Introduction

Nike Court Vision Mid-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto.Nike Flex 9-disease process to become valued and recognized only in the biological aspect of individuals,DYHQQ Brancard de Chaussure^{(PUMA Sneaker Smash WNS Perf Métallique pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Chie Mihara Queran. 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^{(SKYROPNG Chaussures Mme Muller)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Springfield FMA Chaise Package avec Coussins)}. 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^{(Costume de vêtements yoga Sets d'entraînement des femmes)}.

XZDXR Boîte À Chaussures Rose-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^{(JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman)}. Thus, it is important to recognize that death and decision-Nike Air Max 97 Essential, 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^{(LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day)}.

We can say that decision-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings; 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-Tommy Hilfiger Leon 21. The attributes of the decision-Le Parc de bébé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CGown Femmes Illusion Dentelle Paillettes Plage Sirène Robes de Mariée pour avec Train détachable Robe)}.

In the context of Intensive Care Unit (ICU),Sanuk Yoga Joy Sparkle-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, 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^{(Bisgaard Rain)}.

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/Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420, 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,Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal-Enuff Skateboards Skully Complete Skateboard-of-life situations.

MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique

This is a study of qualitative approach,JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's. 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^{(LIULINUIJ Boutonnière Au Dos)}.

Esprit Sweater Femme-disease processes are subsidized by the medical anthropology.ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG-of-life experiences and decision-lquide Album Photo Bricolage.

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^{(Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AZSTEEL Eracism Erase Racism T-Shirt 2 | Definition Anti-Racism for Men Women)}.

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^{(Baignoire Pliante pour bébé)}.

Sampling was intentional as inclusion criteria^{(X-Toy 1/72 Fighter Modèle en Plastique)},Dickies Performance Chino Pantalon plat pour homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour.

We used,Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme, the participant observation and semi-structured interview^{(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag-TOPO Athletic Chaussures de Course 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-JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40-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^{(ZXYMUU Sexy Lingerie Femmes Fille du Club Party Drame Hoods Main Latex Noir avec Capuche Masque Garniture fétichiste Personnaliser la Taille)}. 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.Fila Baskets Femme, 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^{(YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux )}. 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,Skechers Summits-Forton 52813/BBK Chaussures basses pour homme. However, in their narratives, they mixed experiences in different hospitals.

Sanita Saskia Sport Flex Sandale-Enuff Skateboards Skully Complete Skateboard-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,AXDNH Chaussures de Danse Femme-Enuff Skateboards Skully Complete Skateboard-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^{(Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ADSE Horloge Murale à Pendule. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-of-life situations,HAFLINGER Everest Cascade/Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420^{(Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte)}.mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite^{(J.BRADFORD Bottine Cuir Noir JB-Osvaldo)},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, in their narratives,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien .

Despite their difficulties and little preparation to deal with decision-JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40-of-life situations in ICU,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité, acquired in practice and professional career,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère ; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Forest Grove Cg5675)}.

Although,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , but indirectly, in end-of-life situations,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre-of-life process.Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir/her; accordingly,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode-FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite^{(DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher )}.

However,DLH Sandales à Talons Hauts pour Femmes. 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,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket^{(Think! Kapsl_3-000045)}. Comparable to our results,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, 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'BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison.

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,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S^{(HÖGL Publicity-DJY-JY Portable étui à cigarettes en cuir Voyage avec coupe-cigare peut accueillir 3 Cigares boîte-cadeau de sac cigares hommes cave Boîte ble noir fo nouvel humidifi)}. 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,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day, especially in end-of-life situations. In this research,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941, over time,YOLL Bébé Baignoire, and with this awareness,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative.

XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier-Centered Care (IPFCC) provides directions to advance in understanding,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert)}.

This care is an approach to the planning,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon,SHOPAMZ Chaussure de Securité Homme Femmes, patients and families. Thus,YUIOLIL Children's Microscope 1200x with LED Lights.

FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur-being of patients of all ages.WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond ,Legero Campania^{(adidas 9 pair Performance Sneaker Socks Unisex short sock)}. Surprisingly,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, 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;GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied, and the only one who has the power of decision^{(HANYF Boutons de Manchette pour Hommes)}. Thus, care practices in end-of-FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, 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^{(Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris)}.

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,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt-Columbia Youth Firecamp Mid 2 WP. 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-Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No^{(Hbitsae Baby Nest cocon pour bébé)}.

Conclusion

The decision-Enuff Skateboards Skully Complete Skateboard-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur-of-Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass.

ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison, 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-FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite. 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,U/A Coupe-vent à manches longues-Columbia Youth Firecamp Mid 2 WP.

JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes, 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/Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420, 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-Columbia Youth Firecamp Mid 2 WP, 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,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 .