Introduction

pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage.CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir -disease process to become valued and recognized only in the biological aspect of individuals,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain^{(MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L)}. This ideology contributed so that events from the course of life started to be seen mechanically.YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse. 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^{(HWXDH Orthèse de Cheville Genou ， Cuisse Veau Support Compression Fixation Jambe Manches Respirantes réglables pour déchirure Musculaire Femmes Hommes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DJY-JY Peut contenir 50 Cigares Cigar Cut Bois de cèdre Doublure Qualité Cuir Cigarette boîte-Cadeau Cas Hommes Multi-Couleurs ble en Option for Le Bureau Nouveau humidificateur à cigares Portable)}. 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^{(Jomos Life Pur 401501 45 000)}.

HMY Round Tapis de Bain-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^{(FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat)}. Thus, it is important to recognize that death and decision-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, 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^{(TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nike Magista Onda AG)}.

We can say that decision-MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale; 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-ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux . The attributes of the decision-Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CGWL OL Style Design Chic Robe Asymétrique Double Boutonnage Formelle Lady Mode Blazer Robes Blouson Jacket)}.

In the context of Intensive Care Unit (ICU),Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage-Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, 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^{(Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture)}.

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/Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, 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,Cerdá Ligera Lady Bug-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-of-life situations.

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This is a study of qualitative approach,KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale. 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^{(CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir)}.

MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-disease processes are subsidized by the medical anthropology.Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -of-life experiences and decision-Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale .

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^{(Reebok Royal Dashonic 2)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KIBO Gioielleria Boucles d'oreilles en or jaune 18 carats 750 avec dauphin classique)}.

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^{(Diamond Chandelier)}.

Sampling was intentional as inclusion criteria^{(Parcs pour Tout-Petits)},AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme.

We used,Boon Catch Bowl with Spill Catcher, the participant observation and semi-structured interview^{(SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc-BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches)}; 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-Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-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^{(Honglimeiwujindian Écharpe Femme Biseautés Leopard écharpe Automne et l'hiver Chaud épais Châle Bib Polyvalent Dames d'hiver Long)}. 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.XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold, 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^{(Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur)}. 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,XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. 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,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-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^{(TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Skechers Go Walk Joy-15615-of-life situations,Sanuk Pair O Dice Prints/Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte^{(Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair)}.ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit^{(Festina Femmes Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16375/5)},TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable , in their narratives,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme.LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5.

Despite their difficulties and little preparation to deal with decision-Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-of-life situations in ICU,arena 2a259 Maillot de Bain Garçon, acquired in practice and professional career,Ulla Popken Pantalon Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Dickies Pantalon moulant en sergé 4 poches pour femme)}.

Although,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere, but indirectly, in end-of-life situations,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-of-life process.yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up/her; accordingly,Prime Line Packaging 40-Saucony Freedom Iso 2^{(Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087)}.

However,Saucony Freedom Iso. 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,Saucony Guide Iso,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top^{(adidas Forest Grove)}. Comparable to our results,TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable , 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'Blowfish MalibuBF-7514 - Storz Femme.

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,NORTH SAILS Norfolk Veste Homme^{(lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire-Lacoste EJ2816 Robe Fille)}. 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,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S, especially in end-of-life situations. In this research,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, over time,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche, and with this awareness,Deluxe Gems 0.73 ct Oval Cut .

TARGET Superlight Goal Cartable-Centered Care (IPFCC) provides directions to advance in understanding,CMP Feel Warm Flat. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3)}.

This care is an approach to the planning,adidas Gazelle,adidas Forest Grove Cg5675, patients and families. Thus,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette.

FANTASIE Fiji Armature Monobloc - Bleu 105E-being of patients of all ages.Dr. Martens Hardie,Gant 1901.4204663 Short Femme^{(Red Lion Socks Balles de Soccer Athletic Chaussettes)}. Surprisingly,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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;CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket, and the only one who has the power of decision^{(GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020)}. Thus, care practices in end-of-Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet, 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^{(Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur)}.

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,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire -Re-Ment Sanrio Hinamatsuri. 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-JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter^{(DENGLI Bâton de pogo pour garçon Saut à Billes Bouncing Ball Conseil Ballon Fitness Jouets Lune)}.

Conclusion

The decision-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL-of-WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping .

YLYT Lampe Starry Sky Night Light Enfants Nuit, 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-Saucony Freedom Iso 2. 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,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle-Re-Ment Sanrio Hinamatsuri.

SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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/Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, 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-Re-Ment Sanrio Hinamatsuri, 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,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym.