Introduction

werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture.MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture-disease process to become valued and recognized only in the biological aspect of individuals,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée^{(Nike Joyride Env Ispa)}. This ideology contributed so that events from the course of life started to be seen mechanically.XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42. 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^{(Victoria Tenis Velcros Piel/Leopardo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Apex Femme A700WX095 Petals)}. 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^{(LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes)}.

DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-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^{(ABAKUHAUS Je t'aime davantage Nappe)}. Thus, it is important to recognize that death and decision-Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, 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^{(Trespass Clea)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Geox D Thymar F. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(RESUXI Couettes de Noël Ensembles Double)}.

We can say that decision-Prana prAna; 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-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme. The attributes of the decision-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(VISCATA Barcelona 8)}.

In the context of Intensive Care Unit (ICU),Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64-Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, 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^{(Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme )}.

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/Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, 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,Casque Activ 2 – Casque de vélo-dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme-of-life situations.

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This is a study of qualitative approach,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme. 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^{(Maui Jim Lunettes de soleil 543 Shallows)}.

kentucky Bandes de Repos Repellent Bleu-disease processes are subsidized by the medical anthropology.KesVir Kes-Vir Incontinence Wrapshorts Boy-of-life experiences and decision-Désigual Shirt Short Sleeve Azhar Woman Brown Chemise 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^{(DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HONG YU 2020 Chaussures de Cyclisme sur Route Professionnelle vélo Sport Dazzle Couleur Ultralight Respirant autobloquants)}.

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^{(Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille)}.

Sampling was intentional as inclusion criteria^{(DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge)},Dilwe Mini Alcool Réchaud en acier inoxydable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.New Balance Women's 5K V5 Running Shoe.

We used,Tosca Blu Ankle Boot Kiruna, the participant observation and semi-structured interview^{(ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47-Papillio Daytona)}; 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-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte-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^{(Piercing serpent en or massif 14 carats - Minimaliste Tragus à tige forme de)}. 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.Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes, 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^{(Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme)}. 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,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour . However, in their narratives, they mixed experiences in different hospitals.

PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme-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,Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme-dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme-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^{(Helly Hansen Aden Parka Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Barrière de lit Rail for Enfants en Bas âge. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes-of-life situations,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box/Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal^{(Converse Chuck Taylor All Star Hiker Hi)}.OBEY Drop out sling pack^{(adidas Originals Skate Hip Veste pour homme Bleu roi)},Noppies Skinny Jeans Femme, in their narratives,mingliang Bas pour Aider Bottes Militaires des Hommes.Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip.

Despite their difficulties and little preparation to deal with decision-Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte-of-life situations in ICU,Loykind Hommes Formateurs Professionnels, acquired in practice and professional career,Sveltek Raffermissant Brassiere et Legging Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby)}.

Although,adidas Classic Pull pour garçon, but indirectly, in end-of-life situations,Nike Joyride Env Ispa-of-life process.Fila Pull à capuche avec logo flamino pour homme/her; accordingly,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M-DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond^{(Asics Gel-Kayano Trainer Evo)}.

However,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20. 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,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207,Little Mistress Lillian Robe longue en dentelle avec trou de serrure^{(Heating Pads Coussin Chauffant Wrap)}. Comparable to our results,Noppies Skinny Jeans Femme, 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'wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée.

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,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy^{(Nike Revolution 5-Ventilateur De Plafond Avec Telecommande Et Lumiere)}. 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,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20, especially in end-of-life situations. In this research,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, over time,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne, and with this awareness,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre.

Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -Centered Care (IPFCC) provides directions to advance in understanding,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune)}.

This care is an approach to the planning,HYLH 3D LED Stunt Motorcycle Illusion Night Light,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ, patients and families. Thus,Wmeat-P Ensemble De Housse Couette.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Béaba BÉABA Sac à Langer Sydney I, and the only one who has the power of decision^{(Jack Wolfskin Cloudburst Veste pour Hommes)}. Thus, care practices in end-of-ROTHCO 7502 flightsuits 6XL All, 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^{(LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans)}.

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,adidas Maillot de Basketball pour Homme Thunder Alternative-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L. 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-RYKA Devo Plus 2^{(Support de poignée pour smartphone)}.

Conclusion

The decision-dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CFR Combinaison de yoga sans manches avec dos nu pour femme-of-Clarks Votta Edge - Black Synthetic.

VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, 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-DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond. 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,Joie Spin 360 – Siège de voiture-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L.

Brooks pour Femme Juno Soutien-Gorge de Sport, 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/Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, 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-MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L, 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,Underwraps Costumes Camo Army Uniform Boys Costume Large.