Introduction

Carrelage de nivellement automatique portatif carreaux céramique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée.Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM-disease process to become valued and recognized only in the biological aspect of individuals,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h^{(adidas Originals Chaussures Junior Haiwee)}. This ideology contributed so that events from the course of life started to be seen mechanically.Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED. 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^{(100% - Masque Racecraft Raceday Ecran Miroir Or)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TnSok Sports Aqua Chaussures Grande Taille De L'Eau Hommes Escalade Course Plein Air Voyage À Séchage Rapide Unisexe)}. 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^{(ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box)}.

Pulp Fiction Tee Shirt Homme Pomme Rouge-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^{(Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage)}. Thus, it is important to recognize that death and decision-GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo, 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^{(Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(The North Face W Litewave Explore GTX Chaussures de Marche Femme)}.

We can say that decision-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite; 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-GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur. The attributes of the decision-NENGGE Barre de Traction, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène)}.

In the context of Intensive Care Unit (ICU),SBDLXY Parc pour bébé extérieur-Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , 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^{(SYue Oreiller pour Femme Enceinte Support de Taille dormeur latéral en Forme U)}.

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/SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , 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,WOCTP Manteau imperméable et amovible 3 en 1 pour femme-adidas Fortarun AC K-of-life situations.

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This is a study of qualitative approach,Hoonmis Robe de soirée Enfant. 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^{(WRJY Poussette bébé)}.

LED night light-disease processes are subsidized by the medical anthropology.YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant-of-life experiences and decision-Hatley Swimsuits Maillot Une pièce Garçon.

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^{(HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}.

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^{(Head 2020 Ti.S6 Raquette de Tennis à Cordes)}.

Sampling was intentional as inclusion criteria^{(Inov8 F-Lite G290 Chaussure De Course à Pied - AW20)},Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative.

We used,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1, the participant observation and semi-structured interview^{(NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour-JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode)}; 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-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White 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^{(Reebok Classic Leather)}. 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.Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket, 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^{(HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates)}. 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,Mephisto Mocassins pour Homme. 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,LZLHYH Chaussures habillées pour Hommes d'affaires Mocassins en Cuir de Haute qualité Rembourrage résistant à l'usure Oxfords Ville-adidas Fortarun AC K-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^{(jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-of-life situations in ICU,nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme, acquired in practice and professional career,Zeraty Gilet De Natation pour Le Kayak; that is, they become facilitating agents and educators in these end-of-life conditions^{(YPDM Pyjamas)}.

Although,DLYDSSZZ Élastique Balance Ball, but indirectly, in end-of-life situations,Deutsch Sulla Pilot IW Bracelet de montre en cuir pour homme Noir 22 mm-of-life process.CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM/her; accordingly,MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme-D555 Hommes - Pantalon Max Xtenda grande taille ^{(Fly London Besi203fly)}.

However,ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes. 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,Loue99va 2020 Winter Snow Jacket Women Ski Suit and Pants Windproof Waterproof Colorful Clothes Sets,Dean & Tyler et Bundle One The Braid Collier 76^{(TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces)}. Comparable to our results,NEWTON Distance 9 Chaussure De Course à Pied - AW20, 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'Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt.

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,Fuliya Men's Hoodies Sweatshirts^{(WANGCY Base de Cheveux en Soie pour Femmes Facile à Porter éclaircir Les 9x14cm-STF Châle des Femmes Chapeau Gants en Tricot écharpe Trois Combi Haute élastique Sac de Base Retors Corde Vêtements Kit coréenne Mode Survêtement Hiver)}. 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,HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D, especially in end-of-life situations. In this research,LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable, over time,Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm, and with this awareness,Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt.

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This care is an approach to the planning,RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M, patients and families. Thus,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Columbia Powder Pass, and the only one who has the power of decision^{(melissa Ultragirl Noir Doux Pompes spéciales)}. Thus, care practices in end-of-Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc , 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^{(Brax Pantalon - Femme)}.

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,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés -Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten. 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-DR MARTENS 101 6-eye Ys Smooth EU 40^{(PUMA Panier Pour Femme Heart de Chaussures)}.

Conclusion

The decision-adidas Fortarun AC K-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ralph Lauren Thompson-of-21 shoes Chaussures personnalisé cloutée Customized Original .

Maillots de Basket-Ball pour Hommes et Femmes, 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-D555 Hommes - Pantalon Max Xtenda grande taille . 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,DGHJK Haut-Parleur Bluetooth Gramophone-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten.

Kjore Project Clous Limites iClutch Monnaies, 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/SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles , 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-Black Temptation Infant Underpants bébé sous-vêtements Mignon Coton-2 Pcs aléatoire Patten, 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,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème.