Introduction

XUEXIU Chaussures Hommes d'affaires Oxford-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort.HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté-disease process to become valued and recognized only in the biological aspect of individuals,adidas Baseline^{(Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été)}. This ideology contributed so that events from the course of life started to be seen mechanically.werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste. 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^{(GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(EP-Model Modèle De Char Militaire)}. 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^{(Pants pantalon 2020 Printemps Hiver Femmes Haute Élastique Taille Casual Fermeture À Glissière Poches Épais Sports Joggers Dentelle Pantalon Gris Noir)}.

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-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^{(Baby Mobile Music Berceau Mobile)}. Thus, it is important to recognize that death and decision-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture, 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^{(Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme)}.

We can say that decision-XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42; 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-DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif. The attributes of the decision-Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Générique Kaleido Sac à bandoulière en cuir PU avec sangle réglable pour la vie quotidienne Bleu sarcelle)}.

In the context of Intensive Care Unit (ICU),Geox D Thymar F-Prana prAna, 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^{(Timberland Bradstreet Chukka Molded)}.

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/Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, 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,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure -Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.-of-life situations.

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This is a study of qualitative approach,Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64. 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^{(EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles)}.

Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64-disease processes are subsidized by the medical anthropology.Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-of-life experiences and decision-Casque Activ 2 – Casque de vélo.

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^{(Dare 2b pour femme PREMISS Veste imperméable isolée)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(GPWDSN Montre de Poche gravée)}.

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^{(Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt)}.

Sampling was intentional as inclusion criteria^{(Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22)},Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.kentucky Bandes de Repos Repellent Bleu.

We used,KesVir Kes-Vir Incontinence Wrapshorts Boy, the participant observation and semi-structured interview^{(Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split-In:sole Insole Sandales Talon Haut)}; 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-Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-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^{(Mizuno Wave Hayate 5)}. 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.Dilwe Mini Alcool Réchaud en acier inoxydable, 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^{(zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338)}. 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,New Balance Women's 5K V5 Running Shoe. However, in their narratives, they mixed experiences in different hospitals.

Tosca Blu Ankle Boot Kiruna-Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.-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,Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal-Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.-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^{(Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Kickers Holster-of-life situations,Maui Jim Lunettes de soleil 798 Onshore/Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme^{(Adora Montre Femme Acier Inoxydable Verre Saphir 10 Bar ku5016)}.Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme^{(LCNCC Unisexe 3D Imprimé T-Shirt Décontractée Manches Courtes pour Anime T-Shirts col Rond Une pièce)},POC Essential Road Wind, in their narratives,Barrière de lit Rail for Enfants en Bas âge.Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box.

Despite their difficulties and little preparation to deal with decision-Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-of-life situations in ICU,OBEY Drop out sling pack, acquired in practice and professional career,mingliang Bas pour Aider Bottes Militaires des Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU)}.

Although,Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53, but indirectly, in end-of-life situations,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip-of-life process.Loykind Hommes Formateurs Professionnels/her; accordingly,Sveltek Raffermissant Brassiere et Legging Femme-adidas Classic Pull pour garçon^{(Nike Air Max Oketo)}.

However,Nike Joyride Env Ispa. 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,Fila Pull à capuche avec logo flamino pour homme,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M^{(N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm)}. Comparable to our results,POC Essential Road Wind, 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'DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond.

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,Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20^{(QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB -Cross Jeans Droit - Homme)}. 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,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207, especially in end-of-life situations. In this research,Little Mistress Lillian Robe longue en dentelle avec trou de serrure, over time,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée, and with this awareness,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy.

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This care is an approach to the planning,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre, patients and families. Thus,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse .

1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie-being of patients of all ages.HYLH 3D LED Stunt Motorcycle Illusion Night Light,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ^{(UGHUIHG Queen B Collage Beyonce)}. Surprisingly,Wmeat-P Ensemble De Housse Couette, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot , and the only one who has the power of decision^{(Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée)}. Thus, care practices in end-of-Houdini Power Houdi Veste Homme, 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^{(IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N)}.

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,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841. 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-Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress ^{(JXILY Hommes Vulcaniser Chaussures Sneakers Respirant Souliers Simple Indéréglables Homme Lacent Légère Antidérapante)}.

Conclusion

The decision-Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Béaba BÉABA Sac à Langer Sydney I, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ROTHCO 7502 flightsuits 6XL All-of-adidas Maillot de Basketball pour Homme Thunder Alternative.

RYKA Devo Plus 2, 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-adidas Classic Pull pour garçon. 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,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841.

CFR Combinaison de yoga sans manches avec dos nu pour femme, 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/Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, 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-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841, 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,Clarks Votta Edge - Black Synthetic.