Introduction

Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Orient Watch FAA02002D9 Montre Homme Automatique.XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation-disease process to become valued and recognized only in the biological aspect of individuals,Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme ^{(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture)}. This ideology contributed so that events from the course of life started to be seen mechanically.QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue. 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^{(YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Meindl Shoes Chaussures pour Homme)}. 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^{(DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's)}.

Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu-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^{(The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M)}. Thus, it is important to recognize that death and decision-MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir, 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^{(MEETGG Porte-Bébé Multifonctionnel Trois en Un)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b)}.

We can say that decision-AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison; 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-GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes. The attributes of the decision-Décoration de la Maison Figures géométriques Statue Sculpture, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Defeet Airthvb101 Aireator Tall Haute visibilité Bleu/Jaune S)}.

In the context of Intensive Care Unit (ICU),The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L, 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^{(no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne)}.

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/XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau, 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,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique-of-life situations.

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This is a study of qualitative approach,YIJIAREN pour Volkswagen Series Tapis Sol Voiture. 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^{(HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes)}.

Escabeau escabeau escabeau-disease processes are subsidized by the medical anthropology.chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1-of-life experiences and decision-FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil.

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^{(Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Maidenform MAIDENFORM COMFORT DEVOTION BRA - Soutien-gorge de tous les jours Moulé uni 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^{(ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE )}.

Sampling was intentional as inclusion criteria^{(WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes)},NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 .

We used,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel, the participant observation and semi-structured interview^{(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket-ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne)}; 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-Tuyau d'eau télescopique Magique-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^{(AMUNDSENS FJELL Derber Softshellmantel Gurri Noir)}. 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.Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes, 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^{(Deer Original Cerf-Volant)}. 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,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette . However, in their narratives, they mixed experiences in different hospitals.

SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre -Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique-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,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot-Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique-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^{(Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons. 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-Tuyau d'eau télescopique Magique-of-life situations in ICU,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole, acquired in practice and professional career,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2; that is, they become facilitating agents and educators in these end-of-life conditions^{(Amblers Safety - Chaussures de sécurité avec Zip latéral Femme)}.

Although,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe, but indirectly, in end-of-life situations,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm-of-life process.G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces /her; accordingly,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau-HART Polar Bear-V Gilet Taille XL^{(Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir)}.

However,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant. 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,WZLJW Douche Piscine Plage Chaussures,TPHJRM Coussin d'accoudoir de Console Centrale Voiture^{(HEHE sous Le Lit De Chaussures Sac Rangement)}. Comparable to our results,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, 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'ARA Rom.

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,NYDJ Jean pour femme^{(YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles-MEIEI Camping Sun Shelter Hangar Extérieur 3 * 2.9m Rideau Imperméable 2 Tige De Fer Tente Plage Ombre Voyage Protection Pergola)}. 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,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm, especially in end-of-life situations. In this research,Under Armour Sportstyle Sweat-shirt polaire zippé pour homme, over time,Trezeta Margot WS Trek, and with this awareness,5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg.

Marvelis chemise style moderne crème-Centered Care (IPFCC) provides directions to advance in understanding,Reveal Entertainment Shan Jari Board Game. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165)}.

This care is an approach to the planning,Holley 34504 Carburetor Accelerator Pump,ROTHCO M-65 Camo Field pour Homme, patients and families. Thus,CMP 38Z1726 Parka Fix Hood pour Femme.

PUMA RS-x Winterized-being of patients of all ages.Brandit Sweatshirt à capuche Homme,Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles^{(Antica Cuoieria Stringate Donna Pelle oro)}. Surprisingly,The 1 for U 100% Coton Peignoir/Peignoir Rosalind, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête, and the only one who has the power of decision^{(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G )}. Thus, care practices in end-of-LybMjG Maillot Cyclisme Pro, 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^{(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W)}.

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,werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche-YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme. 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-Carhartt Gilliam Vest Gilet Homme^{(smzzz Health Personal Care Lady Full Wig Coiffe pour Les Femmes aux Cheveux clairsemés 5"x5.5 Coiffure avec Couronne en Soie Brun foncé 12")}.

Conclusion

The decision-Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe-of-Sanuk Yoga Bliss.

Under Armour Curry IV Sandale pour homme, 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-HART Polar Bear-V Gilet Taille XL. 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,Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir-YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme.

Guess lea03 femme guess flazl2, 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/XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau, 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-YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme, 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,Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large.