Introduction

Roxy RG Viva Stamp Flip Flop Sandal-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M.Dockers Long Sleeve Crewneck Sweater Pull-Over Homme-disease process to become valued and recognized only in the biological aspect of individuals,Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54^{(MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED)}. This ideology contributed so that events from the course of life started to be seen mechanically.Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples. 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^{(Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Masskko Unisexe Gilet Chauffant Électrique Double Interrupteur De Commande Intelligent USB Charge Hiver Chaleur pour Le Ski)}. 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^{(FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur)}.

adidas Terrex Free Hiker Parley-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^{(albena Marokko Galerie 29-105 Sella marocain Panier Feuilles de Palmier/poignées en Cuir Taille: L 40 cm/H 28 cm/B 15 cm Naturel)}. Thus, it is important to recognize that death and decision-ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35, 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^{(Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre)}.

We can say that decision-Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy; 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-SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S. The attributes of the decision-PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(metabo METABO BS18LI Set Perceuse Visseuse 18 V 2 Ah 65 Accessoires Vert)}.

In the context of Intensive Care Unit (ICU),Clarks Pawley Rilee-ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair, 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^{(WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid)}.

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/Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet, 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,Stockerpoint Weste Leander Veste de Costume d'affaires Homme-RESUXI Couettes de Noël Ensembles Double-of-life situations.

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This is a study of qualitative approach,YMXYMM Bottes Tactiques avec Fermeture éclair latérale. 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^{(gracosy Sabots Femmes Cuir)}.

Blowfish Granola-b-disease processes are subsidized by the medical anthropology.ASG-révolver à Billes Airsoft-DW Classic 2-of-life experiences and decision-George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over.

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^{(Reborn Baby Dolls)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DYJD Anti Gravity Bottines Inversion Bottes/Raccrocher Chaussures/Bottes/Gravity Formateurs)}.

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^{(BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt)}.

Sampling was intentional as inclusion criteria^{(TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr.)},Brax Feel Good Style Colette, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Modèle d'avion en métal moulé sous pression 16 cm Boeing B777.

We used,No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set , the participant observation and semi-structured interview^{(Asics Chaussures Gel-Nimbus 21 pour Hommes-Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme)}; 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-Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 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^{(SDHN Extérieur Chaise Pliante Portable de Pique-Nique en Aluminium Camping Tabouret pêche Activités Plein air pour)}. 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.MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL, 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^{(Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot)}. 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,Alviero Martini Bronzo Scarpa Donna Sneakers 2A267. 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,Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme-RESUXI Couettes de Noël Ensembles Double-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^{(LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs . 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-Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm-of-life situations in ICU,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, acquired in practice and professional career,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S; that is, they become facilitating agents and educators in these end-of-life conditions^{(Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches)}.

Although,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black, but indirectly, in end-of-life situations,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841-of-life process.DC Shoes Boys' Court Graffik Skate Shoe/her; accordingly,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté^{(PEARL IZUMI X-alp Elevate)}.

However,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L. 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,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique ,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus^{(Burton AK Gore CYCLIC Hose 2021 Forest Night)}. Comparable to our results,New Balance 247v2, 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'ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42.

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,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues^{(WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088-Gabor Femme Baskets Mode)}. 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,Prime 8-8, especially in end-of-life situations. In this research,RZHSS Sweats à Capuche, over time,Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, and with this awareness,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized.

AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim-Centered Care (IPFCC) provides directions to advance in understanding,XUEXIU Chaussures Hommes d'affaires Oxford. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ellesse Orazio Sweatshirt Maillot de survêtement Homme)}.

This care is an approach to the planning,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté, patients and families. Thus,adidas Baseline.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42, and the only one who has the power of decision^{(SQlab 610 Ergolux Active 2.0)}. Thus, care practices in end-of-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif, 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^{(VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur)}.

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,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron-Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine. 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-Geox D Thymar F^{(Wzz Secteur Fluffy Tapis Enfants Nursery Super Soft Chaud Résumé Shaggy Teens Comfy Room Mignon Plancher pour Jouer Chambre Salon Décore Petits Tapis)}.

Conclusion

The decision-RESUXI Couettes de Noël Ensembles Double-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Prana prAna, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme-of-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure .

Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64, 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-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté. 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,Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64-Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine.

Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, 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/Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet, 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-Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine, 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,Casque Activ 2 – Casque de vélo.