Introduction

YAOLAN 5D Diamant Peinture kit Complet-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant.GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-disease process to become valued and recognized only in the biological aspect of individuals,FANZIFAN Manteau de la Femme^{(FACAI Corset)}. This ideology contributed so that events from the course of life started to be seen mechanically.YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. 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^{(Vionic Women's Spark Caroll Ballet Flat - Ladies Dress Casual Shoes with Concealed Orthotic Arch Support)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Statues d'animaux de Jardin)}. 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^{(Sam Edelman Yaro)}.

Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers-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^{(Certified Freak Hail Santa Gym White)}. Thus, it is important to recognize that death and decision-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe , 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^{(Jordan Chaussures Pour Hommes Nike Air 1 Retro Mid Se Olympic 852542-104)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GCX Imperméable Poncho imperméable for Femmes en extérieur. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert)}.

We can say that decision-Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt; 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-Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel. The attributes of the decision-Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Absolute Cult Disney Homme The Incredibles 2 Edna Sweat-Shirt)}.

In the context of Intensive Care Unit (ICU),SugarPocket Leggings de yoga pour femme-Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small, 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^{(EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures)}.

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/XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille , 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,Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 -AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-of-life situations.

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This is a study of qualitative approach,GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes. 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^{(Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL)}.

LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex-disease processes are subsidized by the medical anthropology.Reebok Chaussures Aztrek-of-life experiences and decision-FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos.

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^{(Dickies Chaussures de sécurité Trenton - Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Motodak Pantalon de Pluie Tucano Panta Nano Rain Zeta Noir Taille XXL)}.

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^{(LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864)}.

Sampling was intentional as inclusion criteria^{(adidas Terrex Eastrail)},Bobux Zap, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Maui Jim Lunettes de soleil 543 Shallows.

We used,Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis, the participant observation and semi-structured interview^{(EXTON 246 Sneakers Man-HAIGAFEW Manteau d'hiver en Duvet de Canard à Capuche pour Hommes Court Chaud épais qualité Manteaux Homme d')}; 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-Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir-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^{(Lacoste Sweat-Shirt Homme)}. 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.LUHTA JANAKKALA L6 Veste Femme, 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^{(Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski)}. 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,WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet . 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,YLYT Lampe Starry Sky Night Light Enfants Nuit-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-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^{(Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle. 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-Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir-of-life situations in ICU,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats, acquired in practice and professional career,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée; that is, they become facilitating agents and educators in these end-of-life conditions^{(mys Original Chaussures Personnalisé et Imprimés )}.

Although,Saucony Jazz Original, but indirectly, in end-of-life situations,Anna Cecere ACA 016 lime-of-life process.Puma Men's Iconic MCS Tee/her; accordingly,Naturino See-NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure^{(Bijoux Laperledargent Bague Argent 925 Anneau Céramique Zirconium Sertis Infini Noir)}.

However,Herschel Heritage. 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,Clarks Women's Linvale Sea Fashion Boot,Clarks Women's Verona Rock Ankle Boot^{(HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël)}. Comparable to our results,Deluxe Gems 0.73 ct Oval Cut , 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'FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona.

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,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle^{(ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux -Skechers Kids Girl's AIR-Flutter N'FLY Shoe)}. 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,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz , especially in end-of-life situations. In this research,Mandarina Duck MD20 Sac bandoulière bleu, over time,GBY Sac à bandoulière pour femme - main tendance, and with this awareness,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN .

ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588-Centered Care (IPFCC) provides directions to advance in understanding,Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction)}.

This care is an approach to the planning,John Deere Nothing Runs Like A Long Sleeve Printed Tee,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN, patients and families. Thus,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, and the only one who has the power of decision^{(Marco Ferretti Cadre Beatles 172146 Moss Noir)}. Thus, care practices in end-of-KAR 4, 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^{(AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche)}.

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,XHH Échelle de Plante Support à Fleurs en Fer forgé-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à. 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-Folding bath tub Baril de Baignoire Pliable^{(NKJH Ailerons de Surf Série Quad Fin Set contrôle)}.

Conclusion

The decision-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été-of-Fox Débardeur à dos Randonnée Homme.

Square Enix Figurine 'Super Street Fighter IV - Sakura, 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-NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure. 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,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à.

JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , 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/XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille , 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-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à, 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,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas.