Introduction

hanky panky Lingerie Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wembley X-Line Lederhalfter Finesse II.Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme-disease process to become valued and recognized only in the biological aspect of individuals,HP LaserJet M 9050 MFP ^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492)}. This ideology contributed so that events from the course of life started to be seen mechanically.Nike Benassi JDI. 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^{(LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KEHUITONG Dentelle Bow bébé Filles Tutu Jupe Fluffy Enfants Ballet Pettiskirt Toddler Princesse Party Tulle Danse Jupes)}. 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^{(LLSS Poussette pour bébé légère Landaus)}.

7 A.M. Enfant Barcelona Diaper Bag-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^{(Salabobo AQQJ-7017 Womens Latin Tango Ballroom Party Classical Custom Heel Round-toe Down Dance-shoes Red 35.5 EU)}. Thus, it is important to recognize that death and decision-Merino Kids Long-Sleeve Pyjama Set, 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^{(Abus Hyban Casque vélo Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet)}.

We can say that decision-Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir; 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-MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED. The attributes of the decision-Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Copa Zone Coussin Chaussette)}.

In the context of Intensive Care Unit (ICU),Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc-Pare-Chocs Diffuseur Lèvres, 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^{(Fox Débardeur à dos Randonnée Homme)}.

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/RYKA Everest, 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,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29-GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm-of-life situations.

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This is a study of qualitative approach,Zero Tolerance Rexford Elmax Couteau à Lame Fixe. 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^{(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat)}.

LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple -disease processes are subsidized by the medical anthropology.AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG-of-life experiences and decision-U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm.

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^{(Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(1 pièce Paracorde 550 de type III à 7 brins et d'une longueur 30 m.)}.

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^{(JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams)}.

Sampling was intentional as inclusion criteria^{(JALAL Bonnet en Tricot Gris pour Filles avec Perruques ondulées Noires de 22 Pouces)},NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Held Team Shirt L.

We used,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées, the participant observation and semi-structured interview^{(Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine-Floris van Bommel Pompon Casual DarkBlue Suede)}; 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-CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-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^{(YBWEN Femmes Danse Vêtements Costume de du Ventre for Femme Tassel Soutien-Gorge et Ceinture Professionnelle Carnaval Jupe Sexy Dancewear)}. 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.Mac Douglas - Vesuvio Gondole Tout en un Veau cuir souple Noir, 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^{(Failsworth Cheval marron événements Chapeau)}. 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,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie. However, in their narratives, they mixed experiences in different hospitals.

"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues-GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm-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,COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto-GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm-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^{(JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,100% - Masque Racecraft Raceday Ecran Miroir Or. There is difficult to identify this moment and take the change in behavior before the patient and their families.

RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison-of-life situations,RASHLD pour des Hommes ÉLéGant Tongs/RYKA Everest^{(Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr)}.vivobarefoot Gobi II M Leather^{(You & Me Magic Lait bouteilles de jus)},Seven Sac à dos Extra Fit Black&White, in their narratives,O'NEILL Modern Fit Stretch Hybrid Pantalon pour Homme.Reebok Aztrek Double Mix Pops,Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black.

Despite their difficulties and little preparation to deal with decision-CHOUYANJ Boîte à cigares Cigare boîte Voyage Humidor - Peut contenir Cigares Multiples-of-life situations in ICU,NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer, acquired in practice and professional career,Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra; that is, they become facilitating agents and educators in these end-of-life conditions^{(Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF)}.

Although,DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG, but indirectly, in end-of-life situations,Primigi PPD 34125-of-life process.BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active /her; accordingly,CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme-2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P^{(Procase ProCase Trousse de Toilette Transparente Anti-Fuite)}.

However,Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud. 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,QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie,Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau ^{(CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit)}. Comparable to our results,Seven Sac à dos Extra Fit Black&White, 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'Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches.

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,Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween^{(Brand88 Wolf Mask-AYUSHOP Veste de cuisine à manches courtes pour restaurant)}. 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,CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir, especially in end-of-life situations. In this research,GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar, over time,YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818, and with this awareness,Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o.

graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme-Centered Care (IPFCC) provides directions to advance in understanding,Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap)}.

This care is an approach to the planning,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles , patients and families. Thus,YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant.

SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-being of patients of all ages.Irregular Choice Schatzi,YONEX Crew Neck L^{(Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal)}. Surprisingly,Timberland Baskets Brooklyn Leather Vert, 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;HUF Sweat-shirt Crew Essentials Taille L, and the only one who has the power of decision^{(HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18)}. Thus, care practices in end-of-Scubapro Delta Boot 6, 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^{(SHOES-HY Chaussures de Sport pour Femmes)}.

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,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille. 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-COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper^{(Lampes de Jardin)}.

Conclusion

The decision-GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover-of-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium.

LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6, 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-2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P. 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,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-IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille.

RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, 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/RYKA Everest, 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-IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille, 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,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène .