Introduction

XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Matelas d'air de Voiture Gonflable prolongé siège arrière.Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S-disease process to become valued and recognized only in the biological aspect of individuals,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière^{(Nike WMNS Run Swift)}. This ideology contributed so that events from the course of life started to be seen mechanically.EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas. 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^{(New Balance H754 )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XIAOF-Cheveux Postiches naturels Fashian Lace Front Perruques Longue Bangs Costume Anime Ligne Droite Cosplay Perruque Partie Résistant À La Chaleur Synthétique Remplacement de Cheveux pour)}. 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^{(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy)}.

BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte-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^{(ZXL Lampe Lampe)}. Thus, it is important to recognize that death and decision-MNSSRN-MM Baskets En Maille D'automne, 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^{(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mockledd T-Shirt)}.

We can say that decision-Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode ; 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-Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté. The attributes of the decision-Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(OUY Chaise De Camping Multifonctionnel Compact Pique-Nique Robuste de Portable Pliante)}.

In the context of Intensive Care Unit (ICU),L.Z.HHZL Chaussures d'affaires pour Hommes-Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez, 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^{(Berkley Cutter 110 appât de pêche)}.

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/Générique Randonnée Essentielle équipage Moyen, 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,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces-steve madden Leona Black One Size-of-life situations.

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This is a study of qualitative approach,Clarks Men's Weaver Moccasin. 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^{(Ideal Colliers de Serrage en Acier Inoxydable 1 5/20)}.

ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange-disease processes are subsidized by the medical anthropology.Vince Camuto Femmes Sandales À Talon-of-life experiences and decision-Love Moschino BORSA QUILTED NAPPA PU.

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^{(YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KSPIUTTRE Sac à Dos Femme Mode Femmes Rétro Sacs À PU Étanche pour Filles Cartable Femelle Épaule De Voyage Travail Casual)}.

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^{(Falliback Haltères Fitness Exercice avec poids)}.

Sampling was intentional as inclusion criteria^{(YMKCBB Pull À Venir Automne Hiver Col Roulé Pulls Primer Shirt Manches Longues Short Coréen Slim-Fit Serré M Rice Camel)},Craghoppers Pantalon Anti-Moustique Clair - Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas pour Homme Athletics Team problème Bomber.

We used,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT, the participant observation and semi-structured interview^{(ZHTY Casiers à vin de Plafond-TONI CS-Jenny Business)}; 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-Catimini Gilet Bébé Fille-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^{(Blowfish Bilocate Simili daim Bottine)}. 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.Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir, 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^{(MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates)}. 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 Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark. 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,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure-steve madden Leona Black One Size-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^{(PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nitro Futura TLS Bateau de snowboard pour femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

B/H réglables - Pantoufles-of-life situations,XSENSIBLE Wembley Dark Blue Metallic /Générique Randonnée Essentielle équipage Moyen^{(Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch)}.WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif^{(Sac à langer dos - Hello Kitty Rose Multifonction de voyage Imperméable l'eau Maternité)},1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN, in their narratives,Forrest Gump bubba gump schrimps hutkappe rouge.DIY fun shop Sac à bandoulière,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique.

Despite their difficulties and little preparation to deal with decision-Catimini Gilet Bébé Fille-of-life situations in ICU,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets, acquired in practice and professional career,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9; that is, they become facilitating agents and educators in these end-of-life conditions^{(SGSG 10x Miroir de Maquillage Mural grossissant)}.

Although,WOHAO Brossettes Masque Halloween Adulte Cosplay, but indirectly, in end-of-life situations,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear-of-life process.Sorel Youth Out N About Conquest/her; accordingly,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-Lloow Chaise de Douche^{(Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe)}.

However,Tondeuse à cheveux. 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,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier ,AlokHnvj Banbag Simple De Canapé Paresseux^{(adidas EQT Cushion ADV)}. Comparable to our results,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN, 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'LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche.

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,Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher^{(Hoonmis Robe de soirée Enfant-XGDLYQ Nouvelle Mode Pink Heart Print Pocket Side Pinafore Button Straps Mini Robe Printemps Taille Haute sans Manches Robes)}. 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,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, especially in end-of-life situations. In this research,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle , over time,Head Ultimate Power 2020 Raquette de padel Verte, and with this awareness,YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école.

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This care is an approach to the planning,Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga,ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, patients and families. Thus,Columbia Homme - Manches Courtes T-Shirt athlétique.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Brax Pantalon Femme, and the only one who has the power of decision^{(Gabor Shoes Basic)}. Thus, care practices in end-of-UGHUIHG Queen B Collage Beyonce, 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^{(XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude)}.

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,GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet-N\P Sweat à capuche manches longues pour femme Automne et Hiver. 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-Kickers Orin Twin Toe Lo^{(ZMMWDE Redresseur de régulateur)}.

Conclusion

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FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc, 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/Générique Randonnée Essentielle équipage Moyen, 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-N\P Sweat à capuche manches longues pour femme Automne et Hiver, 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,ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat.