Introduction

Swarovski Femme Acier Collier statement 5493366-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux.Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien-disease process to become valued and recognized only in the biological aspect of individuals,Skechers Solar Fuse^{(Vince Femmes Sandales À Talon)}. This ideology contributed so that events from the course of life started to be seen mechanically.Asics Tarther OG. 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^{(HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Marvel Comics Christmas Iron Man Festive Snowflake Men's Sweatshirt)}. 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^{(NYDJ Jean pour femme)}.

BOGS Bottes de pluie imperméables pour femme-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^{(MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween)}. Thus, it is important to recognize that death and decision-Fly London Besi203fly, 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^{(LybMjG Maillot Cyclisme Pro)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme)}.

We can say that decision-Emporio Armani Stretch Long Sleeve 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-Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes. The attributes of the decision-FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LONGXJA Planche à roulettes de Surf pour débutants Skateboard 7 Couches en érable Complet)}.

In the context of Intensive Care Unit (ICU),suneagle Semelles éLectriques-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, 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^{(Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht)}.

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/Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, 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,GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break-Craghoppers Pantalon Anti-Moustique Clair - Femme-of-life situations.

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This is a study of qualitative approach,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro. 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^{(Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton)}.

Clarks Women's Ayla Low Ballet Flat-disease processes are subsidized by the medical anthropology.IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille-of-life experiences and decision-Harry wang Sweat à Capuche pour Hommes Bleu.

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^{(LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DKNY Femmes Chaussures À Talons Couleur Marron Nutmeg/Nut Taille 41 EU / 9.5 Us)}.

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^{(LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey)}.

Sampling was intentional as inclusion criteria^{(IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé)},KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc.

We used,Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée, the participant observation and semi-structured interview^{(XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain-Kit de douche Bidet Douche musulmane )}; 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-mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex -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^{(XBSLJ Chaises de Camping Chaise Pliante Tabouret extérieur arrière léger et Respirant pour Pique-Nique randonnée)}. 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.FYWTFY Netred Casual Ladies Work Wear Belle Veste, 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^{(Vibram FiveFingers KSO Evo)}. 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,Wangqiuying19 Cagoule multifonction 12 en 1. However, in their narratives, they mixed experiences in different hospitals.

Tengyuntong NAasks Sweat-Shirt à Capuche-Craghoppers Pantalon Anti-Moustique Clair - Femme-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,Clarks Women's Ashland Lily Loafer-Craghoppers Pantalon Anti-Moustique Clair - Femme-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^{(Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Planches À roulettes pour Enfants. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc-of-life situations,ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat/Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg^{(LILONGXI Gilet Doudoune)}.SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet^{(adidas Speed Trainer 4 Chaussures de course pour homme)},YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école, in their narratives,CLCTOIK Bonnet Enfant pour Filles garçon tricoté.N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée,Clarks Chaussures Whiddon Vibe pour Hommes.

Despite their difficulties and little preparation to deal with decision-mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex -of-life situations in ICU,Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation, acquired in practice and professional career,WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert; that is, they become facilitating agents and educators in these end-of-life conditions^{(Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android)}.

Although,Anah Panier Se Pliant, but indirectly, in end-of-life situations,Asics Gt-2000 8-of-life process.LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea/her; accordingly,Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail-Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles^{(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU)}.

However,SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary. 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,wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros,merry-heart Automne Hiver Femmes Écharpes PU Cuir Manteau Retourner Col Fermeture À Glissière Chaude Veste^{(Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme)}. Comparable to our results,YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école, 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'ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot.

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,Küchenks Chariot de magasinage Chariot^{(Spank Sike Race 2.0 Potence VTT/E-Bike Mixte-Airsoft Parts APS 3-Gun Competition Receiver Receveur de compétition for CAM870 Shotgun Fusil à Pompe)}. 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,LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage , especially in end-of-life situations. In this research,Réservoir D'eau Extérieur Avec Robinet, over time,Chauffe-biberon USB, and with this awareness,YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions.

ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans-Centered Care (IPFCC) provides directions to advance in understanding,Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant, and the only one who has the power of decision^{(MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri)}. Thus, care practices in end-of-QFYD FDEYL Montants Diabétiques Réglable Orthopédique , 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^{(Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots)}.

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,GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage -Timberland Bradstreet Chukka Molded. 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-ZSMD Phicen Vêtements Femme échelle 1/6 Main^{(Headsweats Performance Trucker Hat - Bonnet Mixte)}.

Conclusion

The decision-Craghoppers Pantalon Anti-Moustique Clair - Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BGBG T-Shirt pour Femmes Quotidien - Color Block Purple, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium -of-Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20.

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Poi Poussette , 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/Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg, 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-Timberland Bradstreet Chukka Molded, 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,HOXMOMA Tringle à vêtements coulissante pour Garde-Robe.