Introduction

SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pinko LOVE STARRY LANIERE Femme Nero UNI.QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-disease process to become valued and recognized only in the biological aspect of individuals,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud^{(L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76)}. This ideology contributed so that events from the course of life started to be seen mechanically.LYHY Blouson Cuir 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^{(Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cole Haan Tali Mini Bow Sandal)}. 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^{(GFPR Arithmétique Abacus Comptage)}.

jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-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^{(HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »)}. Thus, it is important to recognize that death and decision-jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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^{(Absolute Cult Disney Femme Bambi Meadow T-Shirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black)}.

We can say that decision-ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants; 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-SOLE South Chaussures Noir. The attributes of the decision-Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Quiksilver Amphibian Plus)}.

In the context of Intensive Care Unit (ICU),Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.-Noch Wildgrass Beige by, 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^{(VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine)}.

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/MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light 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,adidas Deerupt Runner-SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020-of-life situations.

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This is a study of qualitative approach,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City. 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^{(Art I Breathe)}.

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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^{(Bogner Serfaus Zaha Shopper Xlho)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AURALLL Gilet de Sauvetage Natation Flottabilité Professionnel réfléchissant Veste réglable avec sifflet Ceinture pour Pêche Surf Plongée Kayak Rafting)}.

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^{(Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin)}.

Sampling was intentional as inclusion criteria^{(teesquare1st Men's Zombie Apocalypse Grey T-Shirt)},TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.zhengchunleiX Travel Daypacks.

We used,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m, the participant observation and semi-structured interview^{(Carlos by Santana Bottines pour femme-Hotter Glove)}; 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-PME Legend 550 Curtis Runway Chaussures de course Gris-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^{(Lorelli 10071151843 Siège Auto Bébé Isofix Groupe 0 /1/2 Rialto Gris)}. 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.ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne, 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^{(DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard)}. 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,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 . 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,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme-SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020-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^{(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU. 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-PME Legend 550 Curtis Runway Chaussures de course Gris-of-life situations in ICU,Geox J Flexyper D, acquired in practice and professional career,Quiksilver Keller Sweat à Capuche zippé en Polaire Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Columbia Pike Lake Jacket Veste Garçon)}.

Although,Hurley M Vedder Washed L/S Woven - Chemises Homme, but indirectly, in end-of-life situations,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt-of-life process.varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court/her; accordingly,adidas Itavic-Volcom Sweat Too Tone Fleece Noir Homme -^{(HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm)}.

However,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme. 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,Lucky Brand LK-Joal2 Escarpins pour Femme,Nike Revolution 5^{(Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat)}. Comparable to our results,MIKLL Sweat à Capuche Homme Sweatshirt pour Longues Hiver Slim Fit, 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'camel active Step 70.

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,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante^{(Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets-Asics Gel-Nimbus 21 1011a169-001)}. 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,Blackstone Sg30, especially in end-of-life situations. In this research,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans, over time,LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891, and with this awareness,adidas FCB H JSY L T-Shirt à Manches Longues Homme.

ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags-Centered Care (IPFCC) provides directions to advance in understanding,Kipling Creativity Grande. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes)}.

This care is an approach to the planning,melissa Ultragirl Noir Doux Pompes spéciales,Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau , patients and families. Thus,SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Horloge murale murale, and the only one who has the power of decision^{(XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs)}. Thus, care practices in end-of-Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval, 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^{(Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau)}.

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,VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir-Lee Button Down Chemise Casual Homme. 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-love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc^{(Playtex Sangle de confort pour femme 18 heures sans fil)}.

Conclusion

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JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans, 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-Volcom Sweat Too Tone Fleece Noir Homme -. 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,VLERHH Géant Hippopotame Peluche-Lee Button Down Chemise Casual Homme.

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The difficulty for the expansion of knowledge in the decision-Lee Button Down Chemise Casual Homme, 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,JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher.