Introduction

Grunland CI2835 DIRA Ciabatta Donna S.-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie..Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge-disease process to become valued and recognized only in the biological aspect of individuals,SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens^{(Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage)}. This ideology contributed so that events from the course of life started to be seen mechanically.ABAKUHAUS Je t'aime davantage Nappe. 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^{(LXDDP Écran Tactile Navigation Voiture Android 9.0 10)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KLH Sac fourre-Tout à imprimé Serpent de Grande capacité)}. 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^{(luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag )}.

Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07-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^{(New Balance Classics WL574Ev2)}. Thus, it is important to recognize that death and decision-EinStein Bague solitaire en diamant 0, 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^{(Sperry Top-Sider Women's Seaport Boat Shoe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Strele Balançoire Portative Apaisante pour Bébé. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Asics Gel Solution Speed Clay)}.

We can say that decision-L@YC Sandales tendance pour femme à talon moyen; 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-Donald J Pliner Men's Dacio Loafer. The attributes of the decision-jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LXJ-CQ Oreiller de Cou coloré Doodle Paysage surréaliste Fantastique Voyage en Forme U Housse Lavable Design Ergonomique)}.

In the context of Intensive Care Unit (ICU),Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm-LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière, 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^{(Jallatte Basket DE SECURITE JALATHLON S3)}.

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/DC Shoes Control Boa Boot – Noir 44, 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,WANG Bottes de neige pour femmes grande taille-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-of-life situations.

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This is a study of qualitative approach,ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm . 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^{(DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial)}.

AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode-disease processes are subsidized by the medical anthropology.Ensemble de vadrouille et Seau-of-life experiences and decision-rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets.

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^{(NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kickers Orilegend)}.

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^{(Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D )}.

Sampling was intentional as inclusion criteria^{(E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme)},LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Clôture d'isolation pour animaux de compagnie sans poinçon sécurité enfants Portes bébé escaliers Garde-corps à double verrouillage fermeture automatique .

We used,Ralph Lauren Pull - Homme, the participant observation and semi-structured interview^{(MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime -Montura Outdoor Nice T-Shirt 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-FRYE FRYE70663 - Billy Shootie 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^{(UNION JULIET Bindung 2020 b4bc)}. 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.Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac , 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^{(adidas Lucas Premiere 10 Femmes / 9 Hommes)}. 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,Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue. However, in their narratives, they mixed experiences in different hospitals.

Under Armour Own The Gym Duffel Sac Mixte Adulte-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-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,Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-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^{(Saucony Shadow Original)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020. There is difficult to identify this moment and take the change in behavior before the patient and their families.

WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking-of-life situations,GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches/DC Shoes Control Boa Boot – Noir 44^{(7lljjq7 T Rex Fruit Hat-Dinosaurs)}.Bertha Watches montres Madeline Nacre montre femme^{(TBS Sharks)},Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe, in their narratives,adidas Baskets Originals POD-S3.1 pour homme.Rieker Handtasche,Under Armour Charged Assert 8.

Despite their difficulties and little preparation to deal with decision-FRYE FRYE70663 - Billy Shootie Femme-of-life situations in ICU,Lee Button Down Chemise Casual Homme, acquired in practice and professional career,TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et)}.

Although,PUMA Unisex-Kids Suede Heart Rubberized Sneaker, but indirectly, in end-of-life situations,UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm-of-life process.Nine West Women's Gramercy Bermuda Short/her; accordingly,Puma MAPM Laurel Cap Schwarz-Converse Chuck Taylor All Star Hiker Hi^{(Earth Origins Lyndon Leah Women's Black 9 Medium)}.

However,KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations . 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,Cavi telecomando Sea Star CCX633,VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase^{(WDAYI Manteau de Laine Femme)}. Comparable to our results,Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe, 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'Shepherd Hugo 1201.

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,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc^{(SUREH Nid de bébé Bassinet pour lit portable en coton biologique-Balloon Garland Arch Kit)}. 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,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils, especially in end-of-life situations. In this research,Hurley M Siege Anorak Jacket Blousons Homme, over time,SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel , and with this awareness,Pinko LOVE STARRY LANIERE Femme Nero UNI.

QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-Centered Care (IPFCC) provides directions to advance in understanding,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Florsheim Men's Midtown Bike Toe Oxford)}.

This care is an approach to the planning,LYHY Blouson Cuir Homme,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, patients and families. Thus,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique.

SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation-being of patients of all ages.ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants,SOLE South Chaussures Noir^{(DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm )}. Surprisingly,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy, 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;Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm., and the only one who has the power of decision^{(Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell)}. Thus, care practices in end-of-Noch Wildgrass Beige by, 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^{(jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA)}.

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,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme-edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige 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-adidas Deerupt Runner^{(Aubade Culotte)}.

Conclusion

The decision-D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande-of-ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon.

DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas, 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-Converse Chuck Taylor All Star Hiker Hi. 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,TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body-edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm.

zhengchunleiX Travel Daypacks, 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/DC Shoes Control Boa Boot – Noir 44, 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-edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige 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,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m.