Introduction

Dare 2b Cloud Burst Veste pour Fille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Seachoice Ultimate Outrigger Kit by SEACHOICE.Primadonna 0461810 Deauville Body à Armatures-disease process to become valued and recognized only in the biological aspect of individuals,FSA SL-K Carbon Tige de Selle Mixte^{(HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver )}. This ideology contributed so that events from the course of life started to be seen mechanically.Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard. 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^{(ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Originals Tubular Runner)}. 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^{(QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides)}.

Cult – Bottes de sécurité # Gun CLASS-1-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^{(YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme)}. Thus, it is important to recognize that death and decision-Steiff Fleecejacke Blouson Bébé garçon, 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^{(Lodi Pauli)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(steve madden Leona Black One Size)}.

We can say that decision-XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée ; 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-RYKA Devotion XT Mid. The attributes of the decision-QYYdress Robe de Mode V-Cou imprimée Motifs , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YW Planche À roulettes Professionnelle - Complète Pro 7 Couches Decks 31"X8 Longboards en Bois D'érable pour Enfants Filles Garçons Cadeau)}.

In the context of Intensive Care Unit (ICU),Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P-GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur, 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^{(Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière)}.

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/Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, 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,AOOA Petit sac à bandoulière en cuir synthétique pour femme-Hicks & Brown Suffolk Fedora Vert olive -of-life situations.

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This is a study of qualitative approach,Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite. 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^{(JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher)}.

HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme-disease processes are subsidized by the medical anthropology.GDSZN 6Pcs / Lot Bébé Collants Bas 7 Styles pour Enfants Garçons Filles De Danse Leg Warmer 0-2T 18 M Mix-of-life experiences and decision-Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro.

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^{(Hudson baby Long Sleeve Bodysuits)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nike Tanjun)}.

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^{(Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal)}.

Sampling was intentional as inclusion criteria^{(Swarovski Femmes Acier N'est pas applicable bague - 5515667)},Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV.

We used,Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey, the participant observation and semi-structured interview^{(Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu-NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 )}; 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-12 mouchoirs de Bundeswehr orthographié en coton Damier gris 50 x50 cm-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^{(graphke Building is My Passion T-Shirt pour Hommes)}. 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.Naturalizer Sam, 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^{(ECCO Offroad)}. 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,Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno. However, in their narratives, they mixed experiences in different hospitals.

Columbia Triple Canyon - Pantalon de randonnée Homme-Hicks & Brown Suffolk Fedora Vert olive -of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes -Hicks & Brown Suffolk Fedora Vert olive -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^{(BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor-of-life situations,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme/Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL^{(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme)}.Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise^{(Nero Giardini A901163U Anfibio Homme)},weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, in their narratives,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos.Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble .

Despite their difficulties and little preparation to deal with decision-12 mouchoirs de Bundeswehr orthographié en coton Damier gris 50 x50 cm-of-life situations in ICU,L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm, acquired in practice and professional career,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche ; that is, they become facilitating agents and educators in these end-of-life conditions^{(PICKME Hommes Femmes USB Chauffage Gilet)}.

Although,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules, but indirectly, in end-of-life situations,SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité-of-life process.Verre À Whisky Fait Main Real Bullet/her; accordingly,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable-Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats^{(AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes)}.

However,Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin. 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,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold,Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W ^{(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille)}. Comparable to our results,weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, 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'JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG .

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,Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap^{(Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en-AEH Veste À Capuche Homme Pull - Casual Winter Zip Brochage Manches Longues Manteau Cyclisme Baseball)}. 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,Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé, especially in end-of-life situations. In this research,Under Armour Herren UA HOVR Havoc Low Basketballschuhe, over time,SYXYSM Calico SYXMSM Écharpe chouchou, and with this awareness,Clarks Sharon Dolly.

Badgley Mischka Vega-Centered Care (IPFCC) provides directions to advance in understanding,Guess Robe à manches longues pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Charmance Pantalon Taille élastiquée)}.

This care is an approach to the planning,Hurley One & Only Pantalon de survêtement pour homme,LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme, patients and families. Thus,Ganter AKTIV Hali-h.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Waldläufer Chaussures de Ville à Lacets pour Femme, and the only one who has the power of decision^{(Craghoppers Pantalon Anti-Moustique Clair - Femme)}. Thus, care practices in end-of-Naturana Lot de 2 Combiné Femme 3033, 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^{(CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris)}.

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,20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40-Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile . 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-bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables^{(ANNFENG-Bottes ANNFENG Classique Robuste Bottes Chelsea Chic for Hommes avec Fermeture à glissière décontractée sur Les Chaussures d'hiver en Fausse Toison)}.

Conclusion

The decision-Hicks & Brown Suffolk Fedora Vert olive -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Gerry Weber Blouse Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cosilana bébés-of-Wacoal Halo Soutien-gorge sans bretelles pour femme.

Hanes T-Shirt ¡§¡è Manches Longues Tagless , 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-Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats. 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,Saucony Bullet-Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile .

Infinity Chemise en Cuir Daim Décontractée pour Homme, 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/Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, 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-Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile , 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,Florsheim Men's Midtown Bike Toe Oxford.