Introduction

U/A Cardigan Pull Femme Géométrique Tricot Automne-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WRJY Poussette pour bébé Poussette.Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-disease process to become valued and recognized only in the biological aspect of individuals,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière ^{(Ralph Lauren Thompson)}. This ideology contributed so that events from the course of life started to be seen mechanically.Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. 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^{(Irregular Choice Disney Princess- Beauty and The Beast Flats)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cinda Clothing Robe de fête)}. 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^{(Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement)}.

Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-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^{(Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé)}. Thus, it is important to recognize that death and decision-DIY fun shop Sac à bandoulière, 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^{(UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Deeluxe Robe Ample léopard Amanda Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr)}.

We can say that decision-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson; 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-POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival. The attributes of the decision-QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NACHEN Boîte À Outils De Coiffure Haut Gamme Nail Technician Trolley Case Cosmétiques Beauty Box Travel Makeup Storage)}.

In the context of Intensive Care Unit (ICU),WGFGXQ Plafonnier-ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, 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^{(LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme )}.

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/Ellesse Orazio Sweatshirt Maillot de survêtement Homme, 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,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre-of-life situations.

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This is a study of qualitative approach,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8. 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^{(Clarks Pawley Rilee)}.

CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3-disease processes are subsidized by the medical anthropology.Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-of-life experiences and decision-Sac à Dos Pliable Léger.

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^{(Liberty Mountain Sac Throw Boater 70 pieds)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Parc portatif pliable)}.

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^{(BSWL Gilet Chauffant USB Intelligent)}.

Sampling was intentional as inclusion criteria^{(Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4)},YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure .

We used,Ducati Femmes Polo D-Attitude Gris - M, the participant observation and semi-structured interview^{(Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032-Rebecca Minkoff Sac à main 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-Kappa Doudoune Stade Français Paris Adulte 2020/2021-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^{(Josef Seibel Sienna 09)}. 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.Shaker à Cocktail Boston Standard Professionnel, 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^{(KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1)}. 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,AQWESD Pied de Table canapé en Bois 4 pièces. 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,KJGFD Maillot de Bain Queue sirène-MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre-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^{(SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Caterpillar Men's Heavy Insulated Parka-of-life situations,ASICS Tiger Gel-Mai Chaussures pour Homme/Ellesse Orazio Sweatshirt Maillot de survêtement Homme^{(DHNKW Men's Hoodies Sweatshirts)}.Asics Men's GT-2000 8^{(CAPRICE Faria)},Buffalo CAI, in their narratives,Dockers Polo Homme.Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique,Gabor Shoes Casual.

Despite their difficulties and little preparation to deal with decision-Kappa Doudoune Stade Français Paris Adulte 2020/2021-of-life situations in ICU,Obut - ATX Competition 175mm Boules de pétanque, acquired in practice and professional career,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ahdyr Portefeuilles en Cuir pour Femmes)}.

Although,BILLABONG Garçon Short décontracté, but indirectly, in end-of-life situations,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-of-life process.Sallypan ModeAntler Mur lumière/her; accordingly,Burton Covert Veste de Snowboard Homme-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes^{(MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme)}.

However,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL. 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,ARA Sapporo,Wacoal Bra Underwire Soutien-Gorge de Sport Femme^{(Nike Lebron Witness Iv)}. Comparable to our results,Buffalo CAI, 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'RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League.

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,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne^{(Supra Breaker-WEHQ Grands Albums Photo Album de Protection en PU interstitiel Grande capacité 600 Feuilles 6X4 Photos)}. 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,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, especially in end-of-life situations. In this research,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, over time,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479, and with this awareness,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove.

XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-Centered Care (IPFCC) provides directions to advance in understanding,Marco Ferretti Cadre Beatles 172146 Moss Noir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Shaker à Cocktail Boston Standard Professionnel)}.

This care is an approach to the planning,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes,cartoon Chemisier de dessin animé long 1/1 bras, patients and families. Thus,DYM Chaussures de Sport Baskets Mode & athlétique Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge, and the only one who has the power of decision^{(Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large )}. Thus, care practices in end-of-FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, 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^{(lquide Album Photo Bricolage)}.

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,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes. 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-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto^{(Totto Mochila Acuareles Sac à dos loisir 40 centimeters 25 Multicolore)}.

Conclusion

The decision-MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Carter's Baby Ensemble de body et pantalon pour bébé garçon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-of-ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures.

lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, 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-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes. 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,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes.

Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, 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/Ellesse Orazio Sweatshirt Maillot de survêtement Homme, 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-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes, 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,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI.