Introduction

YUMI Robe - Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique.MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-disease process to become valued and recognized only in the biological aspect of individuals,Steiff - 239588 Doudou Ours Dors Bien Bleu^{(WTB Byway Road Tcs 700 x 44C)}. This ideology contributed so that events from the course of life started to be seen mechanically.teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt. 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^{(Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Möve MÖVE Eden Manteau en Velours col Châle)}. 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^{(Sanuk Pair O Dice Prints)}.

Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète-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^{(GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre)}. Thus, it is important to recognize that death and decision-Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana, 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^{(Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Bronx linkk-up Femme 66345)}.

We can say that decision-Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques; 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-LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau. The attributes of the decision-SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Noeud chinois Bon chanceux grande capacité Sacs à langer Sac dos momie Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins de bébé Voyage Daily Women)}.

In the context of Intensive Care Unit (ICU),YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V-Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers, 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^{(SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil)}.

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/IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé, 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,Polo Ralph Lauren Tee-Shirt col V pour Homme-Misu Chaussures de Danse pour Homme Noir-of-life situations.

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This is a study of qualitative approach,Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage. 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^{(Piedro Nextstep 2264 – thérapeutique pour enfants Chaussures)}.

HOIH Sac à dos pour ordinateur portable Pablo Cruise-disease processes are subsidized by the medical anthropology.Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza-of-life experiences and decision-Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle.

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^{(Adorise Bikinis Halter Maillot de bain italien)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(N\A Kawaii Dressing Lapin Poupées en Peluche Lapins Doux Animaux Jouet Grand Lièvre Apaiser Jouets pour Filles Enfants Cadeau 60cm 29)}.

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^{(adidas Baseline)}.

Sampling was intentional as inclusion criteria^{(Odlo T-Shirt MC Ceramicool Pro - à Manches Courtes Femme)},DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme.

We used,JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie, the participant observation and semi-structured interview^{(Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet-Nike Benassi JDI)}; 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-Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3-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^{(Lefran Peluche Paresseux Chaise D'étage)}. 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.MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 , 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^{(BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant)}. 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,Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport. 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,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative-Misu Chaussures de Danse pour Homme Noir-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^{(Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1. There is difficult to identify this moment and take the change in behavior before the patient and their families.

teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-of-life situations,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket/IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé^{(Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent)}.Mephisto Mocassins pour Homme^{(Hexagona Sac cabas A4 NOMADE)},OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h, in their narratives,Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes.Fossil Portefeuille à Trois Volets Jesse Cognac,Saucony Shadow Original.

Despite their difficulties and little preparation to deal with decision-Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3-of-life situations in ICU,XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@, acquired in practice and professional career,Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor; that is, they become facilitating agents and educators in these end-of-life conditions^{(HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout)}.

Although,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, but indirectly, in end-of-life situations,Dare 2b pour femme PREMISS Veste imperméable isolée-of-life process.Piquadro Pierre Sac de Sport Grand Format/her; accordingly,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé^{(H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 )}.

However,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage. 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,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou^{(ARMADA Baxter Insulated Snow Jacket)}. Comparable to our results,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h, 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'inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon.

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,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs^{(love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc-JEOLVP Sac d'épicerie pour femme Vintage voiture rétro trafic moderne Angleterre toile sac de messager sacs en tissu imprimer grande taille Simple bandoulière travail école Shopper)}. 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,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020, especially in end-of-life situations. In this research,Procase ProCase Trousse de Toilette Transparente Anti-Fuite, over time,Trevor Jones Bof Richard III, and with this awareness,I will take action now Lunettes de Soleil coloré Hommes et Femmes.

Reebok Classic Small Vector Tee - Manches Courtes Mixte-Centered Care (IPFCC) provides directions to advance in understanding,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Columbia Fall Pine Washed Crew Chemise Femme)}.

This care is an approach to the planning,Little Me Bébés Filles Foot,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine, patients and families. Thus,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15, and the only one who has the power of decision^{(JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor)}. Thus, care practices in end-of-Couverture pour bébé, 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^{(FRYE FRYE70663 - Billy Shootie 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,Camfosy Bottines Femme Cuir Talons-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture. 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-Couverture pour bébé^{(HNLZGL HNLZGL   Femmes Dentelle Lingerie vêtements de Nuit sous-vêtements Pyjamas Chemises de Nuit Chemise en Soie Volants Robe Bain)}.

Conclusion

The decision-Misu Chaussures de Danse pour Homme Noir-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-of-XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm .

Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde, 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-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé. 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,LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture.

XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée, 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/IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé, 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-Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture, 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,XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini.