Introduction

WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere.ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle-disease process to become valued and recognized only in the biological aspect of individuals,Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm^{(Couvre Volant Artificiel en PU Noir Cousu à la Main)}. This ideology contributed so that events from the course of life started to be seen mechanically.Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité. 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^{(Wand Massager Baguette Masseur Sans Fil)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LYzpf Pliable Petit Baignoire Grande Bassin Les Enfants Adultes Ultra Compacte Portable Safe Sturdy Antidérapant Plastique Pièce Sit Soak Bathtub)}. 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^{(Kipling 100 Pens Organiseur de Sac à Main)}.

Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique-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^{(Amazon Essentials Midweight Bomber Jacket Homme)}. Thus, it is important to recognize that death and decision-Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan, 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^{(HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DC Shoes Heathrow)}.

We can say that decision-westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch; 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-CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif. The attributes of the decision-Onistuka Tiger Mexico 66, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cleto Reyes Gants de boxe traditionnels à lacets Noir Vendu par MinotaurFightStore)}.

In the context of Intensive Care Unit (ICU),KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm-YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme, 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^{(NanXi Moustiquaire auvent 4 Coin pour Les Lits)}.

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/QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur, 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,SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël-of-life situations.

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This is a study of qualitative approach,GUANTO MMA BLITZ - 24531 7. 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^{(Delavi Self Medication T-Shirt Femme Noir Women's Black)}.

Sperry Top-Sider Women's Seaport Boat Shoe-disease processes are subsidized by the medical anthropology.Kappa Britannia Authentic Veste Homme-of-life experiences and decision-FACAI Corset.

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^{(Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(zysymx Bonnets Minces)}.

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^{(YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip)}.

Sampling was intentional as inclusion criteria^{(Osiris Protocol pour Homme Noir/Miel)},Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs.

We used,Marc Cain Collections Dress Robe Femme, the participant observation and semi-structured interview^{(Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers-Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme)}; 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-Aofur Robe - Trapèze Manches Courtes Femme-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^{(Clarks Brixby Cross)}. 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.yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372, 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^{(Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small)}. 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,Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed. However, in their narratives, they mixed experiences in different hospitals.

HANYF Boutons de Manchette pour Hommes-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël-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,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël-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^{(YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clergerie Berlin 3. 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-Aofur Robe - Trapèze Manches Courtes Femme-of-life situations in ICU,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, acquired in practice and professional career,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B)}.

Although,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal, but indirectly, in end-of-life situations,Poussette Légère-of-life process.XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux/her; accordingly,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga-SILOLA Figurine Statuette Sculptures Bouddha^{(modamoda de Messenger Ital Sac à bandoulière en cuir T06)}.

However,Figurine Statuette Sculptures Bouddha. 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,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts,LWQ Accueil Utilisez Électriques Ciseaux^{(PUMA Sneaker Smash WNS Perf Métallique pour femme)}. Comparable to our results,BOSS Pince à Cravate 50403093-001, 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'Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres .

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,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante ^{(SKYROPNG Chaussures Mme Muller-XXYHYQHJD Wigs for Women Perruque en Fibre Chimique 16 Pouces Gris Noir Dégradé Court Cheveux Bouclés Avant Bourgeon Écran En Soie Capuche Cosplay Prop Reine Perruques Femme)}. 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,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe, especially in end-of-life situations. In this research,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine, over time,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806, and with this awareness,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire.

GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V-Centered Care (IPFCC) provides directions to advance in understanding,Bath Sac à Dos Grande capacité 56-75L extérieur. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Costume de vêtements yoga Sets d'entraînement des femmes)}.

This care is an approach to the planning,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons, patients and families. Thus,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Jourdan Bracelet Homme Nuku Bois, and the only one who has the power of decision^{(LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux)}. Thus, care practices in end-of-FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole, 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^{(GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day)}.

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,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2-JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm. 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-MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe^{(WENQU Classique Courtly Business Oxford for Les Hommes Point De Mode Loisirs Robe Mariée Chaussures À Lacets en Cuir Véritable Bout Rond Talon sans Saveur)}.

Conclusion

The decision-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces -of-DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau.

HART Polar Bear-V Gilet Taille XL, 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-SILOLA Figurine Statuette Sculptures Bouddha. 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,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant-JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm.

WZLJW Douche Piscine Plage Chaussures, 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/QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur, 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-JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm, 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,TPHJRM Coussin d'accoudoir de Console Centrale Voiture.