Introduction

WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.Tentes à Tente rétractable de lit-disease process to become valued and recognized only in the biological aspect of individuals,adidas Originals Chaussures Junior Haiwee^{(DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ysswjzzzz Masque d'halloween. 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^{(MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(N\A Roue Abdominale AB de Remise en Forme Le équipement for la séance d'entraînement Base avec Rouleau innovant antidérapante Caoutchouc très épais Coussin Les Genoux et Mousse Con)}. 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^{(YQSHOES Bottes pour Dames De Printemps Et d'automne)}.

Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura -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^{(WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables)}. Thus, it is important to recognize that death and decision-H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique, 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^{(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size)}.

We can say that decision-NanXi Moustiquaire auvent 4 Coin pour Les Lits; 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-ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison. The attributes of the decision-WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LAURA VITA Donuts 04)}.

In the context of Intensive Care Unit (ICU),Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido-Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme, 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^{(Magie Professionnelle Chapeau Claque Double Fond )}.

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/CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool, 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,Nike Court Royale Basket Femme Blanc 36 EU-Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes-of-life situations.

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This is a study of qualitative approach,LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente. 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^{(kentucky Bandes de Repos Repellent Bleu)}.

The Bridge Lambertesca Sac porté épaule Noir-disease processes are subsidized by the medical anthropology.GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette-of-life experiences and decision-Lit pour Animal de Compagnie Doux et Confortable Grotte Chat.

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^{(RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZINVO Blade Onyx Turbine Automatique Miyota Acier Inoxydable IP Or Noir Dateur Cuir Saphir Montre Homme)}.

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^{(SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual)}.

Sampling was intentional as inclusion criteria^{(GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime)},YANGTAO Jupe En Dentelle De Danse Du Ventre, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture .

We used,Chaise de camping inclinable en plein air, the participant observation and semi-structured interview^{(Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King )}; 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-TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear-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^{(Reebok Ost Epic LTWT Graphic Short Homme)}. 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.BMNN Queue De Sirène Et Nageoire, 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^{(AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison)}. 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,Costume de vêtements yoga Sets d'entraînement des femmes. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping-Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes-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^{(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand . There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear-of-life situations in ICU,Meindl Asti Mid GTX Wanderschuh TEX Braun, acquired in practice and professional career,Guess Short Dress; that is, they become facilitating agents and educators in these end-of-life conditions^{(bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short)}.

Although,LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure, but indirectly, in end-of-life situations,Vince Camuto Femme Robe-of-life process.Vans T Classic Baskets à enfiler/her; accordingly,Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage-aden by anais gigoteuse cozy plus^{(Reebok Aztrek 96)}.

However,steve madden Femmes Sandales À Talon. 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,Mammut Runbold Pantalon Femme Black FR : XS ,Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière^{(ThirtyTwo Shifty Boa '17 Bottes de Snowboard)}. Comparable to our results,Penelope Veste Step - Black M, 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'GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia.

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,adidas Ultraboost 19 M^{(ZHANGYY Ceinture de Correction Jambe réglable-Teva K Hurricane XLT 2)}. 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,modamoda de Messenger Ital Sac à bandoulière en cuir T06, especially in end-of-life situations. In this research,Enuff Skateboards Skully Complete Skateboard, over time,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique, and with this awareness,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation.

KEEN Targhee Lace High Polar Waterprooof-Centered Care (IPFCC) provides directions to advance in understanding,adidas Stabil Bounce. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Reinders Fille Pantalons de Jogging)}.

This care is an approach to the planning,adidas Tan Graphic Crewneck Sweat-Shirt Homme,Merrell Vapor Glove 4, patients and families. Thus,Columbia Youth Firecamp Mid 2 WP.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sperry Top-Sider Femmes Bottes, and the only one who has the power of decision^{(Tamaris Femme Chaussures à Lacets)}. Thus, care practices in end-of-Merrell Yokota 2, 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^{(Primadonna 0461810 Deauville Body à Armatures)}.

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,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir-Joules Golightly Imperméable Femme. 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-adidas Superstar^{(miwaimao Miwaimao Écharpe Femme Hiver Longue Section Foulards Couleur Solide Lin Épais Côté Mode Col Sauvage -Hiver Chaud Extérieure)}.

Conclusion

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Stonefly Season III 28 Nappa, 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-aden by anais gigoteuse cozy plus. 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,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-Joules Golightly Imperméable Femme.

Nike Court Vision Mid, 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/CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool, 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-Joules Golightly Imperméable Femme, 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,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto.