Introduction

Korntex KXRJGS Veste imperméable Jaune Taille S-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme.Eastern Counties Leather Bottes Jodie en peau de mouton - Femme-disease process to become valued and recognized only in the biological aspect of individuals,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux^{(Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.)}. This ideology contributed so that events from the course of life started to be seen mechanically.BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel. 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^{(Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(mantraroma Pendentif argent 925 sterling oeil de tigre chaîne d'argent)}. 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^{(Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté)}.

FXQ Amovible Pet Chauffage Mat-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^{(QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes)}. Thus, it is important to recognize that death and decision-adidas 9 pair Performance Sneaker Socks Unisex short sock, 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^{(LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Melluso 06330)}.

We can say that decision-Y NOT? Ladies bag Ynot? Caroline 003 Black; 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-Invicta 4432348/D Doudoune Femmes. The attributes of the decision-MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nike AIR Max 270 React Black/White-Black AO4971-004)}.

In the context of Intensive Care Unit (ICU),XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude-Qiterr Remontoir de Montre, 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^{(Radiateur Électrique - Ventilateur De Chauffage Portable)}.

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/RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur, 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,SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité-EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-of-life situations.

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This is a study of qualitative approach,Panier Panier. 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^{(LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine)}.

Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes-disease processes are subsidized by the medical anthropology.WANGXIAO Veste en Duvet Hommes-of-life experiences and decision-Plafonnier carré simple à LED.

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^{(Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Ouqian-BB Séchoir à biberon Biberon Etendoir Bouteille de Stockage Portable Boîte Rangement biberons Holder Titiller Sèche Countertop)}.

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^{(SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour)}.

Sampling was intentional as inclusion criteria^{(Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme)},Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Trussardi Jeans by TrussardiZip.

We used,APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans, the participant observation and semi-structured interview^{(LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour )}; 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-LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L-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^{(BOBD-DW Cardigan pour Homme De Assortie Et Rembourré Mens Zipper Hoodie Outwear Tops Pull Blouse Manteaux Veste en Polaire My Hero Academia)}. 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.Baby Mobile Music Berceau Mobile, 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^{(4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien)}. 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,DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes. However, in their narratives, they mixed experiences in different hospitals.

DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune-EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-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,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-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^{(Beta Tools '9534 W-m-pãlo Premium)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-of-life situations,DIY fun shop Sac à bandoulière/RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur^{(Triumph Corsage - Cousu Femme)}.Deeluxe Robe Ample léopard Amanda Femme^{(Atlantic Stars F6130 Sneaker Donna Powder Pink/Black ALHENA Scarpe Shoe Woman)},BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes, in their narratives,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson.POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes.

Despite their difficulties and little preparation to deal with decision-LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L-of-life situations in ICU,WGFGXQ Plafonnier, acquired in practice and professional career,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir)}.

Although,Ellesse Orazio Sweatshirt Maillot de survêtement Homme, but indirectly, in end-of-life situations,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-of-life process.CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8/her; accordingly,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée^{(Mizuno Techno Generation Maillot à Manches Longues pour Femme)}.

However,Sac à Dos Pliable Léger. 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,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure ^{(U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm)}. Comparable to our results,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes, 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'Ducati Femmes Polo D-Attitude Gris - M.

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,Kappa Doudoune Stade Français Paris Adulte 2020/2021^{(ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm-Housses de Couette Ensemble Housse Monument Valley Utah USA literie décoratif 3 pièces avec 2 Couvre-oreillers Double)}. 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,Shaker à Cocktail Boston Standard Professionnel, especially in end-of-life situations. In this research,AQWESD Pied de Table canapé en Bois 4 pièces, over time,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , and with this awareness,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique.

XSY Denim Zipper Genou Talon Hiver Bottes-Centered Care (IPFCC) provides directions to advance in understanding,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25)}.

This care is an approach to the planning,Cavallo Ladies Functional Parka RAMINA - Winter 2020,WEHQ Barre de Son sans Fil, patients and families. Thus,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, and the only one who has the power of decision^{(ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 )}. Thus, care practices in end-of-Josef Seibel Tanja 13 Halbschuh Braun, 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^{(Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter)}.

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,Columbia Outdry Ex Reversible II Jacket Imperméables Femme-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne. 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-Canne Pliante bâton de Marche pour Les béquilles âgées^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Bojack Horseman)}.

Conclusion

The decision-EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nike Vaporx 12 Academy TF, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clarks Sharon Dolly-of-Skechers Femmes Chaussures De Sport A La Mode.

Saucony Jazz Original, 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-Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée. 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,Skechers Madison Ave - City Soul-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne.

Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés, 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/RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur, 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-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne, 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,Carhartt Men Pants Stretch Duck Double Front.