Introduction

HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus.Utility Diadora Veste Sail Gris gris M-disease process to become valued and recognized only in the biological aspect of individuals,Timberland Pokey Pine Hook & Loop ^{(ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle)}. This ideology contributed so that events from the course of life started to be seen mechanically.CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil. 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^{(WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GAOFQ Lampes de Style Japonais Luminaires muraux à LED Applique Murale en Bois Massif créatif Minimaliste Salon Allée décorative Lumières Puce Chambre Lampe Chevet)}. 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^{(NIEWEI-YI Sweatshirts Unisexe)}.

Izanoy Robe - Trapèze Femme-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^{(SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an)}. Thus, it is important to recognize that death and decision-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1, 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^{(Montane Ineo Pro Women's Pantalon)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Wellcoda Einstein café Homme Sweat à Capuche Marrant  décontracté)}.

We can say that decision-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage; 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-CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir . The attributes of the decision-YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DZTIZI Spiderman Cosplay Adulte/Enfant Super-héros Body Halloween Carnaval Déguisement)}.

In the context of Intensive Care Unit (ICU),YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse-HMY Round Tapis de Bain, 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^{(Anna Cecere ACA 016 lime)}.

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/JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, 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,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur-Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme-of-life situations.

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This is a study of qualitative approach,MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale. 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^{(Blue Banana Tunique en imprimé Squiggle avec Manches évasées)}.

ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux -disease processes are subsidized by the medical anthropology.Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-of-life experiences and decision-Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage.

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^{(JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZYFXZ Été vol Weave Respirant Chaussures de Travail)}.

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^{(Reebok Flashfilm 3.0)}.

Sampling was intentional as inclusion criteria^{(Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100)},Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte.

We used,Cerdá Ligera Lady Bug, the participant observation and semi-structured interview^{(lepni.me T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique-Bandit - Casque Fighter – Casque pour Streetfight)}; 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-KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale-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^{(Zsport Zbra Silver Soutien-Gorge de Sport Femme)}. 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.MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau, 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^{(XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches)}. 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,Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 . 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,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire-Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme-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^{(Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 . 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-KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale-of-life situations in ICU,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle, acquired in practice and professional career,Skechers Go Walk Joy-15615; that is, they become facilitating agents and educators in these end-of-life conditions^{(MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette)}.

Although,Sanuk Pair O Dice Prints, but indirectly, in end-of-life situations,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit-of-life process.Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme/her; accordingly,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus-HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5^{(kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable)}.

However,arena 2a259 Maillot de Bain Garçon. 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,Ulla Popken Pantalon Femme,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere^{(pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL)}. Comparable to our results,LUHTA JANAKKALA L6 Veste Femme, 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'HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes.

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,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée-Radley Apple a Day Portefeuille à Fermeture éclair en Cuir Lisse Gris Taille M)}. 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,Prime Line Packaging 40, especially in end-of-life situations. In this research,Saucony Freedom Iso 2, over time,Saucony Freedom Iso, and with this awareness,Saucony Guide Iso.

Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top-Centered Care (IPFCC) provides directions to advance in understanding,Blowfish MalibuBF-7514 - Storz Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm)}.

This care is an approach to the planning,NORTH SAILS Norfolk Veste Homme,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S, patients and families. Thus,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Gazelle, and the only one who has the power of decision^{(Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10)}. Thus, care practices in end-of-adidas Forest Grove Cg5675, 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^{(Roamers Bottines Chelsea - Homme )}.

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,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter. 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-FANTASIE Fiji Armature Monobloc - Bleu 105E^{(COOAU Caméra Sport Webcam PC Mode 4K 20MP avec Wi-FI Microphone Externe Télécommande stabilisateur EIS)}.

Conclusion

The decision-Columbia Silver Ridge Flannel Long Sleeve Shirt Chemise Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Dr. Martens Hardie, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Gant 1901.4204663 Short Femme-of-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.

CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket, 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-HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5. 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,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter.

YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire , 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/JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, 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-Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter, 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,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter.