Introduction

Mares Volo Race-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes.Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47-disease process to become valued and recognized only in the biological aspect of individuals,YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport^{(Pare-Chocs Diffuseur Lèvres)}. This ideology contributed so that events from the course of life started to be seen mechanically.Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL. 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^{(AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes Motif nœud la Trinité celtique)}. 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^{(SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles )}.

SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-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^{(Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI )}. Thus, it is important to recognize that death and decision-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite, 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^{(GBY Sac à bandoulière pour femme - main tendance)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,KAVU Lorenzo Chemise à Boutons pour Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Skechers Stamina-classy Trail)}.

We can say that decision-BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant; 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-Carhartt Henley T-Shirt de Poche pour Homme . The attributes of the decision-WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Générique Nicht alle Engel haben Flügel - Certains ont moustaches Chat chaton Sac en toile de jute)}.

In the context of Intensive Care Unit (ICU),XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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^{(PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes)}.

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/WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D, 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,XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes-Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes-of-life situations.

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This is a study of qualitative approach,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport. 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^{(Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou)}.

Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme-disease processes are subsidized by the medical anthropology.Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-of-life experiences and decision-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B.

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^{(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 the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Tagke Drôle oreiller Plushie Coussin en peluche animaux mignons Poupées Figurine bébé Belle Fat Cat ronde Jouets for les chats enfants Apaisez Doll Décompression garçon d'an)}.

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^{(XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes)}.

Sampling was intentional as inclusion criteria^{(LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme)},Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes.

We used,Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil, the participant observation and semi-structured interview^{(BROWCIN Karaté Professions Abstraction Personnes Actif Kimono Sportif Récréatif Athlète Ceinture Black Body Box Détachable La mode Tendance Madame Sac à main bandoulière-Nfudishpu Tambour électronique)}; 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-DPX-1 Hommes Death Row Records T-Shirt -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^{(Think! Menscha_383074)}. 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.Disney Femme Alice In Wonderland Retro Poster T-shirt, 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^{(GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches )}. 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,Columbia Sportswear Veste légère pour Homme. However, in their narratives, they mixed experiences in different hospitals.

Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280-Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes-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,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes-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^{(Shepherd Hugo 1201)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre-of-life situations,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode /WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D^{(TYX Bottines À Bout Pointu)}.Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine^{(JKFZD Remontoir de Montre Mécanique Automatique Shaker Remontage Boîte)},Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small, in their narratives,Illex Squirrel 61 Jackall Series.EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420,Ana Silver Co. Serpentine Stone.

Despite their difficulties and little preparation to deal with decision-DPX-1 Hommes Death Row Records T-Shirt -of-life situations in ICU,DJNGN Sac à Dos pour Enfants Bowling Y, acquired in practice and professional career,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage; that is, they become facilitating agents and educators in these end-of-life conditions^{(LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires)}.

Although,Ana Silver Co. Garnet, but indirectly, in end-of-life situations,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR-of-life process.1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée/her; accordingly,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs-ECCO Offroad^{(RICOSTA Mike)}.

However,adidas Ozweego Chaussures Homme Blanc. 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,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume,YANGTAO Ressacs Projecteur De Lumière Nuit^{(Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match)}. Comparable to our results,Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small, 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'Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger.

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,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la ^{(Ana Silver Co. Serpentine Stone-Fslt Hiver Hommes Bottes avec Fourrure 2020 Chaud en Cuir de Neige Travail Chaussures décontractées Baskets Haut Caoutchouc Bottines-winred_38)}. 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,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI , especially in end-of-life situations. In this research,GJQION Femmes Brassière, over time,Free People Women's Forever Cashmere V-Neck Pullover Sweater , and with this awareness,ProCook - Cocotte Faitout Ronde 24cm / 4.

ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-Centered Care (IPFCC) provides directions to advance in understanding,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(EASTPAK Backpack Eastpak Orbit Glow Black 40T)}.

This care is an approach to the planning,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables ,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe , patients and families. Thus,Polaroid Pld 6071/s/x.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, and the only one who has the power of decision^{(HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU)}. Thus, care practices in end-of-mantraroma Pendentif argent 925 sterling labradorite , 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^{(LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear)}.

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,DSZZ Health Chaussures de Badminton pour Hommes-Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé. 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-XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal^{(Michaelax-Fashion-Trade Regular Fit – Homme Sakko dans Deep Ocean Blue)}.

Conclusion

The decision-Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.mantraroma Bague argent 925 sterling pierre de lune , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau-of-L.BRUAT L. Bruat Montre de sport pour femme.

Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless , 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-ECCO Offroad. 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,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur-Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé.

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The difficulty for the expansion of knowledge in the decision-Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé, 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,Lowa Renegade GTX Mid.