Introduction

Portable Butane Stove Burner - Taille Unique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Home Trainer Rouleaux dim. 145L x 56l 10.Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière-disease process to become valued and recognized only in the biological aspect of individuals,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne^{(wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme. 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^{(No logo MDYHJDHYQ Femmes 100% Coton Pyjama Printemps Eté Pantalons mi-Manches Kimono Japonais Accueil Service Set )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BILLABONG Haut de bikini classique à col en V pour femme)}. 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^{(Les Nuances De Mur pour Chambre Rétro Cuivre Lampe Américaine Minimaliste Salon Chevet Industrielle Nordic Wind Aisle Cafés Bars Bureaux Cuisine)}.

El Naturalista Nido-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^{(MWOOOK Escarpins Femmes Talons Aiguilles)}. Thus, it is important to recognize that death and decision-YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, 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^{(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite)}.

We can say that decision-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume; 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-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse. The attributes of the decision-WENZHEN Sac à Dos The North Face, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HGDR Bottes Militaires pour Hommes)}.

In the context of Intensive Care Unit (ICU),ALPE 32201134 Bottines en Daim pour Femme Gris-L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens, 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^{(JJ Cole Couvre-sangles Matelassé occultant)}.

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/VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande 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,CP CALMA PROJECT Sac à bandoulière pour femme-LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903-of-life situations.

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This is a study of qualitative approach,Macron Home Jersey White/Red 19/20 Red Star Belgrade. 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^{(Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches)}.

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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^{(Naturalizer Kari Mocassins pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ECSWP Tente Fan Lumière LED Camping Ventilateur Lampe de Poche Plafond Portable for Voiture Réparation randonnée en Plein air)}.

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^{(RYKA Devotion XT Mid)}.

Sampling was intentional as inclusion criteria^{(Fluco Bracelet de montre en véritable alligator vintage fait main Allemagne Bleu 19 mm)},Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux.

We used,BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel, the participant observation and semi-structured interview^{(XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes-Columbia Drainmaker 3D')}; 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-FXQ Amovible Pet Chauffage Mat-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^{(EZEZWSNBB Unisexe 3D Sweat à Capuche Père Noël étoilé Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme 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.adidas 9 pair Performance Sneaker Socks Unisex short sock, 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^{(HÖGL Studio 80)}. 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,Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans. 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,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903-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^{(HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm. 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-FXQ Amovible Pet Chauffage Mat-of-life situations in ICU,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts, acquired in practice and professional career,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Tom' s Company Tom Drag's Spirale d'énergie Limite 300)}.

Although,LILONGXI Gilet Doudoune, but indirectly, in end-of-life situations,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -of-life process.Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu/her; accordingly,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant-U/A Cardigan Pull Femme Géométrique Tricot Automne^{(Frieed Plaid Tassel Tweed Blazer Coat V-Neck Double Breasted Button Belt Ladies Coats Long Sleeve Outwear Jacket)}.

However,WRJY Poussette pour bébé Poussette. 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,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière ^{(Visit the Carhartt Store Wip Car-Lux Jacket Homme)}. Comparable to our results,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone, 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'Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..

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,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme^{(K-Swiss Aeronaut-Miss Lulu Petit Sac Bandouliere Femmes Joli Sacs à Main en Simili Cuir Fleur pour Usage Quotidien)}. 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,Deeluxe Robe Ample léopard Amanda Femme, over time,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, and with this awareness,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival.

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This care is an approach to the planning,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De,Ellesse Orazio Sweatshirt Maillot de survêtement Homme, patients and families. Thus,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, and the only one who has the power of decision^{(PUMA Suede Classic )}. Thus, care practices in end-of-RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , 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^{(Korntex KXRJGS Veste imperméable Jaune Taille S)}.

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,Ducati Femmes Polo D-Attitude Gris - M-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20. 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-Kappa Doudoune Stade Français Paris Adulte 2020/2021^{(LYXCM Gym De Jeu pour Bébé Tapis D'baby Portable avec 5 Hanging Jouets Éducatifs Appropriés 0-3 Ans)}.

Conclusion

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Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, 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-U/A Cardigan Pull Femme Géométrique Tricot Automne. 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,XSY Denim Zipper Genou Talon Hiver Bottes-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20.

Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, 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/VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande 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-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, 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,Cavallo Ladies Functional Parka RAMINA - Winter 2020.