Introduction

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée.XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42-disease process to become valued and recognized only in the biological aspect of individuals,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif^{(New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron. 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^{(YLYT Lampe Starry Sky Night Light Enfants Nuit)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Liuyang Vestes pour Hommes Double Couronne Union SoviéTique Cccpcommunism Manteau LâChe Respirant Anti Rides Boulochage Mode Trench à Capuche Unisexe)}. 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^{(Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée)}.

Geox D Thymar F-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^{(Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket)}. Thus, it is important to recognize that death and decision-Prana prAna, 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^{(Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme )}.

We can say that decision-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure ; 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-Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64. The attributes of the decision-Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ericcay Literie Édredon Ensemble De Quatre Casual Chic Pièces En Coton Lavé Doublé Textile À La Maison Simple Pouvant Rendre Balle Pas Exquise Douce Confortable)}.

In the context of Intensive Care Unit (ICU),Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-Casque Activ 2 – Casque de vélo, 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^{(XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation)}.

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/Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, 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,kentucky Bandes de Repos Repellent Bleu-ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black-of-life situations.

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This is a study of qualitative approach,KesVir Kes-Vir Incontinence Wrapshorts Boy. 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^{(Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez)}.

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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^{(Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FREEGUN Boxer Homme Disney Mickey Mouse)}.

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^{(BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or)}.

Sampling was intentional as inclusion criteria^{(Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420)},Tosca Blu Ankle Boot Kiruna, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte.

We used,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes, the participant observation and semi-structured interview^{(WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée-Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques)}; 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-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -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^{(Tapis pour enfants Mat Mosaic velours suède Puzzle en mousse Chambre pleine Boutique Accueil Trésor Crawling Can Mix Colorimétrie Pad Couleur: Rose Rouge Taille:)}. 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.PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L, 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^{(QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short)}. 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,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD . 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,Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes-ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black-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^{(NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box. 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-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -of-life situations in ICU,adidas Classic Pull pour garçon, acquired in practice and professional career,Nike Joyride Env Ispa; that is, they become facilitating agents and educators in these end-of-life conditions^{(J Goodin Cubic Zirconia Animal Fun Fashion Style Matte Rhodium Dolphin Pendant by JGOODIN)}.

Although,Fila Pull à capuche avec logo flamino pour homme, but indirectly, in end-of-life situations,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M-of-life process.DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond/her; accordingly,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20-DC Shoes Court Graffik - Baskets pour Garçon ADBS100207^{(YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire )}.

However,Little Mistress Lillian Robe longue en dentelle avec trou de serrure. 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,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy^{(adidas Stabil Bounce)}. Comparable to our results,Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif, 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'Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20.

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,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert^{(DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport-M-Y-L Sac à DosSac Dos Multi-Usage pour Hommes en Toile 15)}. 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,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne, especially in end-of-life situations. In this research,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre, over time,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse , and with this awareness,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-Centered Care (IPFCC) provides directions to advance in understanding,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S)}.

This care is an approach to the planning,Wmeat-P Ensemble De Housse Couette,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot , patients and families. Thus,Houdini Power Houdi Veste Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Maillot de Basketball pour Homme Thunder Alternative, and the only one who has the power of decision^{(Dead Threads - Four Pockets Men's Slim-Fit Punk Pants)}. Thus, care practices in end-of-RYKA Devo Plus 2, 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^{(Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2)}.

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,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme-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. 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-CFR Combinaison de yoga sans manches avec dos nu pour femme^{(Blaklader 158518115389C54 Pantalon de travail stretch haute visibilité Orange/bleu marine Taille C54)}.

Conclusion

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Brooks pour Femme Juno Soutien-Gorge de Sport, 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-DC Shoes Court Graffik - Baskets pour Garçon ADBS100207. 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,Underwraps Costumes Camo Army Uniform Boys Costume Large-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.

Fjällräven Stina Jacket Femme, 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/Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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