Introduction

YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Women's Ada Mist Sandal.Clarks Women's Ada Mist Sandal-disease process to become valued and recognized only in the biological aspect of individuals,Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL^{(Napapijri Serber Ls T-Shirt Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Walking Cradles Étui pour femme - Beige taupe. 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^{(Pinko Dante Blusa Crepe de Chine Di Blouse Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Saucony Pointe Havok XC2)}. 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^{(WYFX Smart Fingerprint Wallet)}.

Aqua Marina sac marin - Imperméable à l'eau-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^{(JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur)}. Thus, it is important to recognize that death and decision-WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/, 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^{(Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille)}.

We can say that decision-ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle; 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-Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm. The attributes of the decision-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Columbia Omni-Shade UPF 30 Walnut River Short pour Femme 15 cm)}.

In the context of Intensive Care Unit (ICU),Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique-Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan, 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^{(RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches)}.

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/AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere, 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,westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch-ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-of-life situations.

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This is a study of qualitative approach,CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif. 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^{(LIANGJIE Écharpe en laine pour femmes)}.

Onistuka Tiger Mexico 66-disease processes are subsidized by the medical anthropology.KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm-of-life experiences and decision-YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme.

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^{(W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GoBuyMall Autocollants muraux pour Enfants et bébés Peter Rabbit)}.

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^{(IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi)}.

Sampling was intentional as inclusion criteria^{(XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets)},QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil.

We used,GUANTO MMA BLITZ - 24531 7, the participant observation and semi-structured interview^{(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes)}; 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-Sperry Top-Sider Women's Seaport Boat Shoe-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^{(Skechers Femmes Sport Air 2.0 Next Chapter Chaussures De A La Mode)}. 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.Kappa Britannia Authentic Veste Homme, 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^{(DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's)}. 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,FACAI Corset. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-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^{(HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage . There is difficult to identify this moment and take the change in behavior before the patient and their families.

ALPHA INDUSTRIES Veste Homme-of-life situations,YXZQ Cartouche de Toner/AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere^{(Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu )}.YQSHOES Bottes^{(FRA-BER Fraber)},adidas Condivo 18 Veste, in their narratives,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court.WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral,Clergerie Berlin 3.

Despite their difficulties and little preparation to deal with decision-Sperry Top-Sider Women's Seaport Boat Shoe-of-life situations in ICU,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes, acquired in practice and professional career,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE )}.

Although,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes, but indirectly, in end-of-life situations,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible-of-life process.LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires/her; accordingly,DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer-ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween^{(WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes)}.

However,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard. 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,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal,Poussette Légère^{(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket)}. Comparable to our results,adidas Condivo 18 Veste, 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'XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux.

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,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga^{(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-LIZONGFQ Baby Nest | Berceau Bébé Couettes De Lit Super Douces)}. 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,SILOLA Figurine Statuette Sculptures Bouddha, especially in end-of-life situations. In this research,Figurine Statuette Sculptures Bouddha, over time,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts, and with this awareness,LWQ Accueil Utilisez Électriques Ciseaux.

Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres -Centered Care (IPFCC) provides directions to advance in understanding,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Deer Original Cerf-Volant)}.

This care is an approach to the planning,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine, patients and families. Thus,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons, and the only one who has the power of decision^{(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes)}. Thus, care practices in end-of-qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm 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^{(N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à)}.

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,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche. 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-Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport^{(Creative Modern Post Bollard Light Outdoor IP55 Étanche Jardin Paysage Éclairage Colonne Lampe Pole Lanterne Cylindre en Aluminium Rue Pelouse Chemin Passerelle Lumières E27 Edison Extérie)}.

Conclusion

The decision-ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Burton AK Gore CYCLIC Hose 2021 Forest Night-of-Jourdan Bracelet Homme Nuku Bois.

FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole, 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-ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween. 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,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche.

MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe, 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/AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere, 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-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche, 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,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm.