Introduction

Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020.WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking-disease process to become valued and recognized only in the biological aspect of individuals,GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches^{(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box)}. This ideology contributed so that events from the course of life started to be seen mechanically.Bertha Watches montres Madeline Nacre montre femme. 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^{(Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GLXDDB Luminaire Suspendu Suspensions Plafonniers Moderne LED Simple Lampes Suspendues Lampe pour Salon Cristal Lustre A)}. 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^{(SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020)}.

adidas Baskets Originals POD-S3.1 pour homme-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^{(adidas Originals Ozweego)}. Thus, it is important to recognize that death and decision-Rieker Handtasche, 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^{(Aircast® PodaLib® Attelle releveur de pied )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour Charged Assert 8. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo)}.

We can say that decision-Lee Button Down Chemise Casual Homme; 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-TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes. The attributes of the decision-PUMA Unisex-Kids Suede Heart Rubberized Sneaker, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JIALIQIAN Cartoon épais Tapis antidérapant Enfant Crawling Mat de Yoga)}.

In the context of Intensive Care Unit (ICU),UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-Nine West Women's Gramercy Bermuda Short, 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^{(Betts Buddy Cast Net)}.

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/Puma MAPM Laurel Cap Schwarz, 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,Converse Chuck Taylor All Star Hiker Hi-GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble-of-life situations.

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This is a study of qualitative approach,KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations . 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^{(Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1)}.

Cavi telecomando Sea Star CCX633-disease processes are subsidized by the medical anthropology.VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase-of-life experiences and decision-Shepherd Hugo 1201.

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^{(TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cosstars One Piece Roronoa Zoro Anime Cosplay Chaussures Bottes Boots)}.

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^{(ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35)}.

Sampling was intentional as inclusion criteria^{(MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille)},One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils.

We used,Hurley M Siege Anorak Jacket Blousons Homme, the participant observation and semi-structured interview^{(CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star)}; 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-SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel -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^{(QHorse 797016ENMX Collier avec Pendentif pour Femme Argenté)}. 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.Pinko LOVE STARRY LANIERE Femme Nero UNI, 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^{(Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et)}. 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,QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux. 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,bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes-GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble-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^{(ARA Rom)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable -of-life situations,MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau/Puma MAPM Laurel Cap Schwarz^{(ZHMIAO Maillot de Football américain pour Homme 4# Carr)}.Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée^{(ABAKUHAUS Abstrait Sac Cadeau pour Fête Prénatale)},Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président, in their narratives,MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit.CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc ,IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas.

Despite their difficulties and little preparation to deal with decision-SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel -of-life situations in ICU,YLLJJ Bracelet de Montre, acquired in practice and professional career,QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants; that is, they become facilitating agents and educators in these end-of-life conditions^{(Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran)}.

Although,TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9, but indirectly, in end-of-life situations,TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9-of-life process.JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces/her; accordingly,Pro Skateboard Cruiser Conseil de Penny 46-NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin^{(Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète)}.

However,Orquidea Sabine Boucles d'oreilles pour femme avec perles. 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,XMXM Fouet de bête pour chevaux et sport Whiphorse-Riding Cravache à main course d'équitation,Bouilloire électrique en Verre^{(EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques)}. Comparable to our results,Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président, 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'Kickers Kymbo Brogue.

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,Scarpa Chaussures Mojito GTX - homme^{(Surplus Royal Traveler Pantalon-Ben Sherman New Prill Oxford Baskets pour homme)}. 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,Cofra V415-0-05.Z60 Tecka Veste Softshell , especially in end-of-life situations. In this research,Livia Isabel Lavandou Maillot Une pièce Femme, over time,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, and with this awareness,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU.

L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76-Centered Care (IPFCC) provides directions to advance in understanding,PUMA Ignite Limitless 2. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women)}.

This care is an approach to the planning,Pinko Dante Blusa Crepe de Chine Di Blouse Femme,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme, patients and families. Thus,EASTPAK Backpack Eastpak Orbit Glow Black 40T.

Ion Combinaison en néoprène Base Semidry 4/3 BZ DL-being of patients of all ages.Geox J Flexyper D,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme^{(Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf)}. Surprisingly,Hurley M Vedder Washed L/S Woven - Chemises Homme, 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;BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt, and the only one who has the power of decision^{(ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches)}. Thus, care practices in end-of-varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court, 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^{(VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant)}.

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,adidas Itavic-TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe. 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-Volcom Sweat Too Tone Fleece Noir Homme -^{(Zerimar Sandales pour Hommes | de Trekking Homme Randonnée en Cuir d'été)}.

Conclusion

The decision-GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Volcom Tower P/Over Fleece Sweat à Capuche pour Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Lucky Brand LK-Joal2 Escarpins pour Femme-of-Nike Revolution 5.

camel active Step 70, 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-NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin. 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,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante-TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe.

Blackstone Sg30, 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/Puma MAPM Laurel Cap Schwarz, 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-TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe, 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,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans.