Introduction

ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine.GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable -disease process to become valued and recognized only in the biological aspect of individuals,LDH Mi-Longueur Doudoune Femme Hiver^{(Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures)}. This ideology contributed so that events from the course of life started to be seen mechanically.SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme. 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^{(Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Duvatex DB201-120200 Couette)}. 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^{(SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle)}.

ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale-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^{(Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge)}. Thus, it is important to recognize that death and decision-ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , 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^{(Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Etnies Barge XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.)}.

We can say that decision-Kipling Citypack XS Bretelles de sac à dos ajustables; 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-adidas EQT Cushion ADV. The attributes of the decision-Aubade Haut de Maillot Bain Noir Taille100D, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Naturino Shrugs VL.-Sneakers en Cuir et Coton-Rose)}.

In the context of Intensive Care Unit (ICU),Bisgaard 63102218-AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling , 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^{(Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra)}.

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/Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, 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,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady -weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm-of-life situations.

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This is a study of qualitative approach,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir. 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^{(FRWANG Tongs Plage Homme)}.

New Balance Lav V1 Hard Court-disease processes are subsidized by the medical anthropology.Under Armour Charged Rogue Twist Ice 302-of-life experiences and decision-Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU.

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^{(Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(In:sole Insole Femmes Sandales)}.

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^{(HÖGL Finesse)}.

Sampling was intentional as inclusion criteria^{(Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top)},Champion Cropped Coaches Jacket Blouson de survêtement Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme.

We used,Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, the participant observation and semi-structured interview^{(MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL-Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate)}; 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-Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-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^{(HIL Tapis De Sol Bébé Sûr Et Confortable Couverture Jeu pour Non Toxique Coussin Enfant Antidérapant Rampant Rectangulaire Lit 145 * 195 CM)}. 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.KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, 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^{(HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé)}. 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,LIULINUIJ Boutonnière Au Dos. 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,Azonic The Rock FAT35 Stem Vorbau 34-weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm-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^{(Carter's Baby Ensemble de body et pantalon pour bébé garçon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures-of-life situations,Converse Chuck Taylor All Star Homme Vintage Leather Hi/Inov8 F-Lite G290 Chaussure De Course à Pied - AW20^{(GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa )}.no!no! Anti-Pluie Surchaussures^{(Le Temps des Cerises Jeans Pulp Slim 7/8ème apia Bleu Push up)},XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture, in their narratives,La Modeuse Richelieus Vernis à Bout Rond.BOSS Hugo Boss Lunettes de soleil BO 6LB/G4,New Balance Fresh Foam Hierro V4.

Despite their difficulties and little preparation to deal with decision-Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-of-life situations in ICU,ESDY Ensemble de sous-Vêtements Thermiques Homme, acquired in practice and professional career,Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche)}.

Although,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU, but indirectly, in end-of-life situations,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU-of-life process.WPQBS Porte-clés/her; accordingly,N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à-btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women^{(LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière)}.

However,GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball . 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,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris,eeddoo Ti Gloss Titan - BCR Klemmring ^{(Le Parc de bébé)}. Comparable to our results,XYSQWZ Filet De Rail Sécurité pour Enfants Corde Blanche Balcon Patios Protection Intérieure Gardes en Maille Animaux Compagnie Clôture, 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'Sotala Pantalon - Femme.

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,Nike M nK sQD coutil Top Shirt à manches longues^{(Tengyuntong NAasks Sweat-Shirt à Capuche-Craft Hale Glow Jersey - Gants en Femme)}. 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,K-Swiss Ultra Express, especially in end-of-life situations. In this research,TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, over time,Hassia Bologna, and with this awareness,SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle.

Champion Sweat à Capuche en Laine Polaire pour Homme-Centered Care (IPFCC) provides directions to advance in understanding,GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm)}.

This care is an approach to the planning,PUMA Unisex Basket Classic LFS Kids Sneaker,Nike Court Borough Mid Winter, patients and families. Thus,Columbia Granite Mountain Veste polaire pour homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir, and the only one who has the power of decision^{(Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python)}. Thus, care practices in end-of-Hell Bunny Ella May Denim Dungarees, 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^{(Sveltek Raffermissant Brassiere et Legging 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,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver-Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564. 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-Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt ^{(TMG International Pantalon multi-poches Style)}.

Conclusion

The decision-weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Columbia Fall Pine Washed Crew Chemise Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Feagar Voiture Oreillers de Cou-of-TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille.

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Anodi per Motori Mercury - Mercruiser, 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/Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, 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-Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564, 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,DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black.