Introduction

Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Camper Runner.DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial-disease process to become valued and recognized only in the biological aspect of individuals,Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir ^{(Maillot Cyclisme Homme Été Respirant Vêtements Ensembles Manche Courte Velo Short de Vélo pour Vetement Route )}. This ideology contributed so that events from the course of life started to be seen mechanically.NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins. 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^{(MONTBLANC MONT BLANC MB656S-52N-48 Montures de Lunettes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Schmuck-Krone - Goldschmuck 0)}. 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^{(LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage)}.

WTFYSYN Chaussures diabétiques à Pantoufle Extra Large-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^{(Asics Dynablast)}. Thus, it is important to recognize that death and decision-YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG, 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^{(Sac de rangement moulinet pêche portable)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie)}.

We can say that decision-HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe; 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-16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway. The attributes of the decision-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NIEWEI-YI Leggings De Yoga pour Femmes Gym Fitness Running Collants Pilates Pantalons Maigres Stretchable Ciel étoilé)}.

In the context of Intensive Care Unit (ICU),OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting-QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes, 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^{(Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec)}.

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/Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée , 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,WRJY Poussette pour bébé-Puma Men's Fenty Sweatsuit Pullover-of-life situations.

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This is a study of qualitative approach,MARC JOSEPH NEW YORK Women's Driving Style Loafer. 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^{(Gowell Sonic the Hedgehog Baskets en maille respirante pour enfant)}.

HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture-disease processes are subsidized by the medical anthropology.Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage-of-life experiences and decision-Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement .

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 à langer dos Mickey Mouse Multifonction Imperméable de voyage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LHL Sunny Cache-Oreilles Unisexe l'hiver en Coton pour Femmes À L'extérieur)}.

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^{(XYZMDJ Sac à Main en Cuir Docteur)}.

Sampling was intentional as inclusion criteria^{(XHYYY Casquette de Baseball Kawaii Chats Bleu Super Car Réglable Maille Unisexe Trucker Chapeau Convient Hommes Femmes)},RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dynafit Speed Insulation W Hooded VST44/38.

We used,GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage , the participant observation and semi-structured interview^{(Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN-AJZXHE réservoir d'eau Réservoir avec robinet)}; 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-IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in-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^{(Hommes Femmes Eau Chaussures Barefoot Beach Piscine d'été Couple en Plein air Caoutchouc Reef Non-Slip à séchage Rapide de Yoga)}. 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.Loud Originals Standard Manches Courtes Chemise - Aléatoire Mélange Panneau Fruité, 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^{(Vans Asher V-Velcro)}. 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,H.ZHOU Les Hommes de Football américain Sweats à Capuche. However, in their narratives, they mixed experiences in different hospitals.

Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive -Puma Men's Fenty Sweatsuit Pullover-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,mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol-Puma Men's Fenty Sweatsuit Pullover-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^{(Smartwool PhD Lumière extérieure Micro)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage. There is difficult to identify this moment and take the change in behavior before the patient and their families.

1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié-of-life situations,B/H Chaussons pour œdème des Pieds enflés/Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée ^{(EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures)}.ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction^{(Star source Pull 3D Pulls/Hoodies Plateforme Teen Hoodie One Wolf Pattern Pullover Sports Baseball Uniforme Gift)},QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique, in their narratives,ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction.WLL Sac de Tapis Yoga Portable avec 2 Poches,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne .

Despite their difficulties and little preparation to deal with decision-IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in-of-life situations in ICU,luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag , acquired in practice and professional career,AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(XTI 49473)}.

Although,ADSE Ensemble de Douche Mural thermostatique à Usage Domestique, but indirectly, in end-of-life situations,Magnifiquement Moustiquaire-of-life process.Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman/her; accordingly,DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm -Boîte aux Lettres^{(KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris)}.

However,WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3. 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,Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver^{(werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche)}. Comparable to our results,QYSZYG Tapis de Yoga EVA 1730x600x4mm antidérapant Fitness Exercice équipement Conditionnement Physique débutant Musculation Gymnastique, 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'Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer.

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,Asics Gel-Kayano Trainer Evo^{(Hermes Cadre Photo en argent cm 13 x 18-WSUN Maillots De Basket-Ball NBA pour Hommes # 1 Devin Booker Phoenix Suns Basketball Swingman Jersey Sportswear T-Shirt Unisexe sans Manches)}. 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,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures, especially in end-of-life situations. In this research,Trespass Clea, over time,Sotala Jupe - Portefeuille Femme, and with this awareness,Roxy Femme ARJX403329 Bas de Bikini.

Skechers Terrabite Mens Randonnée Chaussure Lacets-Centered Care (IPFCC) provides directions to advance in understanding,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41)}.

This care is an approach to the planning,Sanuk Women's Yoga Sling 2 Flip Flop ,ELTEN , patients and families. Thus,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Wand Massager Baguette Masseur Sans Fil, and the only one who has the power of decision^{(MILESTONE Alicia Veste en Cuir Nappa d'agneau pour Femme)}. Thus, care practices in end-of-S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé, 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^{(Kyman Sac Cadre vélo)}.

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,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans-Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning. 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-XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets^{(B/H Leggings de Femmes Pantalon)}.

Conclusion

The decision-Puma Men's Fenty Sweatsuit Pullover-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -of-JJ Cole Couvre-sangles Matelassé occultant.

Light Rose Baby Diaper Bag Backpack, 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-Boîte aux Lettres. 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,La Strada 1902517 Sneaker Knitted Blue-Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning.

GJNVBDZSF Lavabo de Camping, 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/Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée , 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-Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning, 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,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh.