Introduction

Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite.GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur-disease process to become valued and recognized only in the biological aspect of individuals,NENGGE Barre de Traction^{(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir)}. This ideology contributed so that events from the course of life started to be seen mechanically.SBDLXY Parc pour bébé extérieur. 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^{(VLERHH Géant Hippopotame Peluche)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sweet Home from Wood Montessori Lit en bois pour les tout-petits et enfants Cadre de lit chambre d'enfant Design scandinave Single size 190x90cm Noir)}. 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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!)}.

Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz -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^{(Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme)}. Thus, it is important to recognize that death and decision-SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , 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^{(Bath Sac à Dos Grande capacité 56-75L extérieur)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WOCTP Manteau imperméable et amovible 3 en 1 pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X)}.

We can say that decision-Hoonmis Robe de soirée Enfant; 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-LED night light. The attributes of the decision-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lampe de chevet Stitch Lilo et Angel création artisanale)}.

In the context of Intensive Care Unit (ICU),Hatley Swimsuits Maillot Une pièce Garçon-Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, 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^{(hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi)}.

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/ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, 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,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-of-life situations.

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This is a study of qualitative approach,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt. 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^{(Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts)}.

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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^{(HKM 9109 Bottes d'équitation Gijón)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Columbia Ultimate Roc Flex Pant - Pantalon de randonnée Homme)}.

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^{(LWQ Accueil Utilisez Électriques Ciseaux)}.

Sampling was intentional as inclusion criteria^{(Pneus de Scooter électrique)},Fossil Portefeuille à Trois Volets Jesse Cognac, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Saucony Shadow Original.

We used,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, the participant observation and semi-structured interview^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26"-Cole Haan Morris Wing Ox:Java Oxford pour Homme)}; 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-Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-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^{(Cheval à bascule en Bois Solide Chaise berçante Jouet bébé Cadeau Petit 77 * 39 55.5 cm Xuan - Worth Having)}. 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.HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, 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^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}. 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,Dare 2b pour femme PREMISS Veste imperméable isolée. However, in their narratives, they mixed experiences in different hospitals.

Piquadro Pierre Sac de Sport Grand Format-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-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,Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-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^{(FACAI Masseurs électriques pour Les Pieds)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme. 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-Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-of-life situations in ICU,ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes, acquired in practice and professional career,Loue99va 2020 Winter Snow Jacket Women Ski Suit and Pants Windproof Waterproof Colorful Clothes Sets; that is, they become facilitating agents and educators in these end-of-life conditions^{(Küchenks Chariot de magasinage Chariot)}.

Although,Dean & Tyler et Bundle One The Braid Collier 76, but indirectly, in end-of-life situations,Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt-of-life process.Fuliya Men's Hoodies Sweatshirts/her; accordingly,HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D-LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable^{(T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50)}.

However,Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm. 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,Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt,Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel^{(Figurine Statuette Sculptures Bouddha)}. Comparable to our results,WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25, 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'Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée .

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,RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes^{(Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-ZTMN Alliage d'aluminium Chariot Rack Portable Pliant Petite Remorque Charrette À Shopping Train Cargo Brun)}. 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,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M, especially in end-of-life situations. In this research,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux, over time,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme, and with this awareness,JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant.

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This care is an approach to the planning,Columbia Powder Pass,Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc , patients and families. Thus,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Maillots de Basket-Ball pour Hommes et Femmes, and the only one who has the power of decision^{(OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h)}. Thus, care practices in end-of-DGHJK Haut-Parleur Bluetooth Gramophone, 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^{(TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux)}.

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,Kjore Project Clous Limites iClutch Monnaies-steve madden Tronchetto in Suede Marrone. 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-THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème^{(teespring T-Shirt - Homme)}.

Conclusion

The decision-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LA SPORTIVA Akasha Chaussures de Trail - Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible-of-Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet.

SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif, 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-LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable. 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,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve-steve madden Tronchetto in Suede Marrone.

JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères, 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/ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, 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-steve madden Tronchetto in Suede Marrone, 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,YCWY Costume Chinois Antique pour Femmes.