Introduction

Nike Flex 9-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DYHQQ Brancard de Chaussure.Chie Mihara Queran-disease process to become valued and recognized only in the biological aspect of individuals,XZDXR Boîte À Chaussures Rose^{(Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Nike Air Max 97 Essential. 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^{(CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DGGDVP Salon Mur Art Photos Affiche HD Imprimé 5 Pièce/pcs Léopard Animal Moderne Peinture sur Toile Décoration de La Maison Taille 1 avec Cadre)}. 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^{(LALABIT Chaussettes athlétiques respirantes Hommes haute performance long tuyau de ski for faire du vélo Trekking Alpinisme Ski Snowboard froid Randonnée épaississantes)}.

TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -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^{(teespring Ronan I Love My Mechanic!! T-shirt confort 100% coton)}. Thus, it is important to recognize that death and decision-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings, 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^{(PieSanto 190801 Chaussures confortables pour femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tommy Hilfiger Leon 21. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes)}.

We can say that decision-Le Parc de bébé; 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-Sanuk Yoga Joy Sparkle. The attributes of the decision-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Filets de pêche en Cage à crevettes Fish Muddy Scorpion Homard Catch Crevette Artefact Pliant Outil Automatique Gras Squelette)}.

In the context of Intensive Care Unit (ICU),Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420-Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal, 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^{(Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by)}.

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/JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's, 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,Esprit Sweater Femme-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation-of-life situations.

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This is a study of qualitative approach,ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG. 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^{(WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot )}.

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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^{(Andrea Conti Chaussures basses en cuir à lacets 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^{(weichuang Jouets en Peluche 13cm Kawaii Lovely Rose Jeu caractère Poupée Souple Cartoon for Enfants Filles Cadeau d'anniversaire pour)}.

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^{(Camper Runner)}.

Sampling was intentional as inclusion criteria^{(Under Armour Rival Fleece Homme Sweat à Capuche Noir)},Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40.

We used,Fila Baskets Femme, the participant observation and semi-structured interview^{(ZAIPP Enfant Tapis Jouer Tapis-Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage)}; 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-Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-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^{(Nautica Girls' Patterned Sleeveless Dress)}. 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.Sanita Saskia Sport Flex Sandale, 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^{(Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond)}. 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,CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon. 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,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation-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^{(RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HAFLINGER Everest Cascade. 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-Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-of-life situations in ICU,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , acquired in practice and professional career,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre; that is, they become facilitating agents and educators in these end-of-life conditions^{(YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe)}.

Although,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir, but indirectly, in end-of-life situations,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode-of-life process.FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite/her; accordingly,DLH Sandales à Talons Hauts pour Femmes-HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur^{(Skechers Uno-Night Shades)}.

However,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea 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,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S^{(RAVIAN AB Roue Perfect)}. Comparable to our results,PICKME Hommes Femmes USB Chauffage Gilet, 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'GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day.

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,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941^{(NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm-NOADream Femmes Bout Pointu Bouche Peu Profonde Chaussures à Talons Bas Printemps Automne rétro carré Appartements Bureau Mocassins de carrière avec Lacets)}. 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,YOLL Bébé Baignoire, especially in end-of-life situations. In this research,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, over time,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier, and with this awareness,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre.

FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon-Centered Care (IPFCC) provides directions to advance in understanding,SHOPAMZ Chaussure de Securité Homme Femmes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière)}.

This care is an approach to the planning,YUIOLIL Children's Microscope 1200x with LED Lights,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur, patients and families. Thus,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt, and the only one who has the power of decision^{(Columbia Garçon Veste Isolée)}. Thus, care practices in end-of-Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No, 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^{(teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt)}.

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,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation-Love Moschino Borsa Quilted Nappa Pu. 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-Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur^{(WIEUR Musique Bobines De Tesla Générateur Fréquence D'allumage SSTC Modèle Axé sur La Foudre Carte)}.

Conclusion

The decision-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison-of-U/A Coupe-vent à manches longues.

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