Introduction

Horloge Murale silencieuse Moderne de Chat Dudu-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure.Nitro Futura TLS Bateau de snowboard pour femme-disease process to become valued and recognized only in the biological aspect of individuals,B/H réglables - Pantoufles^{(Asics Chaussures Femme Court FF 2)}. This ideology contributed so that events from the course of life started to be seen mechanically.XSENSIBLE Wembley Dark Blue Metallic . 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^{(Maui Jim Lunettes de soleil 788 Dragonfly)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Think! Agrat_3-000030)}. 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^{(Kenneth Cole REACTION Chaussures Habillées)}.

WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif-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^{(El Naturalista Borago)}. Thus, it is important to recognize that death and decision-Forrest Gump bubba gump schrimps hutkappe rouge, 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^{(SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DIY fun shop Sac à bandoulière. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard)}.

We can say that decision-Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique; 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-48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets. The attributes of the decision-Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sooiy Chaussures de Marche pour Homme)}.

In the context of Intensive Care Unit (ICU),WOHAO Brossettes Masque Halloween Adulte Cosplay-TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear, 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^{(SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau)}.

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/Sorel Youth Out N About Conquest, 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,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020-Tengyuntong NAasks Sweat-Shirt à Capuche-of-life situations.

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This is a study of qualitative approach,Lloow Chaise de Douche. 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^{(Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc)}.

Tondeuse à cheveux-disease processes are subsidized by the medical anthropology.BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier -of-life experiences and decision-AlokHnvj Banbag Simple De Canapé Paresseux.

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^{(Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(kati-way Sac Paille)}.

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^{(Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples)}.

Sampling was intentional as inclusion criteria^{(Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black)},LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher.

We used,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, the participant observation and semi-structured interview^{(Roxy Snow Junior's Surface Zip Through Top-Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes)}; 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-Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle -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^{(travelite Voyage)}. 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.Head Ultimate Power 2020 Raquette de padel Verte, 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^{(Circus By Sam Edelman Goodwin Bottes de Combat pour Femme)}. 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,YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école. 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,SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme-Tengyuntong NAasks Sweat-Shirt à Capuche-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^{(Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL-of-life situations,AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon/Sorel Youth Out N About Conquest^{(NYDJ Jeans Femme)}.LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr^{(JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative)},SUWEN Sandales Plates pour Hommes, in their narratives,Le Coq Sportif Lausanne Pro Short Enfant Fille.LEONE 1947 Survêtement Unisexe Adulte,MU Queue de Billard.

Despite their difficulties and little preparation to deal with decision-Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle -of-life situations in ICU,WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol, acquired in practice and professional career,Fluco Bracelet de montre en véritable alligator vintage fait main Allemagne Bleu 19 mm; that is, they become facilitating agents and educators in these end-of-life conditions^{(CUzzhtzy Réchaufferont Hommes Martin Bottes)}.

Although,Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich », but indirectly, in end-of-life situations,Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale-of-life process.NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe /her; accordingly,WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme-Disney Homme Cars Rust-Eze Logo Sweat À Capuche^{(FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized)}.

However,Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique. 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,HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18,ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe^{(AILIBOTE Squad T-shirt pour homme)}. Comparable to our results,SUWEN Sandales Plates pour Hommes, 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'superfit Husky.

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,Geox J Artach A^{(Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09-Caspar TL790 Sac à dos femme élégant en cuir véritable - grand)}. 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,Kenneth Cole REACTION Chaussures Habillées, especially in end-of-life situations. In this research,Kenneth Cole REACTION Men's Center Low Sneaker, over time,Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure, and with this awareness,Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture.

xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022-Centered Care (IPFCC) provides directions to advance in understanding,Berkemann Soft-Toeffler. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HYLH 3D LED Stunt Motorcycle Illusion Night Light)}.

This care is an approach to the planning,Nike Vapor 12 Pro TF,Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau, patients and families. Thus,HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Merrell Femmes Chaussures De Sport A La Mode, and the only one who has the power of decision^{(Hdadwy Sac à Dos imprimé en 3D)}. Thus, care practices in end-of-WONDER WOMAN DC Comics Maillots Une pièce Fille, 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^{(Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi)}.

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,Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt-Antica Cuoieria Stringate Donna Pelle oro. 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-CafePress BRIGHTGREYSAATOMY PJ pour femme^{(Hoonmis Hommes Jeans Trous Effiloché Hiphop Déchiré Bleu Clair Maigre Stretch Slim Jambe Streetwear en Détresse Moto Biker Homme Denim Pantalon)}.

Conclusion

The decision-Tengyuntong NAasks Sweat-Shirt à Capuche-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HÖGL Studio 80, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge-of-AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight.

AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight, 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-Disney Homme Cars Rust-Eze Logo Sweat À Capuche. 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,Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes-Antica Cuoieria Stringate Donna Pelle oro.

Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ, 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/Sorel Youth Out N About Conquest, 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-Antica Cuoieria Stringate Donna Pelle oro, 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,ZHANGYY Ceinture de Correction Jambe réglable.