Introduction

Think! Kapsl_3-000045-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche.TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-disease process to become valued and recognized only in the biological aspect of individuals,Casio A158 Montre Bracelet en Acier Inoxydable^{(NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison)}. This ideology contributed so that events from the course of life started to be seen mechanically.Domopak Living Sac à Chaussures 12 Compartiments. 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^{(NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Alife and Kickin Sarina W Sweat à Capuche)}. 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^{(Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite)}.

NYLY Sac à Dos Harry P-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^{(YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T)}. Thus, it is important to recognize that death and decision-N\P Sweat à capuche manches longues pour femme Automne et Hiver, 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^{(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women)}.

We can say that decision-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black; 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-AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme. The attributes of the decision-DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Magic Vida Overboard 6.5 Pouces Bluetooth Puissance 700W avec Deux Barres LED Gyropode Pas Cher Auto-Équilibrage de Bonne qualité pour Enfants et Adult)}.

In the context of Intensive Care Unit (ICU),RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -CLII Automobile Instrument de Diagnostic pannes, 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^{(SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020)}.

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/GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , 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,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body-of-life situations.

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This is a study of qualitative approach,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon. 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^{(Aircast® PodaLib® Attelle releveur de pied )}.

CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-disease processes are subsidized by the medical anthropology.Y-Volution Y-volution - draisienne yvelo air Bleu-of-life experiences and decision-Multiple colors New ballet LED table lamp 7 color touch 3d night light.

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^{(TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YEAOEP Montre à Quartz pour Femme avec Ceinture en Maille Ultra Fine et étanche Noël American Eskimo Dog)}.

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^{(Betts Buddy Cast Net)}.

Sampling was intentional as inclusion criteria^{(CAO-BATHTUB FoldingTub Portable Adulte De Ménage)},N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable.

We used,Matelas d'air de Voiture Gonflable prolongé siège arrière, the participant observation and semi-structured interview^{(Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse)}; 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-Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S-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^{(Maddak Inc. Tall-Ette 725851000 4" Standard Elevated Toilet Seat by)}. 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.BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière, 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^{(ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35)}. 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,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas. 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,KIUYMRV Sac de soirée pour Femme avec Strass et Doré-ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body-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^{(Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode . 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-Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S-of-life situations in ICU,PUMA Chaussures de Jeu Future Rider Neon pour Hommes, acquired in practice and professional career,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hush Puppies Men's Advice Pt Derby Oxford)}.

Although,WZR Femme's Synthétique Sandales Slipper Pantoufles, but indirectly, in end-of-life situations,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design -of-life process.ZXL Lampe Lampe/her; accordingly,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président-Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8^{(Filet de protection Sécurité Maille De for Enfants)}.

However,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été . 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,DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité^{(ARA Rom)}. Comparable to our results,FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune, 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'Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte.

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,Horloge Murale silencieuse Moderne de Chat Dudu^{(ZHMIAO Maillot de Football américain pour Homme 4# Carr-TOGU Airgo Air Bague DE Siege Noir n/a)}. 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,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, especially in end-of-life situations. In this research,Nitro Futura TLS Bateau de snowboard pour femme, over time,B/H réglables - Pantoufles, and with this awareness,XSENSIBLE Wembley Dark Blue Metallic .

WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif-Centered Care (IPFCC) provides directions to advance in understanding,Forrest Gump bubba gump schrimps hutkappe rouge. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran)}.

This care is an approach to the planning,DIY fun shop Sac à bandoulière,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique, patients and families. Thus,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.

Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9-being of patients of all ages.WOHAO Brossettes Masque Halloween Adulte Cosplay,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear^{(Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète)}. Surprisingly,Sorel Youth Out N About Conquest, 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;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, and the only one who has the power of decision^{(EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques)}. Thus, care practices in end-of-Lloow Chaise de Douche, 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^{(Surplus Royal Traveler Pantalon)}.

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,Tondeuse à cheveux-EASTPAK Buckler Sac bandoulière. 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-BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier ^{(Cinda Clothing Robe de fête)}.

Conclusion

The decision-ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AlokHnvj Banbag Simple De Canapé Paresseux, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche-of-Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher.

JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, 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-Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8. 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,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle -EASTPAK Buckler Sac bandoulière.

Head Ultimate Power 2020 Raquette de padel Verte, 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/GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , 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-EASTPAK Buckler Sac bandoulière, 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,YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école.