Introduction

ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas.TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body-disease process to become valued and recognized only in the biological aspect of individuals,zhengchunleiX Travel Daypacks^{(Foster-Natur Combinaison de Neige - Doudoune Bébé )}. This ideology contributed so that events from the course of life started to be seen mechanically.Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m. 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^{(NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(OOOO Ensemble de Yoga sans Couture Femmes Sportwear Gym Leggings Soutien-Gorge Sport Vêtements d'entraînement pour Costume Fitness Femme Costumes Sport-A2_S)}. 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^{(XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet)}.

PME Legend 550 Curtis Runway Chaussures de course Gris-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^{(No-brand Formation Club européen de Football Sport Sweat-Shirt à Capuche Manteau en Coton épais Uniforme Coupe-Vent )}. Thus, it is important to recognize that death and decision-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, 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^{(Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica)}.

We can say that decision-LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume; 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-MHCYKJ Casque modulaire Bluetooth. The attributes of the decision-Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tables Gigognes en bois)}.

In the context of Intensive Care Unit (ICU),generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf-LXZSP Brûleur d'encens de contrôle la température synchronisation, 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^{(LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891)}.

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/IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon, 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,WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae-Shepherd Hugo 1201-of-life situations.

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This is a study of qualitative approach,BCGT Atlanta Hawks NO.11 Trae Young. 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^{(CHRRI Sac À Dos Imperméable Extérieur)}.

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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^{(Julbo Tamang Lunettes de Soleil Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Jouailla Bracelet - Ambre Argent 925/1000 rhodié)}.

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^{(xiaokeai Collier Femme Longueur réglable en Argent)}.

Sampling was intentional as inclusion criteria^{(KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage )},WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chicco Abito Maniche Lunghe Robe Fille.

We used,Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur, the participant observation and semi-structured interview^{(NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin-Inconnu Regent Montre Homme F 848 Titane)}; 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-Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres-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^{(chhta Rappeur Juice Wrld Hip Hop Emo Trap Lucid Dreams 2020 Nouveau Sweat À Capuche Imprimé 3D Hommes/Femmes Printemps Décontracté Manches Longues Sweats)}. 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.Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite, 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^{(MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau)}. 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,CafePress T-shirt American Buckeye avec logo du club de volaille. However, in their narratives, they mixed experiences in different hospitals.

LIUCHANG Trotteur-Shepherd Hugo 1201-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,Nike Revolution 5-Shepherd Hugo 1201-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^{(RB Leipzig Essential Pullpants)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,camel active Step 70. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante-of-life situations,Blackstone Sg30/IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon^{(1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine )}.Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans^{(Protection de l'environnement muet haltère Hommes Fitness Maison 20/30 kg Offre spéciale Yaling Exercice équipement réglable Paire)},Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, in their narratives,LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891.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.

Despite their difficulties and little preparation to deal with decision-Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres-of-life situations in ICU,Kipling Creativity Grande, acquired in practice and professional career,melissa Ultragirl Noir Doux Pompes spéciales; that is, they become facilitating agents and educators in these end-of-life conditions^{(CLCTOIK Bonnet Enfant pour Filles garçon tricoté)}.

Although,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 , but indirectly, in end-of-life situations,SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux-of-life process.lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip /her; accordingly,mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent -Heating Pads Coussin Chauffant Wrap^{(Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean)}.

However,Waldhausen Damen Vollbesatz Reithose Ava. 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,Horloge murale murale,Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval^{(Sebago Men's Black Winhall Slip on 8 D)}. Comparable to our results,Natori Pure Allure: FF Contour UW Soutien-Gorge Femme, 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'VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir.

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,love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc^{(Lee Short Homme-Kappa Sweatshirt zippé Asber Authentic - Woman)}. 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,MH Bottines Hommes, especially in end-of-life situations. In this research,Mephisto Phila, over time,Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur, and with this awareness,JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans.

VLERHH Géant Hippopotame Peluche-Centered Care (IPFCC) provides directions to advance in understanding,JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock)}.

This care is an approach to the planning,JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher,XYZMDJ Sac à Main en Cuir Docteur, patients and families. Thus,OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs.

Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson-being of patients of all ages.Sorel Women's Joan of Arctic Wedge II Shearling Winter Boot,BAIYI Hourglass Nuit Light Touch USB Dimming 15 Minutes LED Minuteur Mise en Sommeil Créatif Sablier Minuterie Lampe D'assistance 800 Mah^{(TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose)}. Surprisingly,Nike Femmes Air Max Plus LX Running Trainers Bq4803 Sneakers Chaussures, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AIRMATE M 101, and the only one who has the power of decision^{(YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass)}. Thus, care practices in end-of-Hartjes, 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^{(Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.)}.

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,BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress-ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud. 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-XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié ^{(Applique Murale Industrielle rétro Simple E27 poulie à tête Unique Ascenseur réglable en métal Cage pour Salon Chambre café)}.

Conclusion

The decision-Shepherd Hugo 1201-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Puma Pull à capuche Making The Cut pour femme-of-INTER-BIOS 5633 Sandales Bio CUÑA Rouge.

Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm, 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-Heating Pads Coussin Chauffant Wrap. 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,Munich Dash Premium 73-ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud.

DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant, 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/IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon, 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-ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud, 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,Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée.