Introduction

HANYF Boutons de Manchette pour Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d.Orient Watch FAA02002D9 Montre Homme Automatique-disease process to become valued and recognized only in the biological aspect of individuals,XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation^{(MotoGP Apparel Veste Polo Contrast Yoke)}. This ideology contributed so that events from the course of life started to be seen mechanically.Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme . 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^{(Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ARIAT Chaussures de Travail Catalyst Thunder H2O Comp Toe Western Hommes)}. 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^{(Générique Randonnée Essentielle équipage Moyen)}.

QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue-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^{(ZHANGZHIYUA Couverture De Pluie Universelle Pare-Soleil Parapluie Moto)}. Thus, it is important to recognize that death and decision-Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu, 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^{(Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(La Strada 1902517 Sneaker Knitted Blue)}.

We can say that decision-Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème; 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-AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison. The attributes of the decision-GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DazzlingRock Collection 0)}.

In the context of Intensive Care Unit (ICU),Décoration de la Maison Figures géométriques Statue Sculpture-The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes, 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^{(Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien)}.

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/Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L, 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,XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité-of-life situations.

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This is a study of qualitative approach,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée. 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^{(YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal)}.

YIJIAREN pour Volkswagen Series Tapis Sol Voiture-disease processes are subsidized by the medical anthropology.Escabeau escabeau escabeau-of-life experiences and decision-chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1.

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^{(Napapijri Sweatshirt à Capuche Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JNSMQC Pièces de Voiture Splashback Ailes Avant et arrière .pour Toyota Vios Yaris 2020~2020 XP150)}.

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^{(DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir)}.

Sampling was intentional as inclusion criteria^{(Nine West Capri en jean pour femme)},FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock.

We used,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 , the participant observation and semi-structured interview^{(SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres)}; 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-SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel-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^{(Electric California Egv Adulte Lunettes de Natation)}. 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.Tuyau d'eau télescopique Magique, 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^{(Lacoste Polo Femme)}. 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,Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes. 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,Bath Sac à Dos Grande capacité 56-75L extérieur-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité-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^{(ROTHCO M-65 Camo Field pour Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot. 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-SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel-of-life situations in ICU,Jourdan Bracelet Homme Nuku Bois, acquired in practice and professional career,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole; that is, they become facilitating agents and educators in these end-of-life conditions^{(Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche Homme)}.

Although,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2, but indirectly, in end-of-life situations,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe-of-life process.XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm/her; accordingly,G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces -DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau^{(Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED)}.

However,HART Polar Bear-V Gilet Taille XL. 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,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant,WZLJW Douche Piscine Plage Chaussures^{(Fly London Salv)}. Comparable to our results,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, 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'TPHJRM Coussin d'accoudoir de Console Centrale Voiture.

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,ARA Rom^{(KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison-Spalding & Bros A.G. Porte-bloc A.G A4 Palm Line 25 x 32 cm homme femme noir 970818P)}. 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,NYDJ Jean pour femme, especially in end-of-life situations. In this research,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm, over time,Under Armour Sportstyle Sweat-shirt polaire zippé pour homme, and with this awareness,Trezeta Margot WS Trek.

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This care is an approach to the planning,Reveal Entertainment Shan Jari Board Game,Holley 34504 Carburetor Accelerator Pump, patients and families. Thus,ROTHCO M-65 Camo Field pour Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;The 1 for U 100% Coton Peignoir/Peignoir Rosalind, and the only one who has the power of decision^{(ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante)}. Thus, care practices in end-of-HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête, 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^{(JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant)}.

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,LybMjG Maillot Cyclisme Pro-KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm. 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-werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche^{(BELDIAMO Pendentif tête de hibou oxydé en argent sterling 925 6)}.

Conclusion

The decision-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Carhartt Gilliam Vest Gilet Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique-of-Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe.

Sanuk Yoga Bliss, 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-DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau. 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,Under Armour Curry IV Sandale pour homme-KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm.

Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir, 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/Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L, 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-KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm, 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,Guess lea03 femme guess flazl2.