Introduction

TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage.Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage-disease process to become valued and recognized only in the biological aspect of individuals,LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba^{(Reebok RB874 Women's Stealth SR Safety Boots - Black)}. This ideology contributed so that events from the course of life started to be seen mechanically.YQSHOES Bottes pour Dames De Printemps Et d'automne. 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^{(TTmom Femme Portefeuille)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Head 2020 Ti.S6 Raquette de Tennis à Cordes)}. 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^{(MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve)}.

TIEON Uniformes de Baseball des Red Sox-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^{(Pleaser Delight 1018)}. Thus, it is important to recognize that death and decision-SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- , 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^{(JX-PEP Été Imprimer col Rond Manches Courtes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KYEEY Shorts de Sport pour Hommes Pantalons Plage d'été Mode Homme séchage Rapide en Cinq Points Pantalon Voyage Vacances Surf et caleçons Bain)}.

We can say that decision-Tubus Tube Support pour Lowrider ; 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-SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an. The attributes of the decision-Abus Hyban Casque vélo Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tyueliang-Decoration Séchage rapide Changement Peignoir Garçons et Filles capuche Serviette de plage - Couverture bain Poncho coton microfibre En plein air pour adultes à capuchon)}.

In the context of Intensive Care Unit (ICU),YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme, 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^{(Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2)}.

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/LIANGJIE Écharpe en laine pour femmes, 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,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme-PUMA Veste de Pluie Tabaluga pour Fille-of-life situations.

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This is a study of qualitative approach,SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020. 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^{(MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre)}.

WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking-disease processes are subsidized by the medical anthropology.GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches-of-life experiences and decision-Bertha Watches montres Madeline Nacre montre femme.

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^{(Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DKNY Bryant Sac porté épaule pink)}.

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^{(XiuLi Pantalon Thermo Chaud pour Femmes)}.

Sampling was intentional as inclusion criteria^{(LOVEKUSH BEADS GEMSTONE 10 FEETS Dangling Iolite Beaded Chain - Delicate Beads wire wrapped 24k Gold Plated chain Code-RR-14674)},adidas Baskets Originals POD-S3.1 pour homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Rieker Handtasche.

We used,Under Armour Charged Assert 8, the participant observation and semi-structured interview^{(YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions-BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues)}; 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-Lee Button Down Chemise Casual Homme-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^{(Naava Bague Femme - Or jaune)}. 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.TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes, 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^{(LY88 Ouvre-Bouteille électrique)}. 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,PUMA Unisex-Kids Suede Heart Rubberized Sneaker. 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,HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines-PUMA Veste de Pluie Tabaluga pour Fille-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^{(ZJ Bien Maillots de Bain Garçons d'enfants)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,IUBBKI sac à main château de sorcière chat chauve-souris crâne en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes. 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-Lee Button Down Chemise Casual Homme-of-life situations in ICU,Merrell Femmes Chaussures De Sport A La Mode, acquired in practice and professional career,Carmens padova Baskets pour Femme Blanc Bianco; that is, they become facilitating agents and educators in these end-of-life conditions^{(FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables )}.

Although,Mega Tuscany Sac pour homme à porter l'épaule Noir noir, but indirectly, in end-of-life situations,Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable-of-life process.ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court/her; accordingly,Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers-bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes^{(Chiba pour Homme Lake Tahoe Gants)}.

However,Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training. 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,GTRHD Joint d'arbre mécanique Toutes Les Tailles MB1 MG1 / 109 Série Fit 10-110mm Arbre Ressort Unique for Pompe à Eau Durable ,MULIZHE Love Death Robots Impression 3D Sweat à Capuche Sport Hommes et Femmes Pull en Coton col Rond fête Vacances Loisirs Cadeau^{(YQSHOES Bottes)}. Comparable to our results,MXueei Trampoline pour Enfants , 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'Nobranded Grand Sac de Filet Rétracteur Sport en Maille Plongée.

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,MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit^{(KCSds Bobo perruque de cheveux courts-Juzo Bas de compression a G Soft 2002 Taille III KKL. 2 pavot Pointe des Pieds fermée M. hüftbef. rechtsseitig)}. 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,CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc , especially in end-of-life situations. In this research,IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas, over time,YLLJJ Bracelet de Montre, and with this awareness,QSBY Lustre Salle Citrouille de Forme Moderne Trois Couleurs Chambre modulable décoration Maison Salon Couloir étude Balcon Blanc Enfants.

TZSWZW Camouflage Net Triangle Militaire Cut Flower Design Sunblock Ombre Tissu de Jardin Couverture Fleurs Plantes Patio Gazon W5Z0W9-Centered Care (IPFCC) provides directions to advance in understanding,TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tory Burch Cabas pour femme rose Dark Sahara )}.

This care is an approach to the planning,JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces,Pro Skateboard Cruiser Conseil de Penny 46, patients and families. Thus,NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Scarpa Chaussures Mojito GTX - homme, and the only one who has the power of decision^{(DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual)}. Thus, care practices in end-of-Cofra V415-0-05.Z60 Tecka Veste Softshell , 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^{(YATTYUG Women's Hoodies Tops)}.

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,Livia Isabel Lavandou Maillot Une pièce Femme-Kamay's Kamay’s Boîte de rangement. 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-Natori Pure Allure: FF Contour UW Soutien-Gorge Femme^{(HTABY Lavé en Vrac Veste Denim Homme)}.

Conclusion

The decision-PUMA Veste de Pluie Tabaluga pour Fille-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76-of-PUMA Ignite Limitless 2.

Pinko Dante Blusa Crepe de Chine Di Blouse Femme, 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-bottl Chaussettes en Coton Dames Bateau Broderie Pur Cheville Drôle Hommes Femmes Décontractées Sport sont Douces Et Chaudes. 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,Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme-Kamay's Kamay’s Boîte de rangement.

EASTPAK Backpack Eastpak Orbit Glow Black 40T, 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/LIANGJIE Écharpe en laine pour femmes, 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-Kamay's Kamay’s Boîte de rangement, 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,Ion Combinaison en néoprène Base Semidry 4/3 BZ DL.