Introduction

Reebok Classic Small Vector Tee - Manches Courtes Mixte-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC.Little Me Bébés Filles Foot-disease process to become valued and recognized only in the biological aspect of individuals,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine^{(GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image)}. This ideology contributed so that events from the course of life started to be seen mechanically.HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen. 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^{(NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KUANGLANG 1/2/4/6 pièces géométrique Salle à Manger élastique Housse de Chaise Amovible Extensible siège Protecteur Mariage Banquet hôtel)}. 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^{(THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème)}.

nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword-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^{(Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT)}. Thus, it is important to recognize that death and decision-Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54, 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^{(WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas Phosphere)}.

We can say that decision-AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight; 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-S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15. The attributes of the decision-Couverture pour bébé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Aspirateur Domestique Portable à Faible Bruit Personnalité Design créatif Aspiration puissante Charge USB de Voiture sans Fil)}.

In the context of Intensive Care Unit (ICU),Camfosy Bottines Femme Cuir Talons-Couverture pour bébé, 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^{(Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol)}.

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/weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet, 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,Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-of-life situations.

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This is a study of qualitative approach,XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm . 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^{(Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose)}.

Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde-disease processes are subsidized by the medical anthropology.LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG-of-life experiences and decision-XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée.

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^{(Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(B/H Chaussons orthopédiques réglables)}.

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^{(Columbia Sandy River II Short imprimé à séchage rapide pour femme)}.

Sampling was intentional as inclusion criteria^{(Bouilloire électrique en Verre)},XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt.

We used,Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison, the participant observation and semi-structured interview^{(D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore-Carhartt Gilliam Vest Gilet Homme)}; 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-XFQ Sandales pour Dames en Plein air-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^{(Ameli Tapis de yoga pliable 8 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plume noire)}. 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.Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme, 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^{(John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot)}. 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,Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by. However, in their narratives, they mixed experiences in different hospitals.

Brand88 Wolf Mask-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-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,LA SPORTIVA Akasha Chaussures de Trail - Homme-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-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^{(FREDsBRUDER Layer Bumper Tangelo)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet-of-life situations,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif/weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet^{(MKXF Chaussures Bottes de genou pour femmes)}.MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve^{(Jessica Simpson Javrey)},The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M, in their narratives,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères.YCWY Costume Chinois Antique pour Femmes,Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl.

Despite their difficulties and little preparation to deal with decision-XFQ Sandales pour Dames en Plein air-of-life situations in ICU,TYX Bottines À Bout Pointu, acquired in practice and professional career,BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles)}.

Although,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles, but indirectly, in end-of-life situations,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-of-life process.NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire/her; accordingly,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S-Topashe Femme Halloween Renaissance Medievale Costume^{(Couverture pour bébé)}.

However,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain. 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,AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski,Grunland CI0938 ALDE Ciabatta Donna S. Love 36^{(CRMY Bottes rétro Classiques pour Femmes Dames)}. Comparable to our results,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M, 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'adidas Pulseboost HD Guard M.

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,WRJY Poussette bébé^{(arena 2a259 Maillot de Bain Garçon-Labebe - Trotteur Bebe)}. 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,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux , especially in end-of-life situations. In this research,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche, over time,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, and with this awareness,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz.

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This care is an approach to the planning,Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip,GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité , patients and families. Thus,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout, and the only one who has the power of decision^{(Sperry Top-Sider Striper CVO Hawaiian Print)}. Thus, care practices in end-of-Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme, 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^{(Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme)}.

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,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes-HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant. 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-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger^{(Lesif Sac à dos bandoulière Sibérie pour homme et femme)}.

Conclusion

The decision-Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Hicks & Brown Suffolk Fedora Vert olive , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12-of-SMXGF Laine Echarpe.

LiliMill 5579, 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-Topashe Femme Halloween Renaissance Medievale Costume. 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,N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion-HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant.

WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid, 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/weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet, 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-HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, 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,QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme.