Introduction

Le Parc de bébé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sanuk Yoga Joy Sparkle.SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-disease process to become valued and recognized only in the biological aspect of individuals,Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420^{(ISABELLE BLANCHE P030T001 Chino Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal. 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^{(SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NOSSON Reborn Baby Dolls Doll 20 Pouces 50 cm Vinyle Souple Silicone Réel Réaliste À La Recherche Nouveau-Né Poupée Libre Bouche Magnétique Enfants Jouet Cadeau)}. 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^{(Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL)}.

JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's-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^{(HR Or Blanc Jarret Fendu Fiançailles Bague 6mm)}. Thus, it is important to recognize that death and decision-Esprit Sweater Femme, 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^{(DHNKW Boys Swimming Shorts Funny Printed)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah)}.

We can say that decision-lquide Album Photo Bricolage; 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-Dickies Performance Chino Pantalon plat pour homme. The attributes of the decision-NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SALOMON XA Forces Mid GTX EN Bottes d'intervention)}.

In the context of Intensive Care Unit (ICU),Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme-JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40, 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^{(Lamarthe Sac porté bandoulière Croco Co10a - Marine)}.

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/Fila Baskets Femme, 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,Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-Asics Chaussures Gelsaga Gel-Saga Sou-of-life situations.

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This is a study of qualitative approach,Sanita Saskia Sport Flex Sandale. 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^{(NORTH SAILS Norfolk Veste Homme)}.

CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-disease processes are subsidized by the medical anthropology.SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila-of-life experiences and decision-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair.

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^{(25L Daysack - Sac à dos résistant l'eau)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(wffmx Art Martial Coréen Taekwondo Chiffres Bricolage Géant Horloge Murale Kick Boxing Karaté Guys Stickers Muraux Décoratif Grande Montre-47Inch)}.

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^{(Daniel Hechter 811437061169)}.

Sampling was intentional as inclusion criteria^{(YLLJJ Bracelet de Montre)},Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle.

We used,Crime London KOMRAD White, the participant observation and semi-structured interview^{(JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival -adidas Duramo SL)}; 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-Onitsuka Tiger Baskets Corsair Unisexe-Adulte-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^{(LBBZJM Robe Peignoir Hommes Femmes Mesdames peignoir en tissu éponge Robes 100% coton avec capuche de serviettes for les hommes des femmes)}. 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.Pandora Femme Vermeil Charms et perles - 788692C01, 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^{(aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De)}. 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,MASCOT WORKWEAR Mascot Polo De Travail Crossover. 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,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct -Asics Chaussures Gelsaga Gel-Saga Sou-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^{(MO JOC Boots Chelsea Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir-of-life situations,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode/Fila Baskets Femme^{(YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs)}.FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite^{(Sweat à Capuche Impression en Vrac de Blanc Casual étoiles Pigeon numérique Cool)},CAMELBAK Eddy Bouteilles, in their narratives,DLH Sandales à Talons Hauts pour Femmes.HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket.

Despite their difficulties and little preparation to deal with decision-Onitsuka Tiger Baskets Corsair Unisexe-Adulte-of-life situations in ICU,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison, acquired in practice and professional career,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S; that is, they become facilitating agents and educators in these end-of-life conditions^{(MPOQZI Couvre-Volant de Voiture en Cuir Bricolage)}.

Although,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day, but indirectly, in end-of-life situations,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941-of-life process.YOLL Bébé Baignoire/her; accordingly,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative-XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier^{(westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch)}.

However,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre. 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,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon,SHOPAMZ Chaussure de Securité Homme Femmes^{(Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite)}. Comparable to our results,CAMELBAK Eddy Bouteilles, 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'YUIOLIL Children's Microscope 1200x with LED Lights.

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,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur^{(YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm-Asics Gel-Excite 7 Twist)}. 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,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , especially in end-of-life situations. In this research,Legero Campania, over time,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, and with this awareness,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied.

FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale-Centered Care (IPFCC) provides directions to advance in understanding,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons)}.

This care is an approach to the planning,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation, patients and families. Thus,Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 , and the only one who has the power of decision^{(pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort)}. Thus, care practices in end-of-Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant , 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^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}.

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,Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt . 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-Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz^{(OUHUI Lampe de Bureau Led Usb Rechargeable 3D Night Light Bar Portable Tactile Cafés Décoration Lumière Pour Enfants Cadeau)}.

Conclusion

The decision-Asics Chaussures Gelsaga Gel-Saga Sou-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -of-Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075.

Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse , 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-XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier. 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,Puma Men's Fenty Sweatsuit Pullover-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt .

WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le, 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/Fila Baskets Femme, 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-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt , 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,bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short.