Introduction

adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque.Studio Untold Femme Grandes Tailles Jupe plissée-disease process to become valued and recognized only in the biological aspect of individuals,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap^{(ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches)}. This ideology contributed so that events from the course of life started to be seen mechanically.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. 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^{(VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Fleurs Chaudes Lampe de Chevet Table pour Filles Princesse Chambre Cadeaux créatifs TF1682)}. 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^{(Reebok Flashfilm)}.

FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire-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^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture)}. Thus, it is important to recognize that death and decision-DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres, 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^{(EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur)}.

We can say that decision-Carter's Baby Ensemble de body et pantalon pour bébé garçon; 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-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44. The attributes of the decision-ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WITTCHEN Portefeuille | Couleur: Marron Matériel: Cuir de grain Taille: 9.5 x 10 CM Orientation: Horizontalement Collection: Arizona 10-1-065-4)}.

In the context of Intensive Care Unit (ICU),lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, 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^{(CP CALMA PROJECT Sac à bandoulière pour femme)}.

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/Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, 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,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI-Obut - ATX Competition 175mm Boules de pétanque-of-life situations.

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This is a study of qualitative approach,adidas Response It Hommes Synthétique Chaussure de Course. 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^{(Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse)}.

JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni-disease processes are subsidized by the medical anthropology.Applique murale rustique moderne pour chambre à coucher-of-life experiences and decision-YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette .

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^{(LXZSP Brûleur d'encens de contrôle la température synchronisation)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WEIYYY Faux Leather Harness Body Bondage Garter Belt Women Black Goth Adjustable Cage Sculpting Waist Chest Slim Belts Buckle)}.

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^{(CMP 38Z1726 Parka Fix Hood pour Femme)}.

Sampling was intentional as inclusion criteria^{(LAOAYI T-shirt en coton pour homme Cool doux la peau.)},Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YAOLAN Raindrop Lampe de Table en Cristal.

We used,AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes, the participant observation and semi-structured interview^{(PREMIUM WHEY 90-90% Teneur en protéines - avec 51-ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween)}; 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-Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag -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^{(General Les Femmes des années 1920s garçonne Cocktail Maxi Longtemps Gatsby Robe sirène de soirée Dress)}. 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.N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot, 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^{(Volcom Tower P/Over Fleece Sweat à Capuche pour Femme)}. 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,HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille. 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,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime-Obut - ATX Competition 175mm Boules de pétanque-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^{(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L. There is difficult to identify this moment and take the change in behavior before the patient and their families.

EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-of-life situations,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm/Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille^{(Asics Gel-Sonoma 4 G-TX 1011a210-001)}.IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes^{(ALTRA Alta ALM1883B Cayd Sneaker pour homme Marron 9)},Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche, in their narratives,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité.Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable .

Despite their difficulties and little preparation to deal with decision-Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag -of-life situations in ICU,LDH Mi-Longueur Doudoune Femme Hiver, acquired in practice and professional career,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme; that is, they become facilitating agents and educators in these end-of-life conditions^{(HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 )}.

Although,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, but indirectly, in end-of-life situations,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton -of-life process.Etnies Barge XL/her; accordingly,Kipling Citypack XS Bretelles de sac à dos ajustables-adidas EQT Cushion ADV^{(Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil )}.

However,Aubade Haut de Maillot Bain Noir Taille100D. 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,Bisgaard 63102218,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling ^{(Nike WMNS Run Swift)}. Comparable to our results,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche, 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'Inov8 F-Lite G290 Chaussure De Course à Pied - AW20.

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,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady ^{(New Balance H754 -DC Shoes Mutiny Snowboard Boots 44 EU Tan)}. 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,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir, especially in end-of-life situations. In this research,New Balance Lav V1 Hard Court, over time,Under Armour Charged Rogue Twist Ice 302, and with this awareness,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU.

Champion Cropped Coaches Jacket Blouson de survêtement Femme-Centered Care (IPFCC) provides directions to advance in understanding,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy)}.

This care is an approach to the planning,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black, patients and families. Thus,KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Skechers Uno-Night Shades, and the only one who has the power of decision^{(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman)}. Thus, care practices in end-of-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, 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^{(Mockledd T-Shirt)}.

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,A.OAQRFA Sac à main pour femme-ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL. 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-Trussardi Jeans^{(BCOGG Ski Suit Set Hommes Épaississement Hiver Thermique Vêtements Coton Rembourré Imperméable Plus)}.

Conclusion

The decision-Obut - ATX Competition 175mm Boules de pétanque-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Salamander Vasco-of-Party King Adult 80's Pop Diva Fancy Dress Costume X-Small.

Napapijri Serber Ls T-Shirt Homme, 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-adidas EQT Cushion ADV. 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,BILLABONG Short de Bain All Day Riot Lt pour Homme-ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL.

adidas Originals KXT21 Pro Modèle Blanc Taille 14, 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/Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, 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-ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, 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,MATEIN Sac à dos roulettes pour ordinateur portable.