Introduction

N\P Sweat à capuche manches longues pour femme Automne et Hiver-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé.Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-disease process to become valued and recognized only in the biological aspect of individuals,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme^{(HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU)}. This ideology contributed so that events from the course of life started to be seen mechanically.DAQAXGAO My Hero Academia Anime Crew Neck Tee 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^{(LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LXJ-CQ Oreiller de Cou Motif Ethnique Design Surface Bleu Floral Voyage en Forme U Ergonomique Contour Lavable)}. 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^{(ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ)}.

RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -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^{(Chie Mihara Queran)}. Thus, it is important to recognize that death and decision-CLII Automobile Instrument de Diagnostic pannes, 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^{(ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343)}.

We can say that decision-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print; 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-YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon. The attributes of the decision-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TD Porte-bébés ventraux Ceinture Bébé Sangle Tabouret À La Taille Multifonction Ancien Câlin Quatre Saisons Disponibles Simple)}.

In the context of Intensive Care Unit (ICU),Y-Volution Y-volution - draisienne yvelo air Bleu-Multiple colors New ballet LED table lamp 7 color touch 3d night light, 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^{(Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot)}.

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/N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, 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,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable-Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-of-life situations.

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This is a study of qualitative approach,Matelas d'air de Voiture Gonflable prolongé siège arrière. 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^{(Curvy Kate Sheer Class Maillot Une Pièce Femme)}.

Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S-disease processes are subsidized by the medical anthropology.BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière-of-life experiences and decision-EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas.

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^{(LW Sandales Femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Lady Full Wig Toppers de Cheveux Humains pour Femmes aux Fins)}.

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^{(Puma MAPM Laurel Cap Schwarz)}.

Sampling was intentional as inclusion criteria^{(arena Sarah Sjostrom Édition limitée pour Fille Accelerate Back)},BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MNSSRN-MM Baskets En Maille D'automne.

We used,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot, the participant observation and semi-structured interview^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle-Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women)}; 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-Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode -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^{(Bdesign Bug électrique Zapper Fly tapette Racket Rechargeable Insectes Tapette à Main Mosquito Killer - Wasp)}. 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.Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté, 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^{(AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une)}. 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,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou. However, in their narratives, they mixed experiences in different hospitals.

L.Z.HHZL Chaussures d'affaires pour Hommes-Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-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,Trespass Virtual Veste Femme-Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-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^{(EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Falliback Haltères Fitness Exercice avec poids. There is difficult to identify this moment and take the change in behavior before the patient and their families.

PUMA Chaussures de Jeu Future Rider Neon pour Hommes-of-life situations,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64/N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D^{(Yoga Design Lab Serviette de Hot | Douce)}.WZR Femme's Synthétique Sandales Slipper Pantoufles^{(GREQ Tankinis Femme Nouvelles Dames Maillots de Bain Sexy Bretelles croisées conjointes Triangle Dentelle Bikini Bord mer Plage Vacances Bain-Image Color_L)},Clarks Women's Ayla Low Ballet Flat, in their narratives,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design .ZXL Lampe Lampe,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président.

Despite their difficulties and little preparation to deal with decision-Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode -of-life situations in ICU,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8, acquired in practice and professional career,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us)}.

Although,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, but indirectly, in end-of-life situations,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité-of-life process.Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte/her; accordingly,Horloge Murale silencieuse Moderne de Chat Dudu-LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure^{(MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas)}.

However,Nitro Futura TLS Bateau de snowboard pour femme. 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,B/H réglables - Pantoufles,XSENSIBLE Wembley Dark Blue Metallic ^{(Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir)}. Comparable to our results,Clarks Women's Ayla Low Ballet Flat, 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'WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif.

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,Forrest Gump bubba gump schrimps hutkappe rouge^{(Yaaliang Maillot de bain une pièce fille Filles manches Rashguard shirt Enfants d'été Plage Sport Surf Maillots Formation gymnastique justaucorps Jumpsuit Beachwea-N\A Roue Abdominale AB de Remise en Forme Le équipement for la séance d'entraînement Base avec Rouleau innovant antidérapante Caoutchouc très épais Coussin Les Genoux et Mousse Con)}. 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,DIY fun shop Sac à bandoulière, especially in end-of-life situations. In this research,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique, over time,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets, and with this awareness,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9.

WOHAO Brossettes Masque Halloween Adulte Cosplay-Centered Care (IPFCC) provides directions to advance in understanding,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Nike Vaporx 12 Academy TF)}.

This care is an approach to the planning,Sorel Youth Out N About Conquest,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020, patients and families. Thus,Lloow Chaise de Douche.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher, and the only one who has the power of decision^{(Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne)}. Thus, care practices in end-of-JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, 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^{(MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium)}.

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,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle -CLJ Lunettes de Lecture pour Hommes. 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-Head Ultimate Power 2020 Raquette de padel Verte^{(LAURA VITA Donuts 04)}.

Conclusion

The decision-Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille-of-Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear.

Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga, 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-LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure. 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,ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble-CLJ Lunettes de Lecture pour Hommes.

Columbia Homme - Manches Courtes T-Shirt athlétique, 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/N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, 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-CLJ Lunettes de Lecture pour Hommes, 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,FEUER1 Sweat-shirt à capuche Bleu marine.