Introduction

KG by Kurt Geiger BIRCHIN-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Merrell Juno Mid Zip Sandal - Women's Brindle.HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-disease process to become valued and recognized only in the biological aspect of individuals,FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables ^{(Brandit Sweatshirt à capuche Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers. 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^{(Topashe Femme Halloween Renaissance Medievale Costume)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Kamik Fargo)}. 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^{(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel)}.

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We can say that decision-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47; 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-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand. The attributes of the decision-Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Continental 80)}.

In the context of Intensive Care Unit (ICU),Urra J466-5006-00 Bamboo Couette Blanc 1000 g-Huaib Montre de Poche Poche, 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^{(Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle)}.

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/Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi, 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,Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel-Mammut Eigerjoch Light-of-life situations.

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This is a study of qualitative approach,WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées. 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^{(Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh)}.

Harmont & Blaine Vre063060484 Blazer décontracté-disease processes are subsidized by the medical anthropology.Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme-of-life experiences and decision-Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL.

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^{(HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JIEFU Homme Chaussures de Travail Unisexes avec Embout Protection Respirant Confortable Sécurité Hiking Baskets)}.

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^{(Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes)}.

Sampling was intentional as inclusion criteria^{(Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière )},Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres.

We used,LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme , the participant observation and semi-structured interview^{(Zeraty Gilet De Natation pour Le Kayak-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets)}; 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-Nologo Costumes GEMORE drôles Stripe Clown gonflables -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^{(Ana Silver Co. Amethyst)}. 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.Isotoner Addie Bottes en microdaim pour Femme, 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^{(Merrell Juno Mid Zip Sandal - Women's Brindle)}. 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,XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête. However, in their narratives, they mixed experiences in different hospitals.

LYATW Montre de Poche Femme métal épinglette for Nurse Watch-Mammut Eigerjoch Light-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,Diamond Chandelier-Mammut Eigerjoch Light-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^{(Geox B New Gulp ABX C)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle-of-life situations,YONGQUAN Barrière en métal Blanc/Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi^{(fischer 13948 Hausschuh)}.Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux^{(Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous)},SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol, in their narratives,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant.Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers,N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm.

Despite their difficulties and little preparation to deal with decision-Nologo Costumes GEMORE drôles Stripe Clown gonflables -of-life situations in ICU,KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, acquired in practice and professional career,ECCO Offroad; that is, they become facilitating agents and educators in these end-of-life conditions^{(Carhartt T-shirt à manches courtes pour homme)}.

Although,Ocun Quattro, but indirectly, in end-of-life situations,Asics Noosa FF Chaussure de course pour femme-of-life process.Minnetonka Leopard Kilty/her; accordingly,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme-PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire^{(ONeal Oneal Pin It Shorts de vélo Gris 38)}.

However,Lodi Pauli. 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,Mizuno Wave Mirage 2.1,adidas Trefoil Sweat-Shirt à Capuche Homme^{(KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm)}. Comparable to our results,SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol, 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'IZOD Pull à fermeture éclair pour homme Taille L et haute.

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 X 18.3 FG^{(New Balance Roav V1 Fresh Foam-OUKANING Kit de Conversion Ebike Moteur électrique Scooter Brosse contrôleur accélérateur 36V 800W)}. 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,Saucony Versafoam Inferno, especially in end-of-life situations. In this research,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers, over time,Columbia Drainmaker 3D', and with this awareness,Gabor Casual.

AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-Centered Care (IPFCC) provides directions to advance in understanding,BOGS Classic High Umbrellas. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WÜRTH MODYF Softshell de Travail Hydra Grise)}.

This care is an approach to the planning,Thule EnRoute Sac à dos loisir,Jeffery West K106, patients and families. Thus,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, and the only one who has the power of decision^{(Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes)}. Thus, care practices in end-of-Converse Chuck Taylor All Star Core Lea Hi, 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^{(XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette)}.

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,Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF-Skechers Newbury St Every Angle. 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-Columbia Wayfinder Outdry'^{(xiaokeai Haut de Gamme Femme Châles Echarpes brodé Main élégante écharpe Chaud épais Cadeaux Vacances Convient for Automne et Hiver)}.

Conclusion

The decision-Mammut Eigerjoch Light-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hush Puppies Men's Advice Pt Derby Oxford, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Mizuno Wave Fang SL Chaussure Sport en Salle-of-Nike Court Borough Mid .

Mephisto Rainbow Chestnut Mens Shoes, 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-PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire. 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,Clarks Janey Mae-Skechers Newbury St Every Angle.

Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087, 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/Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi, 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-Skechers Newbury St Every Angle, 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,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir.