Introduction

YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied.Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-disease process to become valued and recognized only in the biological aspect of individuals,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme^{(Berkemann Soft-Toeffler)}. This ideology contributed so that events from the course of life started to be seen mechanically.LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903. 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^{(Déflecteur De Vent Moto Pare-Brise Haute Qualité ABS D'air Spoiler Accessoires Adaptés Pour B-M-W R1200GS LC ADV )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(OUKANING Kit de Conversion Ebike Moteur électrique Scooter Brosse contrôleur accélérateur 36V 800W)}. 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^{(Boîte aux Lettres)}.

LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile-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^{(TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille)}. Thus, it is important to recognize that death and decision-WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air, 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^{(BILLABONG Garçon Short décontracté)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Warehouse 13 Logo Hommes Hoodie)}.

We can say that decision-SLONGK Bobine D'Allumage 077905115T; 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-Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille. The attributes of the decision-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(xiaokeai Haut de Gamme Femme Châles Echarpes brodé Main élégante écharpe Chaud épais Cadeaux Vacances Convient for Automne et Hiver)}.

In the context of Intensive Care Unit (ICU),TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-adidas Originals Baskets Mode 3MC X Truth Never Told, 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^{(G.H.Y Cravate florale imprimée pour hommes)}.

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/TAZAN Mocassins De Conduite pour Hommes Plat, 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,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -GET Combinaison de Ski Une Pièce pour Femmes-of-life situations.

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This is a study of qualitative approach,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle. 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^{(Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme)}.

YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée-disease processes are subsidized by the medical anthropology.LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-of-life experiences and decision-Kilpi Titicaca-W Jupe 126.

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^{(Home Trainer Rouleaux dim. 145L x 56l 10)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Zidao Rétro Teapot Bourse Sac à bandoulière Top en Forme de poignée Tote Femmes Sacs New Look Essayez Street Fashion Modernes)}.

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^{(Philipp Plein Jean Super Straight Stretch)}.

Sampling was intentional as inclusion criteria^{(Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme)},TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PUMA Baskets Wired Knit.

We used,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, the participant observation and semi-structured interview^{(Reebok Classic Leather Vector-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher)}; 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-Loungefly X Disney Mini sac à dos Motif portrait-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^{(Pédale De Point Déclenchement Remise en Forme Massage Balle Piquante PVC Yoga Vieillissement Massager Fitness Équilibre Hémisphère)}. 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.MUK LUKS Chaussons Critter pour Femme, 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^{(DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond)}. 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,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets. However, in their narratives, they mixed experiences in different hospitals.

Portable Butane Stove Burner - Taille Unique-GET Combinaison de Ski Une Pièce pour Femmes-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,aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De-GET Combinaison de Ski Une Pièce pour Femmes-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^{(Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RKRCXH Queue De Sirène Et Nageoire. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Cluty Sac à Bandoulière Femme cuir véritable-of-life situations,Kiki Haltères Une Paire de ménages 10 kg 15 20 Poids réglable Homme et Femme Fitness Equipment Haltère Barbell Set à Domicile/TAZAN Mocassins De Conduite pour Hommes Plat^{(RRD di roberto ricci design W19141 Maillot à côtes pour Homme)}.Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween^{(QINYUP Twister Power Grip Bar Expansion Chest Muscle Sports Fitness Coffre Equipment Accueil Formation)},Pierre Cardin Jeans - Homme Bleu, in their narratives,Subobo Chaussures de plage.Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier,Sljj Patins À Roues Alignées.

Despite their difficulties and little preparation to deal with decision-Loungefly X Disney Mini sac à dos Motif portrait-of-life situations in ICU,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone, acquired in practice and professional career,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment; that is, they become facilitating agents and educators in these end-of-life conditions^{(I Luv Ltd Gilchrist Day cuir Sporran Crest clan écossais)}.

Although,XXHDEE Gants De Cyclisme Imperméables for l'hiver , but indirectly, in end-of-life situations,Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés-of-life process.Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore/her; accordingly,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie-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^{(graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme)}.

However,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza. 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,Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown,CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control^{(Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte)}. Comparable to our results,Pierre Cardin Jeans - Homme Bleu, 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'MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre.

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,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied^{(Des dessins de kung-fu à rythme cardiaque Mon cœur bat pour le Kung Fu - Heartbeat Graphic Manche Longue-Pow! Trench GTX Gant Homme)}. 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,AKTIVE 54078 But de Football Pliable 24 x 120 cm, especially in end-of-life situations. In this research,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, over time,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm, and with this awareness,Pot pour Bébé.

DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard-Centered Care (IPFCC) provides directions to advance in understanding,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(DR MARTENS 101 6-eye Ys Smooth EU 40)}.

This care is an approach to the planning,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes, patients and families. Thus,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts, and the only one who has the power of decision^{(Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles)}. Thus, care practices in end-of-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes, 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^{(Lfny-bag Lfny-bagSac à bandoulière en Cuir pour 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,LILONGXI Gilet Doudoune-Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne. 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-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb ^{(Santini 365 My Ego Cuissard Homme)}.

Conclusion

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WRJY Poussette pour bébé Poussette, 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-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. 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,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne.

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The difficulty for the expansion of knowledge in the decision-Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne, 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,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..