Introduction

Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm .Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde-disease process to become valued and recognized only in the biological aspect of individuals,LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG^{(Shepherd Hugo 1201)}. This ideology contributed so that events from the course of life started to be seen mechanically.XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée. 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^{(TYX Bottines À Bout Pointu)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DAGUAI Et Les Femmes de Manteau imperméable à l'eau Mode Hommes Raincoat Tissu Anti-Pluie et Respirant)}. 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^{(LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires)}.

XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini-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^{(RICOSTA Mike)}. Thus, it is important to recognize that death and decision-Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt, 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^{(Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Ana Silver Co. Serpentine Stone)}.

We can say that decision-XFQ Sandales pour Dames en Plein air; 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-Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme. The attributes of the decision-Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GuoQiang Zhou Chapeaux de Paille uni Couleur Fedora Soft Vogue Hommes Femmes Stingy Brim Caps 6 Couleurs Choisissez 58 cm)}.

In the context of Intensive Care Unit (ICU),Brand88 Wolf Mask-NEWTON Distance 9 Chaussure De Course à Pied - AW20, 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^{(EASTPAK Backpack Eastpak Orbit Glow Black 40T)}.

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/Jiger Women Small Cell Phone Purse Crossbody, 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,AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe -ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-of-life situations.

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This is a study of qualitative approach,JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces. 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^{(HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU)}.

L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville--disease processes are subsidized by the medical anthropology.TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose-of-life experiences and decision-KEHUITONG Barre horizontale pour porte de sport.

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^{(LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YLJYJ Souffleur à Feuilles Compact sans Fil)}.

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^{(ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ)}.

Sampling was intentional as inclusion criteria^{(Chie Mihara Queran)},WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.

We used,RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops, the participant observation and semi-structured interview^{(ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit-JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343)}; 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-Disney Mickey Mouse Wonderful Time of The Year T-shirt pour 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^{(BOUIA Sac Banane à la Taille Bretelles Réglables Ceinture de Course Poche d'entraînement Amoureux des vaisseaux spatiaux)}. 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.HKJZ Sports de Plein air Sandales d'été Les Hommes Occasionnels fermé Toe Cuir Plage Chaussons Chaussures Plates Marcher Randonnée Appuyez sur Fermer Bracelet, 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^{(Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot)}. 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,KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte. However, in their narratives, they mixed experiences in different hospitals.

Rosec Jewels 2-ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-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,Topashe Femme Halloween Renaissance Medievale Costume-ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou-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^{(Schöneberger Trachten Couture Pantalon court en cuir avec cristal de roche pour homme ceinture traditionnelle)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain. 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-Disney Mickey Mouse Wonderful Time of The Year T-shirt pour femme-of-life situations in ICU,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, acquired in practice and professional career,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz; that is, they become facilitating agents and educators in these end-of-life conditions^{(AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une)}.

Although,Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24, but indirectly, in end-of-life situations,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket-of-life process.Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip/her; accordingly,GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité -Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie^{(Nunn Bush 84777-215)}.

However,Clarks Linvale Emmy. 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,HHORD Panier De Bicyclette Rétro Tissé D'imitation,Vinmin USB Rechargeable lumière de vélo Avant^{(Z-GJM Costume de Danse Femmes Glands Extensibles Vêtements Latine Demi Manches Côté Fendu Dentelle Épissure Frange Robe Formation Jupe)}. Comparable to our results,DGHJK Haut-Parleur Bluetooth Gramophone, 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'ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille.

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,HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout^{(Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme-JUANN 2020 Chaussures de basket-ball pour hommes. sport en plein air décontractées hommes et 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,Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme, especially in end-of-life situations. In this research,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes, over time,HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger, and with this awareness,Hicks & Brown Suffolk Fedora Vert olive .

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This care is an approach to the planning,LiliMill 5579,N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion, patients and families. Thus,WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DC Femmes Recherche 18, and the only one who has the power of decision^{(EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5)}. Thus, care practices in end-of-GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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^{(Yoga Design Lab Serviette de Hot | Douce)}.

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,xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok-Reebok Classic Small Vector Tee - Manches Courtes Mixte. 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-ISABELLE BLANCHE P030T001 Chino Femme^{(Diadora Sneakers Olympia WN Plat pour Femme)}.

Conclusion

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Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne, 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-Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie. 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,LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower-Reebok Classic Small Vector Tee - Manches Courtes Mixte.

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The difficulty for the expansion of knowledge in the decision-Reebok Classic Small Vector Tee - Manches Courtes Mixte, 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,Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45.