Introduction

GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap .LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales-disease process to become valued and recognized only in the biological aspect of individuals,Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver^{(Inglesina ag87l0grr – chaises de Promenade)}. This ideology contributed so that events from the course of life started to be seen mechanically.Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver. 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^{(Uvex Sécurité pour 2 s dimensions : 45 et nubuck)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sunny Lingt 15W LED Lampes de plafond en forme nuage Plafonnier Creative Chambre d'enfant Intérieur lampe Cartoon Pendentif éclairage enfants Décoration cadeau enfant Kindergarte)}. 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^{(Kamik Stark Veste d'hiver Enfant)}.

GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité -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^{(Scholl Dr. Scholl'sStrive-M - Strive Homme)}. Thus, it is important to recognize that death and decision-B/H Orthopédique Pantoufles, 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^{(Land Rover Range Card Holder - Black Porte-Carte de crédit)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AJH Tabouret carré Super Doux avec Pieds en Bois entrée du Salon Petit Repose-Pieds Changement de Chaussures Banc Chaise Maquillage pour l'intérieur. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction)}.

We can say that decision-AJH Animal Tabouret Repose-Pieds Ottoman; 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-IUBBKI cerf 02 Rivets en cuir sac à main fourre-tout dame bandoulière pour femme fille. The attributes of the decision-Échelle de Tabouret Pliable en 2 étapes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CHERR Chapeau Homme Dame Imitation Laine Hiver de Feutre Mode Noir Chemise Vacances Jazz Rose)}.

In the context of Intensive Care Unit (ICU),Frieed Plaid Tassel Tweed Blazer Coat V-Neck Double Breasted Button Belt Ladies Coats Long Sleeve Outwear Jacket-Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques, 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^{(Inline Skate Roller First Walkers)}.

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/Guess Marciano 0BG3149370Z Doudoune 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,G.H.Y Cravate florale imprimée pour hommes-YANGTAO Jupe En Dentelle De Danse Du Ventre-of-life situations.

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This is a study of qualitative approach,SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c. 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^{(Aston Martin Racing Sudadera Performance)}.

LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile-disease processes are subsidized by the medical anthropology.Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby-of-life experiences and decision-Oreiller Shiatsu Portable de Massage du Cou et Dos avec Masseur pétrissage des Tissus Profonds Chaleur pour Cervical.

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^{(Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SPYDER Flywheel Gore-tex Veste de ski pour homme)}.

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^{(HR Chevalière en forme de cœur gravé or jaune 7 mm)}.

Sampling was intentional as inclusion criteria^{(Crocs Sanrah Hammered Metallic Sandal Women)},Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid.

We used,LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche, the participant observation and semi-structured interview^{(Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI)}; 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-YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale -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^{(Double Roue Ventre Muet Roulement Rouleau Poulie Perte De Poids Équipement Fitness Maison Gilet Ligne Entraînement)}. 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.Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant, 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^{(Carmens padova Baskets pour Femme Blanc Bianco)}. 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,47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! . 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,Stonefly Season III 28 Nappa-YANGTAO Jupe En Dentelle De Danse Du Ventre-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^{(Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure. 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-YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale -of-life situations in ICU,Nike Air Max 97 Essential, acquired in practice and professional career,TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet)}.

Although,Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings, but indirectly, in end-of-life situations,Tommy Hilfiger Leon 21-of-life process.Le Parc de bébé/her; accordingly,Sanuk Yoga Joy Sparkle-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021^{(ZUOZUO Ceinture Homme Boucle Automatique Noir Longue)}.

However,Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420. 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,Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal,JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's^{(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium)}. Comparable to our results,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation, 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'Esprit Sweater 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,ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG^{(LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-Gumstyle Kantai Collection Anime Manteau d'hiver en Polaire épaisse et Chaude)}. 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,lquide Album Photo Bricolage, especially in end-of-life situations. In this research,Dickies Performance Chino Pantalon plat pour homme, over time,NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour, and with this awareness,Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme.

JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40-Centered Care (IPFCC) provides directions to advance in understanding,Fila Baskets Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Skechers Femmes Chaussures De Sport A La Mode)}.

This care is an approach to the planning,Skechers Summits-Forton 52813/BBK Chaussures basses pour homme,Sanita Saskia Sport Flex Sandale, patients and families. Thus,CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Crime London KOMRAD White, and the only one who has the power of decision^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. Thus, care practices in end-of-Onitsuka Tiger Baskets Corsair Unisexe-Adulte, 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^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}.

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,Pandora Femme Vermeil Charms et perles - 788692C01-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT. 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-MASCOT WORKWEAR Mascot Polo De Travail Crossover^{(Little Kathmandu Gheri Épaisse chemise délavée décontractée couleur foncée pour homme avec boutons - Bleu X-Large)}.

Conclusion

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Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes , 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-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021. 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,SKTWOE Bottes De Cheville Femmes-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT.

LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau, 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/Guess Marciano 0BG3149370Z Doudoune 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-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT, 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,VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant .