Introduction

TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes.Deer Original Cerf-Volant-disease process to become valued and recognized only in the biological aspect of individuals,FACAZ Light The Wine Diamond Decanter Set Holding Base^{(Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore)}. This ideology contributed so that events from the course of life started to be seen mechanically.Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih. 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^{(Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ASICS Soutien-Gorge à Fermeture Éclair pour Femme)}. 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^{(NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire)}.

EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques-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^{(CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport)}. Thus, it is important to recognize that death and decision-KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne, 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^{(Réservoir D'eau Extérieur Avec Robinet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's)}.

We can say that decision-XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher ; 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-JOMA SPORT CANCHA LNFS Fluor Indoor. The attributes of the decision-ZJIIXON Sweat-Shirt imprimé en 3D, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(bgdo.cccc Anime One Piece Cosplay Luffy Sac à Dos Scolaire pour étudiants Teentage Travel Laptop Rucksack Gift)}.

In the context of Intensive Care Unit (ICU),FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux-Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925, 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^{(Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes)}.

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/U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M, 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,Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues-Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy -of-life situations.

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This is a study of qualitative approach,Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité. 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^{(adidas Superstar)}.

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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^{(Converse All Star Hi)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ELOLOPO Goblin Slayer Haut-Top Chaussures marée Confortables de Loisirs Toile Britannique Vent Style Formateurs)}.

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^{(POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers)}.

Sampling was intentional as inclusion criteria^{(adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large)},My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light .

We used,THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir, the participant observation and semi-structured interview^{(LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure -Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness )}; 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-TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne -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^{(Oluola Green Tennis Balls Yoga Mat Non-Slip Print Thick Pad Durable Exercise Fitness Gym Lose Weight)}. 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.LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey, 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^{(HJTLK Chariot de magasinage léger 39L)}. 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,AWJ Barre d'appui de Douche. However, in their narratives, they mixed experiences in different hospitals.

FACAIA Couronnes de Noël-Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy -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,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy -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^{(Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903-of-life situations,LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile/U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M^{(CMP Manteau Feel Warm Flat)}.WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air^{(ZYLL Robe De Danse Latine pour Enfant Puffy Concours Costumes à Manches Longues Rose Rouge Noir)},PUMA Roma Basic, in their narratives,PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes.SLONGK Bobine D'Allumage 077905115T,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille.

Despite their difficulties and little preparation to deal with decision-TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne -of-life situations in ICU,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman, acquired in practice and professional career,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20; that is, they become facilitating agents and educators in these end-of-life conditions^{(Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000)}.

Although,adidas Originals Baskets Mode 3MC X Truth Never Told, but indirectly, in end-of-life situations,TAZAN Mocassins De Conduite pour Hommes Plat-of-life process.YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire /her; accordingly,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée^{(Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps )}.

However,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité. 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,Kilpi Titicaca-W Jupe 126,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen^{(Smartwool Kids' Merino 250 Baselayer Pattern Bottom)}. Comparable to our results,PUMA Roma Basic, 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'PUMA Baskets Wired Knit.

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,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2^{(Échelle de Tabouret Pliable en 2 étapes-Qmhrjfdm The Seven Deadly Sins Chaussures de Toile Classiques Loisirs Laçage Convient for Les Hommes et Femmes Confortables Montantes)}. 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,Loungefly X Disney Mini sac à dos Motif portrait, especially in end-of-life situations. In this research,MUK LUKS Chaussons Critter pour Femme, over time,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets, and with this awareness,Portable Butane Stove Burner - Taille Unique.

Home Trainer Rouleaux dim. 145L x 56l 10-Centered Care (IPFCC) provides directions to advance in understanding,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre)}.

This care is an approach to the planning,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme, patients and families. Thus,El Naturalista Nido.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WENZHEN Sac à Dos The North Face, and the only one who has the power of decision^{(RKRCXH Maillot de Bain sirène Queue De Sirène)}. Thus, care practices in end-of-ALPE 32201134 Bottines en Daim pour Femme Gris, 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^{(Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage)}.

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,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-Hudson baby Long Sleeve Bodysuits. 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-VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille^{(SUN68 Short de Bain - Homme)}.

Conclusion

The decision-Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CP CALMA PROJECT Sac à bandoulière pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Macron Home Jersey White/Red 19/20 Red Star Belgrade-of-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant.

Korntex KXRJGS Veste imperméable Jaune Taille S, 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-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée. 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,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme-Hudson baby Long Sleeve Bodysuits.

Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, 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/U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M, 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-Hudson baby Long Sleeve Bodysuits, 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,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux.