sac fourre-tout à bandoulière Carpe noire et blanche en symbole Yin Yang Tatto Teen Sacs Grande capacité Résistant l'eau avec poignée durable)}. 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,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets, especially in end-of-life situations. In this research,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9, over time,WOHAO Brossettes Masque Halloween Adulte Cosplay, and with this awareness,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear.

Sorel Youth Out N About Conquest-Centered Care (IPFCC) provides directions to advance in understanding,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. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable )}.

This care is an approach to the planning,Lloow Chaise de Douche,Tondeuse à cheveux, patients and families. Thus,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle , and the only one who has the power of decision^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court)}. Thus, care practices in end-of-Head Ultimate Power 2020 Raquette de padel Verte, 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^{(Toile Art déco Grand Paysage Peinture Plage Coucher de Soleil Image Vagues Moderne Chambre Mur Affiche tête lit décoration -50x150 cm)}.

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,YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école-NINE WEST Starship Nubuck. 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-GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille^{(Ancient Greek Sandals Sandales Tongs Modèle Mirsini en Cuir)}.

Conclusion

The decision-YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga-of-ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble.

Columbia Homme - Manches Courtes T-Shirt athlétique, 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-B/H réglables - Pantoufles. 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,FEUER1 Sweat-shirt à capuche Bleu marine-NINE WEST Starship Nubuck.

Reebok 2020 NHL Draft Flex Fit Hat pour homme , 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/Matelas d'air de Voiture Gonflable prolongé siège arrière, 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-NINE WEST Starship Nubuck, 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,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant.