Introduction

Ensemble de vadrouille et Seau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets.LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage-disease process to become valued and recognized only in the biological aspect of individuals,Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique ^{(Kru Maillots de Basket-Ball pour Hommes et Femmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ralph Lauren Pull - Homme. 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^{(Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Summer 2020 Swimsuit Plus Size Swimwear Bikinis Set Women Swimming Swim Bathing Suits for Female big Larges Floral Beachwear)}. 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^{(TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine)}.

FRYE FRYE70663 - Billy Shootie Femme-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^{(adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt )}. Thus, it is important to recognize that death and decision-Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac , 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^{(Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Strellson Premium Express-w Blouson Homme)}.

We can say that decision-Under Armour Own The Gym Duffel Sac Mixte Adulte; 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-Kadolis Matelas Landau Latex Blanc. The attributes of the decision-Clair de Lune Doublure en polaire pour couffin osier Rose, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Under Armour Women's Charged Bandit 5 Running Shoe)}.

In the context of Intensive Care Unit (ICU),Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu-Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme, 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^{(Odlo Midlayer Full Zip Proita 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/ALTRA Paradigm 4.5 Chaussure de course sur route pour 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,NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements-Kit de douche Bidet Douche musulmane -of-life situations.

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This is a study of qualitative approach,hsoazi Latex Panda Mask. 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^{(Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat)}.

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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^{(Baggallini Sac à main pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DZWLYX Queue De Sirène)}.

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^{(MNSSRN-MM Baskets En Maille D'automne)}.

Sampling was intentional as inclusion criteria^{(Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme)},LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jack Wolfskin Whirlwind Veste Homme.

We used,Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM, the participant observation and semi-structured interview^{(BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille-HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures)}; 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-LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux -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^{(Colmar Originals 2258-2TR Veste)}. 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.Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair, 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^{(QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements)}. 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,ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 . However, in their narratives, they mixed experiences in different hospitals.

MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri-Kit de douche Bidet Douche musulmane -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,VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase-Kit de douche Bidet Douche musulmane -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^{(GBY Maillot de Basket-Ball Heat n ° 3 Wade)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Shepherd Hugo 1201. 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-LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux -of-life situations in ICU,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, acquired in practice and professional career,LYHY Blouson Cuir Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Asics Gel-Fujitrabuco 6 G-TX)}.

Although,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, but indirectly, in end-of-life situations,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-of-life process.SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation/her; accordingly,ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants-SOLE South Chaussures Noir^{(KGAYUC Mot Épaule Robe De Soirée Verte)}.

However,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy. 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,Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.,Noch Wildgrass Beige by^{(Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger)}. Comparable to our results,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme, 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'MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme.

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,adidas Deerupt Runner^{(Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-Kamik Fargo)}. 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,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, especially in end-of-life situations. In this research,Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande, over time,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon, and with this awareness,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas.

TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body-Centered Care (IPFCC) provides directions to advance in understanding,zhengchunleiX Travel Daypacks. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Geox D Thymar F)}.

This care is an approach to the planning,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m,PME Legend 550 Curtis Runway Chaussures de course Gris, patients and families. Thus,ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf, and the only one who has the power of decision^{(Daller Tracht 10345 Charlene Dirndl pour Femme)}. Thus, care practices in end-of-LXZSP Brûleur d'encens de contrôle la température synchronisation, 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^{(Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop )}.

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,IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens. 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-WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae^{(adidas Continental 80)}.

Conclusion

The decision-Kit de douche Bidet Douche musulmane -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BCGT Atlanta Hawks NO.11 Trae Young, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099-of-MXueei Trampoline pour Enfants .

SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour, 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-SOLE South Chaussures Noir. 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,WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens.

Chicco Abito Maniche Lunghe Robe Fille, 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/ALTRA Paradigm 4.5 Chaussure de course sur route pour 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.

The difficulty for the expansion of knowledge in the decision-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens, 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,Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur.