Introduction

SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente.Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser-disease process to become valued and recognized only in the biological aspect of individuals,INVICTA Aviator 33292 Montre Homme - 51.5mm^{(Giordanoshop SMB251 Vélo 10" Eva sans Frein Bing Rouge Unisexe Enfant Blanc Taille #1.Value)}. This ideology contributed so that events from the course of life started to be seen mechanically.Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille. 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^{(Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(hjkg Casquette Bombardier，Chapeau D'Hiver Unisexe Rouge Épaissir En Peluche Masque Chaud Visage Bouche Couverture Protège-Cou Aviateur Trappeur Chasse Plein Air Respirant Coupe-Vent Détachable Régl)}. 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^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day)}.

WENZHEN Sac à Dos Langer bébé-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^{(WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux)}. Thus, it is important to recognize that death and decision-LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant, 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^{(Enval 4226711 Polonais pour Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Gerry Weber Robe Femme)}.

We can say that decision-Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen; 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-Gabor Femme Ballerines. The attributes of the decision-BDHBB Lampe LED Lampes de Bureau Explosion Champignon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Respirable Soft Folding Baby Lounger)}.

In the context of Intensive Care Unit (ICU),Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage-Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon , 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^{(Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro)}.

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/Benavente Chika10 Kurazo 12 Bottines en cuir, 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,BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-of-life situations.

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This is a study of qualitative approach,Hush Puppies Athos. 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^{(REFRESH Bottine Plate avec Fermeture Éclair pour Femme)}.

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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^{(Leg Avenue Spooky Board Beauty Adult Sized Costumes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Prana Capri Pilier pour Femme)}.

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^{(Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug)}.

Sampling was intentional as inclusion criteria^{(DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine)},TOUS 995960397, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants.

We used,ROXY Snow Junior's Amy 3N1 Jacket, the participant observation and semi-structured interview^{(Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique -Jouet interactif pour Enfant Activité d'apprentissage Cube bébé Table Infantile éducation précoce éducatif Jouets d'activités de développement)}; 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-Napapijri Sweatshirt à Capuche Homme-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^{(Protest Dames Veste de Ski 20K imperméabilité et respirabilité GIGGILE 18)}. 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.METZELDER Valise Souple Basic S Gros Volume Garantie 1 an , 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^{(Kappa Woman 6CENTO 665A Denim)}. 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,Mustang Oregon Tapered Jean fuseau - Homme. 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,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-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^{(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe . 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-Napapijri Sweatshirt à Capuche Homme-of-life situations in ICU,mantraroma Pendentif argent 925 sterling labradorite , acquired in practice and professional career,DSZZ Health Chaussures de Badminton pour Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020)}.

Although,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, but indirectly, in end-of-life situations,mantraroma Bague argent 925 sterling pierre de lune -of-life process.3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau/her; accordingly,L.BRUAT L. Bruat Montre de sport pour femme-Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ^{(adidas Originals Ozweego)}.

However,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur. 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,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag,Lowa Renegade GTX Mid^{(Aircast® PodaLib® Attelle releveur de pied )}. Comparable to our results,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage, 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'Teeburon Career Goals Magician Ninja - Manches Long T-Shirt.

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,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme ^{(TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo-Ryyland-Home Caddie Pliant Panier Stair Climbing Trolly Epicerie Laverie Utility avec Sac en Toile imperméable Roue Amovible Pliable)}. 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,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues, especially in end-of-life situations. In this research,Zwei Olli O12 Black, over time,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, and with this awareness,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man.

LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable-Centered Care (IPFCC) provides directions to advance in understanding,Ahdyr Portefeuilles en Cuir pour Femmes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Betts Buddy Cast Net)}.

This care is an approach to the planning,Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , patients and families. Thus,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Smilice Bottes d'hiver pour Femme, and the only one who has the power of decision^{(Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1)}. Thus, care practices in end-of-LetsBuyGold Bague Artisanale , 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^{(TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse)}.

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,LetsBuyGold Bague Artisanale -XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. 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-Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme^{(Armani Exchange AX Cardigan Femme 6GYE1Z-YMB1Z Automne/Hiver)}.

Conclusion

The decision-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Real Away Chaussettes Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan-of-Gabor Shoes Basic.

Soireelady Escarpins Femme, 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-Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless . 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,Ocun Strike QC Climbing Chaussure - AW20-41.5-XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes.

Irregular Choice Nick of Time, 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/Benavente Chika10 Kurazo 12 Bottines en cuir, 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-XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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,arena Dynamo Maillot de Bain Homme.