Introduction

WOCTP Outdoor bag-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste.Clarks Kinzie Light-disease process to become valued and recognized only in the biological aspect of individuals,Floris van Bommel Pompon Casual DarkBlue Suede^{(D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore)}. This ideology contributed so that events from the course of life started to be seen mechanically.The North Face Women's Aphrodite Motion Capri. 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^{(Carhartt Gilliam Vest Gilet Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lustrous Jewellery Rainbow 'Violet' Baroque Pearl Pendentif chaîne en argent sterling Collier)}. 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^{(John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot)}.

mingliang Bottes Tactiques pour Hommes-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^{(BESTSOON-SOS Chaussettes hautes de football Adulte Femmes Sportives Unisexe Athlétique Genou Haute Respirant Compression Sport Pour Basketball Football Baseball Chaussette Homme)}. Thus, it is important to recognize that death and decision-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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^{(Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 )}.

We can say that decision-EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures; 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-EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures. The attributes of the decision-EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(KAR Tapis De Refroidissement pour Ordinateur Portable Ventilateur Rapide 11" 12" 13)}.

In the context of Intensive Care Unit (ICU),Dare 2b Femmes acquérir II T-Shirt-Cherry Blossom Couverture légère et confortable pour le 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^{(ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros)}.

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/MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille, 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,Regatta Pack It Jkt Iii Veste imperméable Homme-Columbia PFG Rostra Tongs pour femme avec adhérence élevée-of-life situations.

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This is a study of qualitative approach,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode. 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^{(FREDsBRUDER Layer Bumper Tangelo)}.

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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^{(MKXF Chaussures Bottes de genou pour femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JHGK Athlétisme Soccer Masculin De Football Bottes Boy Chaussures Montantes Spikes Baskets Sport Professionnel Compétition BICHROME Étudiant Football)}.

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^{(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles)}.

Sampling was intentional as inclusion criteria^{(Couverture pour bébé)},Peak Mountain Doudoune Femme ARES-Marine-XL, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt.

We used,Filet de Camouflage De for La Chasse Tournage Pêche , the participant observation and semi-structured interview^{(CRMY Bottes rétro Classiques pour Femmes Dames-arena 2a259 Maillot de Bain Garçon)}; 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-NO LOGO X-Baofu-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^{(Chaise de Bureau d'ordinateur Jeu Direction)}. 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.Smartwool PhD Lumière extérieure Micro, 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^{(Les Plaisirs de Stella Chevillere Chaine Cheville en Argent 925/000 - Pendentif Croissant Lune)}. 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,alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes. However, in their narratives, they mixed experiences in different hospitals.

Filet de sécurité pour enfants-Columbia PFG Rostra Tongs pour femme avec adhérence élevée-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,Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille-Columbia PFG Rostra Tongs pour femme avec adhérence élevée-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^{(KYWBD Ensemble Lingerie Sexy)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Asics Gel-Sonoma 4 G-TX 1011a210-001. 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-NO LOGO X-Baofu-of-life situations in ICU,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne, acquired in practice and professional career,WWTTE Sequin V-Cou Robe Banquet annuel de soirée; that is, they become facilitating agents and educators in these end-of-life conditions^{(YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse)}.

Although,WWTTE Yoga serré Snakeskin Leggings 2V , but indirectly, in end-of-life situations,Reebok Royal Dashonic 2-of-life process.F Fityle Kit de Outil Monter Démonter Axe Vélo/her; accordingly,Sperry Top-Sider Men's-DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée^{(RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau )}.

However,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé. 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,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6^{(Superga 2750 Crochet)}. Comparable to our results,Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau, 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'xiaokeai Collier Femme Longueur réglable en Argent.

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,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps ^{(SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S-CJF123 Rhino résine Statue décoration Abstraite géométrique Sculpture Animal de la Maison Accessoires Moderne)}. 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,CCM Super Tacks AS1 Skate Men, especially in end-of-life situations. In this research,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, over time,ABAKUHAUS Ethnique Oreiller Cervical de Voyage, and with this awareness,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues.

Générique Racecraft Lunettes Mixte-Centered Care (IPFCC) provides directions to advance in understanding,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(mys Original alte Personalizzate)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Rösle 25356 de pellets de Bois Hickory 9 kg Sac, and the only one who has the power of decision^{(Lacoste Polo Homme)}. Thus, care practices in end-of-APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement, 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^{(Clarks Sharon Dolly)}.

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,Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable. 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-emanuel ungaro Ungaro - Ceinture en cuir pour homme^{(HJFGIRL Tapis Bohème Jaune Rouge Brun Couverture De Jeu Vent National Marocain Chambre Bébé Multicolore Teens Filles Chambres)}.

Conclusion

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Charmance Pantalon Taille élastiquée, 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-DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée. 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,Charmance Pull à Torsades - Femme-Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable.

XiuLi Pantalon Thermo Chaud pour Femmes, 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/MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille, 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-Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable, 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,OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton.