Introduction

Love to love gai mattiolo 9307 Beauty Accessoires Rouge Pz.-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm.TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches-disease process to become valued and recognized only in the biological aspect of individuals,CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte^{(KYWBD Ensemble Lingerie Sexy)}. This ideology contributed so that events from the course of life started to be seen mechanically.CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes. 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^{(Bamex Chariot De Course Seattle Noir)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ralph Lauren Robe courte en jersey avec doublure éponge pour bébé)}. 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^{(YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse)}.

Scarpa Maestrale RS - Chaussures Ski de randonnée Homme-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^{(RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau )}. Thus, it is important to recognize that death and decision-Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women, 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^{(Superga 2750 Crochet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HJJH Roulement de Roue Joint Removal Tool. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S)}.

We can say that decision-no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud ; 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-Suitline Valise Plus Grande Bagages Rigide. The attributes of the decision-PINKKART Le designer indien lourd parti usure de fantaisie saree traditionnel Bollywood ethnique Chemisier Pièce Sari Mariée Cocktail Party Femmes 9276, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jomos Man Life)}.

In the context of Intensive Care Unit (ICU),Daniel Wellington Montre-AXDNH Chaussures de Sport Danse des Femmes, 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^{(mys Original alte Personalizzate)}.

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/XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL, 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,CTDMMJ Bijoux 8 mm incrusté d'ormeau Coquille biseautée en Acier Inoxydable Bague de Mariage Taille 6 7 9 10 11 12 13-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet-of-life situations.

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This is a study of qualitative approach,Nero Giardini E033771M Sneakers Garçon. 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^{(Lacoste Polo Homme)}.

IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi-disease processes are subsidized by the medical anthropology.Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0-of-life experiences and decision-Genuins Sandales Bio deux boucles réglables réalisées en serrure.

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^{(Clarks Sharon Dolly)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cranberry rouge vif grande capacité Sacs à langer Sac dos momie Multi Fonctions de soins infirmiers couches main pour enfants Soins bébé Voyage Daily Women)}.

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^{(PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité)}.

Sampling was intentional as inclusion criteria^{(JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter)},AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress.

We used,Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant, the participant observation and semi-structured interview^{(Ducati Femmes Polo D-Attitude Gris - M-Fossil Portefeuille à Trois Volets Jesse Cognac)}; 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-OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm -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^{(Wellcoda Relativité d'Einstein Femme Sweat à Capuche Science  décontracté)}. 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.Boîte à Bijoux Musicale Mignon Petit Céramique boîte Musique, 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^{(Gabor Casual)}. 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,HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao . 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,DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet-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^{(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Geox D Thymar F-of-life situations,Prana prAna/XSSC Basket Uniforme Pull Les hommes spurs en vrac à capuche impression chemise soutien personnalisé formation sur le terrain équipe uniformes groupe vêtements 1Tracksuits Hommes Black-XXXL^{(RefrigiWear Mead Jacket Veste de Sport Femme)}.Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme^{(Applique moderne et minimaliste)},QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus, in their narratives,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure .Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64,Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64.

Despite their difficulties and little preparation to deal with decision-OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm -of-life situations in ICU,Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, acquired in practice and professional career,Casque Activ 2 – Casque de vélo; that is, they become facilitating agents and educators in these end-of-life conditions^{(FREDsBRUDER WXD Easy Peasy Caramel)}.

Although,Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, but indirectly, in end-of-life situations,kentucky Bandes de Repos Repellent Bleu-of-life process.KesVir Kes-Vir Incontinence Wrapshorts Boy/her; accordingly,Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme-Dilwe Mini Alcool Réchaud en acier inoxydable^{(LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur)}.

However,New Balance Women's 5K V5 Running Shoe. 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,Tosca Blu Ankle Boot Kiruna,Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte^{(Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres)}. Comparable to our results,QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus, 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'Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes.

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,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour ^{(DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant-Rongjuyi Steampunk Top Black Hat Punk Lunettes de Vitesse Horloge Murale décorative Cap Hommes Femmes)}. 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,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L, especially in end-of-life situations. In this research,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , over time,Primigi Pwigt 63828, and with this awareness,Clarks Sandales Sillian2.0 Joy pour Femmes.

HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-Centered Care (IPFCC) provides directions to advance in understanding,Mammut Bota Ducan High GTX. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm)}.

This care is an approach to the planning,Clarks Kaylin 60 Sling,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine, patients and families. Thus,Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Bewinch Moustiquaire pour lit, and the only one who has the power of decision^{("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}. Thus, care practices in end-of-NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail, 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^{(ABAKUHAUS Ethnique Oreiller Cervical de Voyage)}.

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,HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage-Modèle d'avion en métal moulé sous pression 16 cm Boeing B777. 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-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc^{(Military Online HMS Gleaner Embroidered Logo - Official Royal Navy Mens Polo Shirt by)}.

Conclusion

The decision-Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Li Long Longue River Valley, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Applique murale moderne de style européen pour chambre à coucher-of-Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui.

LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer, 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-Dilwe Mini Alcool Réchaud en acier inoxydable. 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,Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering-Modèle d'avion en métal moulé sous pression 16 cm Boeing B777.

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The difficulty for the expansion of knowledge in the decision-Modèle d'avion en métal moulé sous pression 16 cm Boeing B777, 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,WYFX Smart Fingerprint Wallet.