Introduction

steve madden Leona Black One Size-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Think! Kapsl_3-000045.AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche-disease process to become valued and recognized only in the biological aspect of individuals,TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus^{(Sljj Patins À Roues Alignées)}. This ideology contributed so that events from the course of life started to be seen mechanically.Casio A158 Montre Bracelet en Acier Inoxydable. 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^{(iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Haonb Montres Homme)}. 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^{(Legero Campania)}.

Domopak Living Sac à Chaussures 12 Compartiments-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^{(Marie Jo Tom SCA Soutien-Gorge Femme)}. Thus, it is important to recognize that death and decision-NYLY Sac à Dos Harry P, 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^{(LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,N\P Sweat à capuche manches longues pour femme Automne et Hiver. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Seven Sons Sac à dos Turquoise bleu ciel)}.

We can say that decision-QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé; 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-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black. The attributes of the decision-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Xingruyun Sac à main Femme Licorne mignonne)}.

In the context of Intensive Care Unit (ICU),DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , 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^{(Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black)}.

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/CLII Automobile Instrument de Diagnostic pannes, 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,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-of-life situations.

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This is a study of qualitative approach,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print. 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^{(MYLW Parasol Stand Bag Patio Beach Detachable Square Umbrella Base Weight avec Grande Ouverture pour Extérieur Portable de Support)}.

YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon-disease processes are subsidized by the medical anthropology.CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-of-life experiences and decision-Y-Volution Y-volution - draisienne yvelo air Bleu.

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^{(Olga Berg Pochette Femme Doré Ob2028)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(La Modeuse Richelieus Vernis à Bout Rond)}.

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^{(Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique)}.

Sampling was intentional as inclusion criteria^{(AIYL Shirt à Capuche Hiver Veste 3D Fairy Queue Anime Imprimé Thicken Plus Velours Zipper Manches Longues Manteau Chaud Casual Sweat Cardigan Top B-Large)},Multiple colors New ballet LED table lamp 7 color touch 3d night light, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D.

We used,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, the participant observation and semi-structured interview^{(XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment-HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw)}; 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-Matelas d'air de Voiture Gonflable prolongé siège arrière-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^{(JLYZB Couverture de table dimpression gland)}. 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.Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S, 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^{(Blowfish Granola-b)}. 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,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière. 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,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-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^{(Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,KIUYMRV Sac de soirée pour Femme avec Strass et Doré. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode -of-life situations,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge/CLII Automobile Instrument de Diagnostic pannes^{(adidas Tan Graphic Crewneck Sweat-Shirt Homme)}.1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN^{(Belle Comme Venus Bracelet 2 Coeurs Sertis Oxyde De Zirconium Plaqué Or 750 3 Microns)},Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes, in their narratives,Sam Edelman Yaro.Antica Cuoieria Stringate Donna Pelle oro,Trespass Virtual Veste Femme.

Despite their difficulties and little preparation to deal with decision-Matelas d'air de Voiture Gonflable prolongé siège arrière-of-life situations in ICU,Falliback Haltères Fitness Exercice avec poids, acquired in practice and professional career,PUMA Chaussures de Jeu Future Rider Neon pour Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages )}.

Although,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64, but indirectly, in end-of-life situations,WZR Femme's Synthétique Sandales Slipper Pantoufles-of-life process.Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design /her; accordingly,ZXL Lampe Lampe-Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président^{(Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches)}.

However,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8. 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,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été ,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique^{(hanky panky Brassière croisée en dentelle Signature)}. Comparable to our results,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes, 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'WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité.

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,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte^{(Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles-Désigual Shoes_Country Exotic Black)}. 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,Horloge Murale silencieuse Moderne de Chat Dudu, especially in end-of-life situations. In 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, over time,Nitro Futura TLS Bateau de snowboard pour femme, and with this awareness,B/H réglables - Pantoufles.

XSENSIBLE Wembley Dark Blue Metallic -Centered Care (IPFCC) provides directions to advance in understanding,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ECCO Xpedition III)}.

This care is an approach to the planning,Forrest Gump bubba gump schrimps hutkappe rouge,DIY fun shop Sac à bandoulière, patients and families. Thus,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sorel Youth Out N About Conquest, and the only one who has the power of decision^{(Pierre Cardin Lyon Long Life Chino Pantalon Homme)}. Thus, care practices in end-of-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, 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^{(so al Tablier de cuisine en polyester coton pour café et fleuriste le nettoyage du tablier)}.

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,Lloow Chaise de Douche-Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales. 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-Tondeuse à cheveux^{(trueprodigy Casual Homme Veste Sweat Motif imprimé)}.

Conclusion

The decision-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;AlokHnvj Banbag Simple De Canapé Paresseux-of-LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche.

Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher, 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-Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président. 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,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode-Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales.

Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle , 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/CLII Automobile Instrument de Diagnostic pannes, 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-Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales, 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,Head Ultimate Power 2020 Raquette de padel Verte.