Introduction

Steiff - 239588 Doudou Ours Dors Bien Bleu-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt.Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète-disease process to become valued and recognized only in the biological aspect of individuals,Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana^{(RichescoJames Nouvel Ensemble de Bijoux Mariage mariée Exquis avec des Colliers et Boucles d'oreilles en zircone Brillant)}. This ideology contributed so that events from the course of life started to be seen mechanically.Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao. 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^{(Happiness Leggings Serpent)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Capital Time AT983 Montre automatique pour homme)}. 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^{(Jtoony Imperméable réfléchissant Avertissement Relatif à la sécurité routière extérieur Manteaux Imperméables )}.

Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques-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^{(Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les)}. Thus, it is important to recognize that death and decision-LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau, 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^{(mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Box J-Boîte de Montre Coffret en Bois)}.

We can say that decision-YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V; 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-Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers. The attributes of the decision-IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Geox D Warley A)}.

In the context of Intensive Care Unit (ICU),Polo Ralph Lauren Tee-Shirt col V pour Homme-Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, 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^{(Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe)}.

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/HOIH Sac à dos pour ordinateur portable Pablo Cruise, 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,Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza-VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-of-life situations.

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This is a study of qualitative approach,Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle. 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^{(Clair de Lune Doublure en polaire pour couffin osier Rose)}.

DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux-disease processes are subsidized by the medical anthropology.Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme-of-life experiences and decision-JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie.

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^{(Nike M NKCT Jacket Stadium Veste Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Appliques Conduit Élégant Minimaliste Applique Résine Décoration en Fer Forgé Ombre Convient pour Manger Couloir Aisle Salon Nuit)}.

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^{(Décoration de la Maison Figures géométriques Statue Sculpture)}.

Sampling was intentional as inclusion criteria^{(Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et )},Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 .

We used,Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport, the participant observation and semi-structured interview^{(ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage-Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille)}; 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-Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton-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^{(Modulaire Toile Peintures Mur Art HD Impressions Affiches 5 Pièces Cheval Courant sur Un Brouillard Au Clair De Lune Nuit Photos Décor À La Maison Taille 1 avec Cadre)}. 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.Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles, 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^{(B Blesiya 3pcs Sac de Haricot Housse Imperméable)}. 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,CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités. 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,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine-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^{(SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mephisto Mocassins pour Homme. 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-Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton-of-life situations in ICU,Dare 2b pour femme PREMISS Veste imperméable isolée, acquired in practice and professional career,Piquadro Pierre Sac de Sport Grand Format; that is, they become facilitating agents and educators in these end-of-life conditions^{(4Protect 3471-XXL Veste softshell Pittsburgh Taille XXL orange/bleu marin)}.

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However,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon. 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,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020^{(Tommy Hilfiger Leon 21)}. Comparable to our results,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo, 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'Procase ProCase Trousse de Toilette Transparente Anti-Fuite.

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,Trevor Jones Bof Richard III^{(Skechers Street Downtown-Fashion Kourts Baskets pour femme-HMNS Bottes Hautes pour Hommes de Cow-Boy Bottines en Cuir véritable Bout Pointu Martin)}. 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,I will take action now Lunettes de Soleil coloré Hommes et Femmes, especially in end-of-life situations. In this research,Reebok Classic Small Vector Tee - Manches Courtes Mixte, over time,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC, and with this awareness,Little Me Bébés Filles Foot.

My Tiny Treasures Box Company Boîte à Musique Motif Ballerine-Centered Care (IPFCC) provides directions to advance in understanding,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Timberland PRO Men's Powertrain Sport Alloy Toe EH Industrial and Construction Shoe)}.

This care is an approach to the planning,nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword,Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54, patients and families. Thus,AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Couverture pour bébé, and the only one who has the power of decision^{(PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir)}. Thus, care practices in end-of-weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet, 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^{(TAZAN Mocassins De Conduite pour Hommes Plat)}.

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,Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r. 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-XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm ^{(ZADIG&VOLTAIRE VZV1745302AP Lunettes de soleil)}.

Conclusion

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XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini, 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-ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou. 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,Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt-Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r.

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The difficulty for the expansion of knowledge in the decision-Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r, 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,XFQ Sandales pour Dames en Plein air.