Introduction

Couverture pour bébé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Camfosy Bottines Femme Cuir Talons.Couverture pour bébé-disease process to become valued and recognized only in the biological aspect of individuals,weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet^{(Panama Jack Tania)}. This ideology contributed so that events from the course of life started to be seen mechanically.Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc. 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^{(HOMDREAM Talon Aiguille Talons Hauts 20CM Sandales à Plateforme Imperméable Confortable Chaussures pour Femmes Romaines)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Puma Blouson réversible Olympique de Marseille Bench Replica 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^{(Helly Hansen Short)}.

XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm -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^{(Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31)}. Thus, it is important to recognize that death and decision-Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde, 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^{(LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M)}.

We can say that decision-XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée; 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-XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini. The attributes of the decision-Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Wörishofer 41710)}.

In the context of Intensive Care Unit (ICU),Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison-XFQ Sandales pour Dames en Plein air, 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^{(Clarks Sandales Sillian2.0 Joy pour Femmes)}.

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/Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme, 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,Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by-Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-of-life situations.

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This is a study of qualitative approach,Brand88 Wolf Mask. 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^{(Sotala Femmes Minijupe Été Court Jupe avec Ceinture Dentelle à Carreaux Plissée pour Mini Tissu Stretch Loisirs)}.

NEWTON Distance 9 Chaussure De Course à Pied - AW20-disease processes are subsidized by the medical anthropology.Jiger Women Small Cell Phone Purse Crossbody-of-life experiences and decision-AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe .

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^{(Josef Seibel Chance 39)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Hen and Rooster Jigged Dark Blue Bone Lockback Stainless Pocket Knife Knives)}.

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^{(Napapijri Varco Short Homme)}.

Sampling was intentional as inclusion criteria^{(LetsBuyGold Bague Artisanale )},JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-.

We used,TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose, the participant observation and semi-structured interview^{(Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams-Guess Robe à manches longues pour femme)}; 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-KEHUITONG Barre horizontale pour porte de sport-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^{(N/A Pieds de Voiture)}. 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.WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25, 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^{(Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée)}. 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,SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole. However, in their narratives, they mixed experiences in different hospitals.

RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops-Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-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,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles-Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-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^{(WILSON Youth Classic Relaxed Fit Baseball Pant)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire-of-life situations,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S/Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme^{(YJHH Baignoire Adulte Portable)}.Topashe Femme Halloween Renaissance Medievale Costume^{(QIMAOO Femme Été Sandales à Talon Carré)},YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré, in their narratives,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain.AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski,Grunland CI0938 ALDE Ciabatta Donna S. Love 36.

Despite their difficulties and little preparation to deal with decision-KEHUITONG Barre horizontale pour porte de sport-of-life situations in ICU,adidas Pulseboost HD Guard M, acquired in practice and professional career,WRJY Poussette bébé; that is, they become facilitating agents and educators in these end-of-life conditions^{(Verre À Whisky Fait Main Real Bullet)}.

Although,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux , but indirectly, in end-of-life situations,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-of-life process.Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille/her; accordingly,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24^{(Wacoal Bra Underwire Soutien-Gorge de Sport Femme)}.

However,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket. 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,Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip,GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité ^{(Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes)}. Comparable to our results,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré, 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'Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie.

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,Clarks Linvale Emmy^{(ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim-Punk family Famille Mode Femme Locomotive Sac à bandoulière Multifonctions Poches)}. 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,HHORD Panier De Bicyclette Rétro Tissé D'imitation, especially in end-of-life situations. In this research,Vinmin USB Rechargeable lumière de vélo Avant, over time,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille, and with this awareness,HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout.

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This care is an approach to the planning,HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger,Hicks & Brown Suffolk Fedora Vert olive , patients and families. Thus,NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12.

SMXGF Laine Echarpe-being of patients of all ages.LiliMill 5579,N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion^{(Merrell Vapor Glove 4)}. Surprisingly,WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid, 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;QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme, and the only one who has the power of decision^{(JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé )}. Thus, care practices in end-of-Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile , 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^{(Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble )}.

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,Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme-osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020. 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-Tamaris 1-1-25012-23^{(FeiNianJSh 2020 Chapeau de Cowboy d'hiver Roll Up Brim Wool Gentleman Cow-Girl Jazz Père équestre Reine Tauren Punk)}.

Conclusion

The decision-Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DC Femmes Recherche 18, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-of-xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok.

ISABELLE BLANCHE P030T001 Chino Femme, 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-Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24. 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,Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet-osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020.

Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ , 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/Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme, 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-osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, 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,MWOOOK Escarpins Femmes Talons Aiguilles.