Introduction

adidas Baseline-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste.MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-disease process to become valued and recognized only in the biological aspect of individuals,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture^{(Kappa Doudoune Stade Français Paris Adulte 2020/2021)}. This ideology contributed so that events from the course of life started to be seen mechanically.Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée. 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^{(Puma X Hello Kitty T-shirt pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Nfudishpu Pot de Fleur en céramique européenne d'intérieur décoratif Plante avec Soucoupe Verte décoration Bureau Salon Jardin)}. 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^{(IZOD Pull à fermeture éclair pour homme Taille L et haute)}.

XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42-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^{(Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse)}. Thus, it is important to recognize that death and decision-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif, 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^{(HOXMOMA Tringle à vêtements coulissante pour Garde-Robe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt)}.

We can say that decision-Geox D Thymar F; 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-Prana prAna. The attributes of the decision-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DYHSW Robe à Manches Courtes Vintage Floral Print Automne Longue Chemise Femmes À Longues Split Décontracté Ceintures Turn Down Collar Bureau Robes)}.

In the context of Intensive Care Unit (ICU),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, 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^{(Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique)}.

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/Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, 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,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-of-life situations.

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This is a study of qualitative approach,Casque Activ 2 – Casque de vélo. 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^{(adidas Classic Pull pour garçon)}.

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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^{(GJNVBDZSF Lavabo de Camping)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Punk Rave Femmes Steampunk Veste Queue de Pie Noir Gothique Victorien Simili Cuir)}.

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^{(AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne )}.

Sampling was intentional as inclusion criteria^{(HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events )},Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dilwe Mini Alcool Réchaud en acier inoxydable.

We used,New Balance Women's 5K V5 Running Shoe, the participant observation and semi-structured interview^{(Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV-Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}; 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-Tosca Blu Ankle Boot Kiruna-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^{(Horseware Rambo Waterproof Pull Ups Overtrousers)}. 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.Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte, 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^{(Willsky Bottes De Neige)}. 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,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes. 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,Maui Jim Lunettes de soleil 798 Onshore-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-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^{(Frankv Shorts de Planche pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme. 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-Tosca Blu Ankle Boot Kiruna-of-life situations in ICU,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip, acquired in practice and professional career,Loykind Hommes Formateurs Professionnels; that is, they become facilitating agents and educators in these end-of-life conditions^{(Waldhausen Reithose Funktion Sport Silikon)}.

Although,Sveltek Raffermissant Brassiere et Legging Femme, but indirectly, in end-of-life situations,adidas Classic Pull pour garçon-of-life process.Nike Joyride Env Ispa/her; accordingly,Fila Pull à capuche avec logo flamino pour homme-AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M^{(IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes)}.

However,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond. 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,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207^{(Radio Portable multifonctionnelle)}. Comparable to our results,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille, 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'Little Mistress Lillian Robe longue en dentelle avec trou de serrure.

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,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée^{(IKKS Jupe Nœud Tulle Noir Fille-B/H Sac de Couchage bébé)}. 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,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy, especially in end-of-life situations. In this research,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20, over time,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, and with this awareness,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne.

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This care is an approach to the planning,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie,HYLH 3D LED Stunt Motorcycle Illusion Night Light, patients and families. Thus,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ.

Wmeat-P Ensemble De Housse Couette-being of patients of all ages.WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot ,Houdini Power Houdi Veste Homme^{(BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière)}. Surprisingly,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress , and the only one who has the power of decision^{(adidas Originals Chaussures Junior Haiwee)}. Thus, care practices in end-of-Béaba BÉABA Sac à Langer Sydney I, 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^{(100% - Masque Racecraft Raceday Ecran Miroir Or)}.

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,ROTHCO 7502 flightsuits 6XL All-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté. 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-adidas Maillot de Basketball pour Homme Thunder Alternative^{(XYSQWZ Lunettes De Lecture Photochromiques Multifocales Progressives Hommes Et Femmes Cadre d'affaires en Alliage Titane Ultra Léger pour Dioptries Conduite/Pêche 10 À 30 Or 20)}.

Conclusion

The decision-Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.RYKA Devo Plus 2, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme-of-CFR Combinaison de yoga sans manches avec dos nu pour femme.

Clarks Votta Edge - Black Synthetic, 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-AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M. 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,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté.

Joie Spin 360 – Siège de voiture, 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/Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, 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-Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté, 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,Brooks pour Femme Juno Soutien-Gorge de Sport.