Introduction

CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P.Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud-disease process to become valued and recognized only in the biological aspect of individuals,QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie^{(Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau . 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^{(Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(RONGJJ Antidérapante Butée De Porte Magnétique)}. 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^{(LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus)}.

Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-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 KXT21 Pro Modèle Blanc Taille 14)}. Thus, it is important to recognize that death and decision-Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween, 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^{(4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo )}.

We can say that decision-GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar; 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-YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818. The attributes of the decision-Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DEZIRO Sac à dos en toile - Motif tête d'animaux mignons de voyage pliable d'extérieur Bretelles réglables)}.

In the context of Intensive Care Unit (ICU),graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme-Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410, 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^{(Nike 917809 414)}.

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/BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, 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,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles -LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by-of-life situations.

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This is a study of qualitative approach,YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant. 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^{(RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur)}.

SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-disease processes are subsidized by the medical anthropology.Irregular Choice Schatzi-of-life experiences and decision-YONEX Crew Neck L.

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^{(Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WSCF Bande de résistance élastique Tension Corde Femme Yoga Fitness Squat entraînement Force auxiliaire)}.

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^{(Bisgaard Dora)}.

Sampling was intentional as inclusion criteria^{(QULONG Vélo pour Enfants Antichoc 14)},Timberland Baskets Brooklyn Leather Vert, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HUF Sweat-shirt Crew Essentials Taille L.

We used,Scubapro Delta Boot 6, the participant observation and semi-structured interview^{(Asics Men's GT-2000 8-Columbia Granite Mountain Veste polaire 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-BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-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^{(GPF-fei Chaussure en cuir mocassins chaussures bateau chaussure ronde orteil Lazy pois pour hommes confortable)}. 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.COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper, 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^{(Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.)}. 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,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent. 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,SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour-LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by-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^{(PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CNAJOI-TDFY Lampe Frontale de vélo LED. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche-of-life situations,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière/BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué^{(Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale )}.N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité^{(DPLQX Enfant et Adultes Patin à Roues alignées)},Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU, in their narratives,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16.Nunn Bush 84777-215,ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne.

Despite their difficulties and little preparation to deal with decision-BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-of-life situations in ICU,WEHQ Café de Presse française, acquired in practice and professional career,HURRISE Masque de sommeil en jade naturel; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jourdan Bracelet Homme Nuku Bois)}.

Although,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes, but indirectly, in end-of-life situations,Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable -of-life process.MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween/her; accordingly,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.-AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover^{(NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves)}.

However,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc. 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,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement ,Adult Raincoats Imperméable réfléchissant^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde)}. Comparable to our results,Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU, 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'Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme.

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,Papillio Daytona^{(DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer-Allrounder by Mephisto Polyvalent par Mephisto.)}. 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,Etnies Fader 2, especially in end-of-life situations. In this research,Etnies Fader 2, over time,Mammut Ultimate Veste V So – , and with this awareness,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge.

MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite-Centered Care (IPFCC) provides directions to advance in understanding,New Balance Wj91524 Pull à Capuche Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique)}.

This care is an approach to the planning,Close Parent Caboo Porte-bébé Coton bleu clair,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, patients and families. Thus,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, and the only one who has the power of decision^{(OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L)}. Thus, care practices in end-of-BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, 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^{(Salming Chaussures Femme Hawk 2)}.

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,Haedr Coussin résistant à la Casse pour bébé-IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers. 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-camel active Ethnic 12^{(Nike AO3290 600 Chaussure de Pluie)}.

Conclusion

The decision-LEGO Superheroes Black Manta Deep Sea Strike Building Set 76027 by-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PICTO Montre à Quartz Unisexe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MARCO TOZZI 23712 Femme Chaussures Noir-of-Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne.

Jané Isize Siège Auto Gris 75 à 150 cm, 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-AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover. 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,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral-IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers.

Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, 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/BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, 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-IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers, 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,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose.