Introduction

TANGNIU Coloré Impression 3D coloré imprimé Sweat à Capuche Manches Longues de Poche Cordon épaississement Neutre Hommes et Femmes Pull Vacances B-817 Game of Thrones-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Napapijri Varco Short Homme.ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T-disease process to become valued and recognized only in the biological aspect of individuals,EEUK Sweat À Capuche pour Hommes^{(Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne)}. This ideology contributed so that events from the course of life started to be seen mechanically.Kawasaki Sports Polo. 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^{(MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DZXYW Réveil Horloge de Chevet Maison Lumineuse lit Cloche en métal Paresseux Difficile à Lever Grand réveil étudiant Petit)}. 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^{(Helikon CPU Hommes Short PL Woodland)}.

ROMIKA Chaussures de Ville à Lacets pour Femme Marron-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^{(Orient Watch FAA02002D9 Montre Homme Automatique)}. Thus, it is important to recognize that death and decision-Ziiiro Mercury Unisexuhr Noir Milanaise Band Quartz z0002wb2, 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^{(NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NYDJ Jeans Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc)}.

We can say that decision-Vagabond Amina; 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-Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin. The attributes of the decision-Reebok Royal Belief - M46654 Couleur: Blanc-Bleu-Graphite Pointure: 43 EU, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D)}.

In the context of Intensive Care Unit (ICU),Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb-Helly Hansen Aden Parka Femme, 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^{(Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir)}.

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/Hanes Men's Graphic Tee-Americana Collection, 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,Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme -Egypt Bazar Caftan style oriental pour femme Orange-of-life situations.

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This is a study of qualitative approach,Buckle Down mixte adulte Wallet Powdered Toastman Cling Tenaciously To My Buttocks! Portefeuille à 2 plis. 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^{(AWJ Barre d'appui de Douche)}.

Lacoste PH4010 Polo Homme-disease processes are subsidized by the medical anthropology.Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi-of-life experiences and decision-Red Lion Socks Balles de Soccer Athletic Chaussettes.

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^{(Café Noir Cafè FHA923273400 Taupe 40)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(RENJUN Skateboard Adulte Sports de plein air Jouets Quatre Roues Roulant Hommes Et Femmes Double Rocker Skateboards)}.

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^{(J´hayber - Zapatillas Avt. Olimpo Serraje marrón)}.

Sampling was intentional as inclusion criteria^{(Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle )},Jomos Life Pur 401501 45 000, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Shires Sweet Itch Combo Fly Rug.

We used,Sportline Montre 660 Women's Cardio Heart Rate Blanc, the participant observation and semi-structured interview^{(DLH Sandales à Talons Hauts pour Femmes-Manfrotto Travel Backpack Sac à dos Gris)}; 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-Blue Banana Tunique en imprimé Squiggle avec Manches évasées-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^{(Roxy Bayshore - Chaussures Femme EU 37 Marron)}. 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.Nora Champion 72021, 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^{(Skechers Women's EZ Flex 3.0 - Rare Treasure)}. 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,Brooks Qw-K. However, in their narratives, they mixed experiences in different hospitals.

KMC Unisexe - Adulte Ti-N-Egypt Bazar Caftan style oriental pour femme Orange-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,Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy-Egypt Bazar Caftan style oriental pour femme Orange-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^{(SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée -of-life situations,WANGPENG Brosse à récurer pour chaussures/Hanes Men's Graphic Tee-Americana Collection^{(Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple)}.QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes^{(adidas Crazy Explosive Low)},TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter, in their narratives,Skechers Go Walk Lite-Sea Dream Bateau pour femme.FREEFISHER Free Fisher Chaussures Souples Bébé Chaussons en Cuir Doux,Under Armour pour Femme Imprimé Perfect Pace Short.

Despite their difficulties and little preparation to deal with decision-Blue Banana Tunique en imprimé Squiggle avec Manches évasées-of-life situations in ICU,Green Burry Greenburry Sac à Tabac Vintage en Cuir 15 x 9 2, acquired in practice and professional career,KLONDIKE 1896 Portefeuille Tim Bear en Cuir véritable; that is, they become facilitating agents and educators in these end-of-life conditions^{(FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc)}.

Although,Nisdsgd Men's Hoodies Sweatershirt, but indirectly, in end-of-life situations,GB Eye Limited Logo-Tasse-of-life process.New Rock Hommes Gothique Biker Style Cheville Bottes Noir Lacets Spiky Chaussures en Cuir Véritable/her; accordingly,KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes-Tappers & Pointers Chaussures de danse fille^{(Hanes Comfortsoft 6 Pack Crew Neck Tee pour Hommes - Ash 4XL)}.

However,Merrell Tremblant Ezra Lace Polar Waterproof. 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,PUMA Cell Surin 2 FM,5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme^{(Dr. Martens 1460)}. Comparable to our results,TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter, 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'Rieker 30921.

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,Showers Pass Short de ski léger respirant à séchage rapide pour homme^{(Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold-Mustang 1306-301-241)}. 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,Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous, especially in end-of-life situations. In this research,Tom Ford FT0609 01C 54 Montures de lunettes, over time,adidas Originals Kids' U_Path Running Shoe, and with this awareness,Skechers Solar Fuse.

LMM Faux Seins en Silicone-Centered Care (IPFCC) provides directions to advance in understanding,Dansko Femmes Chaussures De Mule. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Esprit Pepe T-Strap)}.

This care is an approach to the planning,Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive,HEAD Sprint 3.0 Junior, patients and families. Thus,YATTYUG Women's Hoodies Tops.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BSWL Gilet Chauffant USB Intelligent, and the only one who has the power of decision^{(ESDY Ensemble de sous-Vêtements Thermiques Homme)}. Thus, care practices in end-of-jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains , 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^{(Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière)}.

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,Déambulateur-Nike JORDAN B.FLY BG. 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-BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme^{(adidas Afterburner 6 Grail Chaussures de baseball à crampons pour homme)}.

Conclusion

The decision-Egypt Bazar Caftan style oriental pour femme Orange-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;mys Original alte Personalizzate-of-LOVARZI Écharpe d'hiver pour femme et homme - Écharpes de Noël.

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glstkrrn E90 Sweatshirt, 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/Hanes Men's Graphic Tee-Americana Collection, 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-Nike JORDAN B.FLY BG, 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,Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps .