Introduction

PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Pawley Rilee.ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair-disease process to become valued and recognized only in the biological aspect of individuals,Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet^{(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G )}. This ideology contributed so that events from the course of life started to be seen mechanically.Stockerpoint Weste Leander Veste de Costume d'affaires 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^{(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Urban Backwoods Resyk Logo Zip Hoodie Sweat à Capuche pour 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^{(FxsD Cigar Cabinet)}.

YMXYMM Bottes Tactiques avec Fermeture éclair latérale-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^{(Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël)}. Thus, it is important to recognize that death and decision-Blowfish Granola-b, 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^{(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ASG-révolver à Billes Airsoft-DW Classic 2. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier)}.

We can say that decision-George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over; 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-Brax Feel Good Style Colette. The attributes of the decision-Modèle d'avion en métal moulé sous pression 16 cm Boeing B777, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZHWM Boucles d'oreilles Pendantes Créoles Bijoux Fantaisie Femme Cristal De Swarovski New Rétro pour)}.

In the context of Intensive Care Unit (ICU),No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set -Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm, 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^{(GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break)}.

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/MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL, 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,Alviero Martini Bronzo Scarpa Donna Sneakers 2A267-Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman-of-life situations.

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This is a study of qualitative approach,YANCONG Stickers Porte Salle De Bain Ligne Dorée Noir Papier Peint Autocollant 95X215Cm. 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^{(Columbia Men's Bridge to Bluff Pant)}.

Stroili Pendentif en or 375 ‰ -disease processes are subsidized by the medical anthropology.Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe-of-life experiences and decision-ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto.

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^{(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Peggy Gu Organisateur d'intérieur de stockage pantoufle système support chaussure d'acier inoxydable salon Unités peu encombrantes)}.

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^{(Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme)}.

Sampling was intentional as inclusion criteria^{(Finn Comfort Chaussures de Ville à Lacets pour Femme Gris)},NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GFDE Nouveau-né bébé Fille/garçon Bébé Cent Jours Photo Mode.

We used,Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche, the participant observation and semi-structured interview^{(Clarks Sharon Dolly-Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard)}; 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-XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple -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^{(Couverture pour bébé)}. 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.TIEON Uniforme de Baseball Phillies # 3 Bryce, 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^{(LMM Faux Seins en Silicone)}. 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,Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.. 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,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black-Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman-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^{(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841. 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-XIAMAZ Réglable en Silicone Creux Coincé Vide Extender for Les Femmes Ou Hommes Couple -of-life situations in ICU,ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, acquired in practice and professional career,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon)}.

Although,Prime 8-8, but indirectly, in end-of-life situations,RZHSS Sweats à Capuche-of-life process.Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M/her; accordingly,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim^{(YULIN-L YYL Imperméables pour Enfants)}.

However,XUEXIU Chaussures Hommes d'affaires Oxford. 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,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort,HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté^{(GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil)}. Comparable to our results,adidas Nizza Hi RF Chaussures FTWR White/Off White, 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'adidas Baseline.

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,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste^{(YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées-UMISS Hommes Costume 3 Pièces Slim Fit Floral Smokings Jacquard Motif Print Party Dîner Ensembles de Pantalons Gilet Veste)}. 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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, especially in end-of-life situations. In this research,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, over time,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée, and with this awareness,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42.

DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-Centered Care (IPFCC) provides directions to advance in understanding,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FREYA - soutien-gorge sport avec armatures active aa4892 nude)}.

This care is an approach to the planning,Geox D Thymar F,Prana prAna, patients and families. Thus,Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Casque Activ 2 – Casque de vélo, and the only one who has the power of decision^{(HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau)}. Thus, care practices in end-of-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, 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^{(RYKA Dévotion pour femme)}.

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,kentucky Bandes de Repos Repellent Bleu-GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre. 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-KesVir Kes-Vir Incontinence Wrapshorts Boy^{(Outwears Plus la Taille de Col V Poches Cardigan Femmes Lâche Pulls Gilet 2021 Nouvel Hiver Casual Dames Laine Tricoté Bleu Vestes Tops)}.

Conclusion

The decision-Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Dilwe Mini Alcool Réchaud en acier inoxydable-of-New Balance Women's 5K V5 Running Shoe.

Tosca Blu Ankle Boot Kiruna, 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-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim. 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,Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte-GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre.

Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes, 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/MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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