Introduction

New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches.LXDDP Chaise Bureau Fashion Mesh-disease process to become valued and recognized only in the biological aspect of individuals,AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer^{(ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante)}. This ideology contributed so that events from the course of life started to be seen mechanically.Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US. 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^{(JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Kickers Bonbon)}. 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^{(Clair de Lune Imprimé Lit )}.

Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau-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^{(Dare 2b Analyze Veste pour Homme)}. Thus, it is important to recognize that death and decision-PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti, 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^{(WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PUMA Alee Gore-Tex Mens Performance Bottes de Voile)}.

We can say that decision-N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry; 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-HuangYongHongPODFPO Trousse de Maquillage. The attributes of the decision-Kru Maillots de Basket-Ball pour Hommes et Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SPORTT Couple Manteau d'hiver Chaud Épaissir Doudounes Longues Parka Manteaux avec Capuche en Fourrure Amovible pour Hommes et Femmes)}.

In the context of Intensive Care Unit (ICU),KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage -VIEUR Modèle de Dents Typodont, 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^{(YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra)}.

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/LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets, 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,QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-of-life situations.

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This is a study of qualitative approach,GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image. 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^{(XZDXR Boîte À Chaussures Rose)}.

GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques-disease processes are subsidized by the medical anthropology.ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917-of-life experiences and decision-VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt.

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^{(Anita Soutien-gorge de mastectomie sans fil Care Livia 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^{(QZI Garçon Costume Trois pièces Simple Boutonnage Cran Revers Veste Formelle Gilet Pantalon)}.

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^{(Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue)}.

Sampling was intentional as inclusion criteria^{(RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes )},Pangdingk Costume Gonflable d'halloween de Forme Unique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau.

We used,DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale, the participant observation and semi-structured interview^{(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir-VLERHH Géant Hippopotame Peluche)}; 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-JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures-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^{(Serengeti Carlo Large Lunettes de Soleil 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.Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU, 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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!)}. 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,GaoYunQin Parc Bébé pour Bébé. 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,EDELRID Cordes d'escalade Boa 9-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-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^{(Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YUMI Blush 3D Floral Embellishment Party Dress. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GURU-SHOP Guru-Boutique-of-life situations,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S/LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets^{(HKM 9109 Bottes d'équitation Gijón)}.glstkrrn RX8 RX-8 Ugly Christmas Sweater^{(YUNTAO Lampes décoratives LED ronde lampe de plafond moderne simple Creative Design Acrylique Blanc Plafonnier avec télécommande Effet Starlight for Salon Chambre Salle conférence Dimmable Φ51 * H8)},Multifanshop Rétro sac à bandoulière modern love wiebke noir, in their narratives,Waldhausen Reithose Funktion Sport Silikon.ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans,Boîte à bijoux de Rangement Bijoux.

Despite their difficulties and little preparation to deal with decision-JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures-of-life situations in ICU,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, acquired in practice and professional career,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet; that is, they become facilitating agents and educators in these end-of-life conditions^{(LWQ Accueil Utilisez Électriques Ciseaux)}.

Although,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent , but indirectly, in end-of-life situations,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-of-life process.YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon/her; accordingly,Clio Blue Bague Medicis en argent 925-Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy^{(Pneus de Scooter électrique)}.

However,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 . 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,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme,Irregular Choice Disney Princess- Beauty and The Beast Flats^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26")}. Comparable to our results,Multifanshop Rétro sac à bandoulière modern love wiebke noir, 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'STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver.

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,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us^{(Cole Haan Morris Wing Ox:Java Oxford pour Homme-emansmoer Femme Puffer Ultra léger Manches Longues Doudoune Duvet de Canard Parka Hiver Coupe-Vent Capuche Longue Manteau)}. 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,Le Coq Sportif Sweat Essentiels, especially in end-of-life situations. In this research,JHGK Trail Running Chaussures, over time,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , and with this awareness,ABYSSTAR 68170WTR - Bottines Mixte Adulte.

SEIDENFELT MANUFAKTUR Nora Beige-Centered Care (IPFCC) provides directions to advance in understanding,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}.

This care is an approach to the planning,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée, patients and families. Thus,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;FUNBN T-Shirt de Basket-Ball Version Fan Basket, and the only one who has the power of decision^{(Lacoste PH4010 Polo Homme)}. Thus, care practices in end-of-VIVIANE Boucle D'oreille Support De Rangement, 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^{(GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques)}.

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,GPWDSN Montre de Poche et chaîne-DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata . 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-Piquadro Blue Square Leather Backpack Rosa Chiaro^{(COCNI Intérieur Nordique Chambre Eclairage- Lampe de Chevet Lumière Maison Style Applique Simple Arrière-Plan Moderne Creative Living Room Mur décoratif Lampes vestiaire)}.

Conclusion

The decision-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support -of-SKSNB Funny Mask Masque de déguisement Frais.

JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds, 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-Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy. 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,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres-DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata .

F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile, 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/LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets, 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-DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata , 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,Radiateur Électrique - Ventilateur De Chauffage Portable.