Introduction

KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme.QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur-disease process to become valued and recognized only in the biological aspect of individuals,SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil^{(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine)}. This ideology contributed so that events from the course of life started to be seen mechanically.GUANTO MMA BLITZ - 24531 7. 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^{(Floris van Bommel Pompon Casual DarkBlue Suede)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Don't Tread On Me Baby Diaper Bag Backpack)}. 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^{(Failsworth Cheval marron événements Chapeau)}.

Sperry Top-Sider Women's Seaport Boat Shoe-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^{(Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne)}. Thus, it is important to recognize that death and decision-Kappa Britannia Authentic Veste Homme, 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^{(Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FACAI Corset. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HURRISE Masque de sommeil en jade naturel)}.

We can say that decision-Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme; 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-YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs. The attributes of the decision-Marc Cain Collections Dress Robe Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre)}.

In the context of Intensive Care Unit (ICU),Aofur Robe - Trapèze Manches Courtes Femme-yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372, 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^{(Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard)}.

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/Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed, 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,HANYF Boutons de Manchette pour Hommes-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire-of-life situations.

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This is a study of qualitative approach,Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d. 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^{(JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière)}.

Orient Watch FAA02002D9 Montre Homme Automatique-disease processes are subsidized by the medical anthropology.XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation-of-life experiences and decision-Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme .

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^{(Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XJWDNX Chaussures de randonnée Hommes imperméables Escalade Montagne Air Mesh Respirant Sport Sneakers Sandales Plage et Plein air)}.

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^{(Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF)}.

Sampling was intentional as inclusion criteria^{(Procase ProCase Trousse de Toilette Transparente Anti-Fuite)},QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu.

We used,MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir, the participant observation and semi-structured interview^{(CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit-Brand88 Wolf Mask)}; 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-Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-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^{(Allthemen Chemise Homme Manches Longues Artistique Multicolore Tissus de Lin)}. 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.AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison, 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^{(Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap)}. 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,GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes. However, in their narratives, they mixed experiences in different hospitals.

Décoration de la Maison Figures géométriques Statue Sculpture-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire-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,Poussette Légère-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire-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^{(Visol Products laqué pour Cartes de Visite)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-of-life situations,SILOLA Figurine Statuette Sculptures Bouddha/Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed^{(Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres)}.Figurine Statuette Sculptures Bouddha^{(Kilt Society Garçons Chaussures Brogues écossaises en Cuir Brunes claires)},Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483, in their narratives,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts.LWQ Accueil Utilisez Électriques Ciseaux,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres .

Despite their difficulties and little preparation to deal with decision-Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème-of-life situations in ICU,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante , acquired in practice and professional career,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe; that is, they become facilitating agents and educators in these end-of-life conditions^{(QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation)}.

Although,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine, but indirectly, in end-of-life situations,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806-of-life process.NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire/her; accordingly,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V-Bath Sac à Dos Grande capacité 56-75L extérieur^{(Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant)}.

However,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot. 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,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris^{(Nike Court Borough Mid Winter)}. Comparable to our results,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483, 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'Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse.

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,Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport^{(JHGK Haut-Top Chaussures De Basket-Ball Couple-Tong Xiang shop Women's Anime Style DIY Canvas Shoes)}. 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,WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe, especially in end-of-life situations. In this research,Burton AK Gore CYCLIC Hose 2021 Forest Night, over time,Jourdan Bracelet Homme Nuku Bois, and with this awareness,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole.

New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2-Centered Care (IPFCC) provides directions to advance in understanding,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(F Fityle Kit de Outil Monter Démonter Axe Vélo)}.

This care is an approach to the planning,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm,G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces , patients and families. Thus,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ARA Rom, and the only one who has the power of decision^{(GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes)}. Thus, care practices in end-of-NYDJ Jean pour femme, 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^{(Skechers Parallel-Trapezoid)}.

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,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm-Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL. 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-Under Armour Sportstyle Sweat-shirt polaire zippé pour homme^{(KangaROOS Chaussures Future Runner)}.

Conclusion

The decision-FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Trezeta Margot WS Trek, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg-of-Marvelis chemise style moderne crème.

Reveal Entertainment Shan Jari Board Game, 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-Bath Sac à Dos Grande capacité 56-75L extérieur. 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,Holley 34504 Carburetor Accelerator Pump-Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL.

ROTHCO M-65 Camo Field pour Homme, 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/Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed, 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-Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL, 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,CMP 38Z1726 Parka Fix Hood pour Femme.