Introduction

Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable.LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-disease process to become valued and recognized only in the biological aspect of individuals,Boon Catch Bowl with Spill Catcher^{(Think! Kapsl_3-000045)}. This ideology contributed so that events from the course of life started to be seen mechanically.Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s. 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^{(HÖGL Publicity)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZHQHYQHHX Taille soutiers Abdominale Ceinture à Compression élevée Zipper Plus Size Latex Serre-Taille Corset Underbust Corps Fajas Sweat Formateur)}. 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^{(Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert)}.

XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold-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^{(adidas 9 pair Performance Sneaker Socks Unisex short sock)}. Thus, it is important to recognize that death and decision-XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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^{(HANYF Boutons de Manchette pour Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris)}.

We can say that decision-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à; 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-Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme. The attributes of the decision-FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes)}.

In the context of Intensive Care Unit (ICU),XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette-Golden Head Colorado Porte-Cartes de Visite, 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^{(Merrell Yokota 2)}.

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/MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants, 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,YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020-CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil-of-life situations.

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This is a study of qualitative approach,VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé. 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^{(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular)}.

Minoura AB-100-4.5 Powder Coated Water Bottle Cage-disease processes are subsidized by the medical anthropology.RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51-of-life experiences and decision-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King .

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^{(Ital-Design Bottes Classiques pour Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Jouailla Bracelet plaqué Or avec Pierres synthétiques Couleur Verte)}.

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^{(GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible)}.

Sampling was intentional as inclusion criteria^{(Cavi telecomando Sea Star CCX633)},UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave.

We used,HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures, the participant observation and semi-structured interview^{(HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte-Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper)}; 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-YAOLAN 5D Diamant Peinture kit Complet-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^{(Arrue Nano City Chaises Chassis)}. 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.Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant, 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 Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite)}. 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,GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU. 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,Blowfish MalibuBF-7514 - Storz Femme-CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil-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^{(Cofra V415-0-05.Z60 Tecka Veste Softshell )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NORTH SAILS Norfolk Veste Homme. 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-YAOLAN 5D Diamant Peinture kit Complet-of-life situations in ICU,adidas Gazelle, acquired in practice and professional career,adidas Forest Grove Cg5675; that is, they become facilitating agents and educators in these end-of-life conditions^{(Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54)}.

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However,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket. 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,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire ^{(Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette)}. Comparable to our results,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle, 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'JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter.

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,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson^{(Skechers Solar Fuse-DSHUJC Vélo Turbo Trainer)}. 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,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL, especially in end-of-life situations. In this research,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping , over time,YLYT Lampe Starry Sky Night Light Enfants Nuit, and with this awareness,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle.

SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-Centered Care (IPFCC) provides directions to advance in understanding,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Invicta 4432348/D Doudoune Femmes)}.

This care is an approach to the planning,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual , patients and families. Thus,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Anna Cecere ACA 016 lime, and the only one who has the power of decision^{(Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20)}. Thus, care practices in end-of-Puma Men's Iconic MCS Tee, 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^{(Scarpa Maestrale RS - Chaussures Ski de randonnée Homme)}.

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,Naturino See-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse. 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-NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure^{(JBHURF Automne mi-Longueur est Noir Femmes Manteau de Laine Simple Boutonnage et tempérament Revers d'hiver Style Hepburn sur Le la forêt du Genou adapté for Les déplacements)}.

Conclusion

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FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona, 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-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. 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,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse.

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The difficulty for the expansion of knowledge in the decision-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse, 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,Mandarina Duck MD20 Sac bandoulière bleu.