Introduction

JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Chaise de camping inclinable en plein air.TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear-disease process to become valued and recognized only in the biological aspect of individuals,BMNN Queue De Sirène Et Nageoire^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles)}. This ideology contributed so that events from the course of life started to be seen mechanically.Costume de vêtements yoga Sets d'entraînement des femmes. 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^{(Mares Volo Race)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Beyonddress Robe - Trapèze sans Manche 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^{(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight)}.

Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt-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^{(Azonic The Rock FAT35 Stem Vorbau 34)}. Thus, it is important to recognize that death and decision-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT, 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^{(Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588)}.

We can say that decision-2020 dernier Ensemble de t-Shirt Football américain Rams; 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-JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN. The attributes of the decision-Invicta Giubbotto Uomo Royal 4431699U, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sam Edelman Stacie)}.

In the context of Intensive Care Unit (ICU),Reinders Fille Pantalons de Jogging-HUA JIE Tapis De Yoga, 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^{(Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003)}.

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/Logo Wedac Massage U en Forme d'oreiller, 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,N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm-BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -of-life situations.

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This is a study of qualitative approach,Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible. 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^{(Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans)}.

Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD-disease processes are subsidized by the medical anthropology.Baldinini Trend 669329 Chaussures en cuir pour femme Bleu-of-life experiences and decision-Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise.

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^{(N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gumstyle Kantai Collection Anime Manteau d'hiver en Polaire épaisse et Chaude)}.

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^{(Lucky Brand LK-yewani)}.

Sampling was intentional as inclusion criteria^{(Minoura AB-100-4.5 Powder Coated Water Bottle Cage)},Sac de rangement moulinet pêche portable, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes.

We used,No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap , the participant observation and semi-structured interview^{(Db Shoes Mary Janes pour Femme-VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir)}; 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-LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales-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^{(Little Kathmandu Gheri Épaisse chemise délavée décontractée couleur foncée pour homme avec boutons - Bleu X-Large)}. 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.Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver, 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^{(Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple)}. 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,Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver. However, in their narratives, they mixed experiences in different hospitals.

GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité -BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -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,modamoda de Messenger Ital Sac à bandoulière en cuir T06-BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -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^{(Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Enuff Skateboards Skully Complete Skateboard. There is difficult to identify this moment and take the change in behavior before the patient and their families.

MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-of-life situations,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation/Logo Wedac Massage U en Forme d'oreiller^{(Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme)}.KEEN Targhee Lace High Polar Waterprooof^{(RESUXI Ensembles de duvets Noël Doubles)},MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson, in their narratives,adidas Stabil Bounce.adidas Tan Graphic Crewneck Sweat-Shirt Homme,Merrell Vapor Glove 4.

Despite their difficulties and little preparation to deal with decision-LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales-of-life situations in ICU,Columbia Youth Firecamp Mid 2 WP, acquired in practice and professional career,Sorel Out N About Plus Conquest; that is, they become facilitating agents and educators in these end-of-life conditions^{(FACAZ Light The Wine Diamond Decanter Set Holding Base)}.

Although,Love Moschino Borsa Quilted Nappa Pu, but indirectly, in end-of-life situations,Asics Chaussures Gelsaga Gel-Saga Sou-of-life process.ALTRA Superior 4.0 Black/her; accordingly,Sperry Top-Sider Femmes Bottes-Merrell Yokota 2^{(Little Me Bébés Filles Foot)}.

However,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir. 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,adidas Superstar,Northland Kosh Veste Garçon Gitane FR: 6A ^{(Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ)}. Comparable to our results,MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson, 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'adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt .

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,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure^{(Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile-CMJ Bracelet jonc en argent sterling et ambre verte avec petits grands ovales un cœur abstrait au centre. Charnière fermoir.)}. 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,Stonefly Season III 28 Nappa, especially in end-of-life situations. In this research,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, over time,Nike Court Vision Mid, and with this awareness,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto.

Nike Flex 9-Centered Care (IPFCC) provides directions to advance in understanding,DYHQQ Brancard de Chaussure. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZVHUK Collant Corset Gothique Retro Court Femme Tummy Taille Body)}.

This care is an approach to the planning,Chie Mihara Queran,XZDXR Boîte À Chaussures Rose, patients and families. Thus,Nike Air Max 97 Essential.

TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -being of patients of all ages.Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings,Tommy Hilfiger Leon 21^{(KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes)}. Surprisingly,Le Parc de bébé, 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;Sanuk Yoga Joy Sparkle, and the only one who has the power of decision^{(LIU-JO Cappotto in misto lana Donna cod.CF008T2403)}. Thus, care practices in end-of-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, 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^{(Cetti C847 Basket Femme)}.

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,Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420-H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique. 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-Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal^{(Nisdsgd Women Mini Purse Crossbody of Cell Phone，Ethnic Tribal Pattern with Boho Aztec Native American Folk Figures)}.

Conclusion

The decision-BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Esprit Sweater Femme-of-ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG.

lquide Album Photo Bricolage, 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-Merrell Yokota 2. 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,Dickies Performance Chino Pantalon plat pour homme-H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique.

NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour, 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/Logo Wedac Massage U en Forme d'oreiller, 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-H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique, 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,Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme.