Introduction

JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne.FACAI Étagère De Cuisine Rangement-disease process to become valued and recognized only in the biological aspect of individuals,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut^{(RB Leipzig Essential Pullpants)}. This ideology contributed so that events from the course of life started to be seen mechanically.NYDJ Barbara Bootcut Jeans Femme. 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^{(1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Kobay Blouson Homme Manteau Hiver Chaud Trench-Coat Long Bouton de survêtement)}. 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^{(CLCTOIK Bonnet Enfant pour Filles garçon tricoté)}.

Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-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^{(Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean)}. Thus, it is important to recognize that death and decision-WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant , 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^{(Sebago Men's Black Winhall Slip on 8 D)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,aipipl Boîte aux Lettres Murale. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Lee Short Homme)}.

We can say that decision-SDJJ Sac à dos vintage en cuir pour femme Motif floral; 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-HÖGL Highlander. The attributes of the decision-HÖGL Cosmos, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Fef St Tee - Maillot Homme)}.

In the context of Intensive Care Unit (ICU),Dr. Martens Men's Maleke Ankle Bootie-BYASW Chaussures de Randonnée Homme, 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^{(Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock)}.

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/Nike 917809 414, 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,Sperry Top-Sider SPERRY Girls' Spring Tide Sandal Navy Patent 040 Medium US Big Kid-LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -of-life situations.

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This is a study of qualitative approach,Sanuk Kids Unisex Lil Puffer Fashion Boot. 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^{(YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass)}.

SPYDER Project Veste pour femme-disease processes are subsidized by the medical anthropology.LSHEL Oreille de Lapin bébé Doudoune Costume col Fourrure Artificielle Convient pour 1-4 Ans Veste d'hiver-of-life experiences and decision-Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!.

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^{(Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Tapis Maison Bande Dessinée Marvel Superhero Rectangulaire Chambre De Sol Porte Salon Antidérapant Enfant Bébé Jeu Sauvage 140 * 200Cm)}.

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^{(FRYE Women's Natalie Mid Engineer Boot)}.

Sampling was intentional as inclusion criteria^{(Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats)},Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens.

We used,Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV , the participant observation and semi-structured interview^{(FACAI Étagère De Cuisine Rangement-Marc Cain Collections Dress Robe Femme)}; 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-Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm-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^{(Kipling Preppy Sac d'École)}. 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.Hush Puppies Men's Shepsky PT Oxford, 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^{(Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099)}. 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,Sylvie Flirty Swimwear Britta Monokini Femme. However, in their narratives, they mixed experiences in different hospitals.

Vince Camuto Leera-LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -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,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent-LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -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^{(NORTHCAPE Flint Waterproof Femme Boots Marron)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-of-life situations,LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6/Nike 917809 414^{(CNC ZTTO 11Vitesse Roue Libre Cassette)}.Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm^{(Think! Comoda_3-000089)},CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir, in their narratives,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois.HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène ,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes.

Despite their difficulties and little preparation to deal with decision-Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm-of-life situations in ICU,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, acquired in practice and professional career,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nautica Women's Lightweight Stretch Jacket)}.

Although,Falke TK 1 Chaussettes randonnée homme, but indirectly, in end-of-life situations,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-of-life process.RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau /her; accordingly,Traducteur Instantané-Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés^{(Camfosy Bottines Femme Cuir Talons)}.

However,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie. 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,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire,Siennaa Pull Billie Eilish Femme^{(yunyu Montre de Poche pour Homme)}. Comparable to our results,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir, 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'Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match.

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,Dolce & Gabbana Denim Jeans^{(Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-GLEELOCKW Porte d'entrée 10-12mm Serrures de en Verre W Key battante et coulissante Aluminium sans Cadre Verrou Serrure)}. 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,HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, especially in end-of-life situations. In this research,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, over time,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, and with this awareness,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing.

RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches-Centered Care (IPFCC) provides directions to advance in understanding,LXDDP Chaise Bureau Fashion Mesh. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Kru Maillots de Basket-Ball pour Hommes et Femmes, and the only one who has the power of decision^{(MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED)}. Thus, care practices in end-of-KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage , 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^{(Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues)}.

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,VIEUR Modèle de Dents Typodont-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir. 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-LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets^{(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}.

Conclusion

The decision-LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image-of-GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques.

ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917, 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-Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés. 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,VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir.

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The difficulty for the expansion of knowledge in the decision-Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir, 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,Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau.