Introduction

Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon.Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-disease process to become valued and recognized only in the biological aspect of individuals,Cerdá Ligera Lady Bug^{(XZDXR Boîte À Chaussures Rose)}. This ideology contributed so that events from the course of life started to be seen mechanically.KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale. 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^{(Anita Soutien-gorge de mastectomie sans fil Care Livia pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ULLAA 5 PCS Anime Yosuga no Sora Kasugano Halloween Carnaval Cosplay Costume Outfit Chinois Traditionnel Cheongsam Uniforme Costumes avec Accessoires Deux Couleurs)}. 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^{(Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue)}.

MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté 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^{(RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes )}. Thus, it is important to recognize that death and decision-Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 , 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^{(FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(VLERHH Géant Hippopotame Peluche)}.

We can say that decision-AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable; 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-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme. The attributes of the decision-Boon Catch Bowl with Spill Catcher, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SGSG Bol de Riz Domestique Nouilles instantanées Ramen Grand à Soupe Salade en céramique)}.

In the context of Intensive Care Unit (ICU),Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold, 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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Shazam!)}.

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/XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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,JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique-Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-of-life situations.

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This is a study of qualitative approach,N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à. 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^{(Bath Sac à Dos Grande capacité 56-75L extérieur)}.

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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^{(ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Bristan Mpiv Bas CS Metallix Pivot Mitigeur de lavabo Champagne Shimmer)}.

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^{(hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi)}.

Sampling was intentional as inclusion criteria^{(RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure )},Golden Head Colorado Porte-Cartes de Visite, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants.

We used,YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020, the participant observation and semi-structured interview^{(Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts-HKM 9109 Bottes d'équitation Gijón)}; 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-VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé-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^{(LangfengEU Hommes Chelsea Bottes Talon Bas sans Lacet Bout Rond Chaussures à la Cheville en Cuir Automne Printemps Travail décontracté d'affaires Haut)}. 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.Minoura AB-100-4.5 Powder Coated Water Bottle Cage, 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^{(LWQ Accueil Utilisez Électriques Ciseaux)}. 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,RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51. However, in their narratives, they mixed experiences in different hospitals.

UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-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,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-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^{(Lacoste PH4010 Polo Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up. 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-VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé-of-life situations in ICU,NORTH SAILS Norfolk Veste Homme, acquired in practice and professional career,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S; that is, they become facilitating agents and educators in these end-of-life conditions^{(RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision )}.

Although,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, but indirectly, in end-of-life situations,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche-of-life process.Deluxe Gems 0.73 ct Oval Cut /her; accordingly,TARGET Superlight Goal Cartable-CMP Feel Warm Flat^{(Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers)}.

However,adidas Gazelle. 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,adidas Forest Grove Cg5675,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette^{(FACAI Masseurs électriques pour Les Pieds)}. Comparable to our results,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , 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'FANTASIE Fiji Armature Monobloc - Bleu 105E.

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,Dr. Martens Hardie^{(SKTWOE Bottes De Cheville Femmes-ZHAOYUYU Gants d'hiver Femmes Froid)}. 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,Gant 1901.4204663 Short Femme, especially in end-of-life situations. In this research,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, over time,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket, and with this awareness,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet.

YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire -Centered Care (IPFCC) provides directions to advance in understanding,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Küchenks Chariot de magasinage Chariot)}.

This care is an approach to the planning,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson,WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL, patients and families. Thus,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches, and the only one who has the power of decision^{(Figurine Statuette Sculptures Bouddha)}. Thus, care practices in end-of-Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual , 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^{(Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas)}.

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,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique -CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil. 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-CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt^{(16"40 Cm Belle Silicone Souple Vinyle Reborn Bébé Poupée Réaliste Nouveau-Né comme Vivant pour Fille Bonecas Cadeau d'anniversaire Jouet De Noël)}.

Conclusion

The decision-Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée-of-Saucony Jazz Original.

Anna Cecere ACA 016 lime, 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-CMP Feel Warm Flat. 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,Puma Men's Iconic MCS Tee-CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil.

Naturino See, 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/XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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-CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, 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,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure.