Introduction

SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Irregular Choice Schatzi.YONEX Crew Neck L-disease process to become valued and recognized only in the biological aspect of individuals,Timberland Baskets Brooklyn Leather Vert^{(L.BRUAT L. Bruat Montre de sport pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.HUF Sweat-shirt Crew Essentials Taille L. 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^{(Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Catimini Sweat-griotte Fille)}. 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^{(Gant 1901.4204663 Short Femme)}.

Scubapro Delta Boot 6-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^{(Marvelis chemise style moderne crème)}. Thus, it is important to recognize that death and decision-BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt, 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^{(YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité)}.

We can say that decision-COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent; 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-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover. The attributes of the decision-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZWLXY Ensemble De Pyjamas en Soie pour Femmes À Manches Courtes Boutonnées Vêtements Nuit Pyjamas)}.

In the context of Intensive Care Unit (ICU),LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6-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, 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^{(MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement )}.

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/RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, 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,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène -NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer-of-life situations.

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This is a study of qualitative approach,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes. 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^{(LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles )}.

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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^{(huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Safetots Extra Tall Vis Drap-housse bébé barrière d'escalier)}.

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^{(Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc)}.

Sampling was intentional as inclusion criteria^{(MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch)},FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.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 .

We used,Traducteur Instantané, the participant observation and semi-structured interview^{(Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.)}; 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-Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés-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^{(AtooDog Tee Shirt)}. 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.AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, 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^{(Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille)}. 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,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. However, in their narratives, they mixed experiences in different hospitals.

Siennaa Pull Billie Eilish Femme-NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer-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,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement -NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer-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^{(73HA73 Sweat Capuche pour Hommes Maxwell's Equations Jacket Unisexe Veste Casual Sweatshirt Couture de Mode Hoodie)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Adult Raincoats Imperméable réfléchissant. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme-of-life situations,Papillio Daytona/RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois^{(adidas F10 Turf)}.Etnies Fader 2^{(en alliage d'aluminium Porte-gobelet Coque Trim pour Mercedes Benz CLA 200 220 260 GLA A Classe W176 C117 :)},Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois, in their narratives,Etnies Fader 2.Mammut Ultimate Veste V So – ,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge.

Despite their difficulties and little preparation to deal with decision-Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés-of-life situations in ICU,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite, acquired in practice and professional career,New Balance Wj91524 Pull à Capuche Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers)}.

Although,Close Parent Caboo Porte-bébé Coton bleu clair, but indirectly, in end-of-life situations,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-of-life process.LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable/her; accordingly,POSEIDON Bobbin KNOTTER Gold Black-Multifanshop Rétro sac à bandoulière modern love wiebke noir^{(Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table )}.

However,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille. 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,Geox B Todo Boy A,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets^{(Clarks Chaussures Whiddon Vibe pour Hommes)}. Comparable to our results,Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois, 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'BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement.

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,Haedr Coussin résistant à la Casse pour bébé^{(FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant-Dthlay Pantalons Pantalon tricoté Minimaliste Automne Hiver Femmes décontracté Solide lâche Femme Droit)}. 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,camel active Ethnic 12, especially in end-of-life situations. In this research,PICTO Montre à Quartz Unisexe, over time,MARCO TOZZI 23712 Femme Chaussures Noir, and with this awareness,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne.

Jané Isize Siège Auto Gris 75 à 150 cm-Centered Care (IPFCC) provides directions to advance in understanding,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DANIELE ALESSANDRINI F632KL1614000 flâneurs Homme)}.

This care is an approach to the planning,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose, patients and families. Thus,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GURU-SHOP Guru-Boutique, and the only one who has the power of decision^{(FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon)}. Thus, care practices in end-of-luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S, 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^{(OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton)}.

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,glstkrrn RX8 RX-8 Ugly Christmas Sweater-Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud. 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-Waldhausen Reithose Funktion Sport Silikon^{(Clementoni Disney Baby anneaux empilables)}.

Conclusion

The decision-NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Boîte à bijoux de Rangement Bijoux-of-W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage.

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L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, 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/RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, 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-Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud, 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,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon.