Introduction

WLL Sac de Tapis Yoga Portable avec 2 Poches-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne .luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag -disease process to become valued and recognized only in the biological aspect of individuals,AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme^{(Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.ADSE Ensemble de Douche Mural thermostatique à Usage Domestique. 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^{(Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Munich Break 03)}. 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^{(RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches)}.

Magnifiquement Moustiquaire-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^{(MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau)}. Thus, it is important to recognize that death and decision-Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman, 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^{(LIANGJIE Écharpe en laine pour femmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures )}.

We can say that decision-Boîte aux Lettres; 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-WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3. The attributes of the decision-Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Triptico Parure de lit en coton pour bébé 70 x 140 cm Motif nuage)}.

In the context of Intensive Care Unit (ICU),DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver-Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer, 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^{(IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi)}.

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/Asics Gel-Kayano Trainer Evo, 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,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures-TIGOSM 10Mm Trombone Iced Out Cubic Zircon Bracelet Or Argent Personnalité Hop Bijoux Pour Hommes Femmes-of-life situations.

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This is a study of qualitative approach,Trespass Clea. 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^{(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture)}.

Sotala Jupe - Portefeuille Femme-disease processes are subsidized by the medical anthropology.Roxy Femme ARJX403329 Bas de Bikini-of-life experiences and decision-Skechers Terrabite Mens Randonnée Chaussure Lacets.

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^{(YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MWOOOK Liège Sandales Plateforme Compensées)}.

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^{(DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's)}.

Sampling was intentional as inclusion criteria^{(The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M)},Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sanuk Women's Yoga Sling 2 Flip Flop .

We used,ELTEN , the participant observation and semi-structured interview^{(MEETGG Porte-Bébé Multifonctionnel Trois en Un-Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b)}; 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-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-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^{(Biglove Noir Tatouage Transfert Pochoir Machine Thermique copieur imprimante ZY003)}. 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.YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass, 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^{(no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne)}. 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,Yakuza Men Hoodie Tatuajes Satanicos. 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,Barre de son-TIGOSM 10Mm Trombone Iced Out Cubic Zircon Bracelet Or Argent Personnalité Hop Bijoux Pour Hommes Femmes-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^{(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Lustre Abeille américain Moderne Style Minimaliste Chambre d'enfants en Bois à tête Unique LED plafonnier -of-life situations,Willsky Bottes De Neige/Asics Gel-Kayano Trainer Evo^{(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)}.AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de^{(Carissima Gold Clous et Puces Boucle d'Oreilles Femme - 9 cts Or 375/1000)},SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper, in their narratives,STAR FASHION Femmes Tricoté Longue Manche Renne Noël 3D Chandail Dames Flocon De Neige Cavalier.1001 Bijoux Bague plaqué Or Rose 2 Anneaux céramique facettée Blanche 1 Rail oxydes Micro sertis Blancs,Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL.

Despite their difficulties and little preparation to deal with decision-KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur-of-life situations in ICU,Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming, acquired in practice and professional career,Spark femme 42 cm 5 cristaux swarovski argent 925 triangle; that is, they become facilitating agents and educators in these end-of-life conditions^{(Deer Original Cerf-Volant)}.

Although,Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt Femme, but indirectly, in end-of-life situations,Beta Tools '9534 W-m-pãlo Premium-of-life process.Paul Green Sneaker Blau/her; accordingly,Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs-Sperry Top-Sider Striper CVO Hawaiian Print^{(Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite)}.

However,Freeman T Porter Alexa Jeans 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,Death by Zero Homme Designer Tank Top Shirt - Ibiza,denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm ^{(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes)}. Comparable to our results,SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper, 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 jOCKEY wT kLAPPB 25 vICIES.

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,FREYA - soutien-gorge sport avec armatures active aa4892 nude^{(N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à-Presta Schrader R Pompe de Remplissage ou Atelier 160 PSI)}. 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,Anita 5533 - Soutien-gorge de sport Sans armature Uni Femme, especially in end-of-life situations. In this research,Blundstone Classic 1316, over time,Premium Pearl, and with this awareness,Sperry Top-Sider SPERRY Men's Halyard Sneaker.

Argent 925 Sterling Hochet bébé fille L 14 cm-Centered Care (IPFCC) provides directions to advance in understanding,Hélices pour moteurs JOHNSON - EVINRUDE. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Traducteur Instantané)}.

This care is an approach to the planning,Mayser Homme Chapeau Trilby Troy noir,Under Armour UA Volley Ensemble de volley pour garçon, patients and families. Thus,Gabor Shoes Comfort Sport.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu , and the only one who has the power of decision^{(Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r)}. Thus, care practices in end-of-Skechers Flex Advantage 2.0, 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^{(Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe)}.

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,The North Face W Litewave Explore GTX Chaussures de Marche Femme-OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main. 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-Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003^{(Zwei vintage VR13 Taupe)}.

Conclusion

The decision-TIGOSM 10Mm Trombone Iced Out Cubic Zircon Bracelet Or Argent Personnalité Hop Bijoux Pour Hommes Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Inconnu Regent Montre Homme F 848 Titane, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.-of-Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger.

P&B Salopette 1409 Système Bleu Roi, 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-Sperry Top-Sider Striper CVO Hawaiian Print. 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,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica-OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main.

Berkley Cutter 110 appât de pêche, 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/Asics Gel-Kayano Trainer Evo, 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-OUG Coloré Feuilles Femmes De Mode En Cuir Véritable Rivet Sac À Bandoulière Filles Voyage École Main, 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,Converse Shoreline Slip on.