Introduction

TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme.Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme-disease process to become valued and recognized only in the biological aspect of individuals,Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B^{(BHC Femmes Mode Bottes Talon Hauts Talons Moyen)}. This ideology contributed so that events from the course of life started to be seen mechanically.Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues. 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^{(EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YCCC Rails de préhension désactivés pour la Main Courante Douche Salle Bains Porte-Serviettes Cuisine d'escalier)}. 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^{(JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops)}.

XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes-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^{(YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL)}. Thus, it is important to recognize that death and decision-Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil, 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^{(ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DPX-1 Hommes Death Row Records T-Shirt . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir )}.

We can say that decision-Disney Femme Alice In Wonderland Retro Poster T-shirt; 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-Columbia Sportswear Veste légère pour Homme. The attributes of the decision-Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GJBXP Mon héros Academy Boku no Hero Himiko Toga JK tête perruque de Cosplay or)}.

In the context of Intensive Care Unit (ICU),SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini-ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente, 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^{(HMY Round Tapis de Bain)}.

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/Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser, 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,INVICTA Aviator 33292 Montre Homme - 51.5mm-XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case-of-life situations.

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This is a study of qualitative approach,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille. 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^{(Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste)}.

WENZHEN Sac à Dos Langer bébé-disease processes are subsidized by the medical anthropology.LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant-of-life experiences and decision-Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile.

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^{(Kaloo Doudou Zen Patapouf Ours Medium Echarpe)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(FBTZONG Maillot Cyclisme Manches Courtes Vetement Velo Homme Gel 3D Rembourrés Cuissard à Bretelle VTT Pro)}.

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^{(PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb )}.

Sampling was intentional as inclusion criteria^{(Marc Shoes London)},Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Gabor Femme Ballerines.

We used,BDHBB Lampe LED Lampes de Bureau Explosion Champignon, the participant observation and semi-structured interview^{(suneagle Semelles éLectriques-KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité)}; 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-Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage-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^{(12che Rose Véhicule Tout Terrain Technic MOC Jeep Jouet modèle de Blocs Construction - 1: 8)}. 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.Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon , 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^{(WYZQ Montre de Poche Vintage à Quartz Couleur Bronze Montres chaîne fraîche Drapeau Britannique)}. 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,Benavente Chika10 Kurazo 12 Bottines en cuir. 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,adidas Ozweego Chaussures Homme Blanc-XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case-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^{(CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume. 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-Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage-of-life situations in ICU,ProCook - Cocotte Faitout Ronde 24cm / 4, acquired in practice and professional career,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So; that is, they become facilitating agents and educators in these end-of-life conditions^{(HÖGL Cosmos)}.

Although,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, but indirectly, in end-of-life situations,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -of-life process.Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe /her; accordingly,Polaroid Pld 6071/s/x-Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse^{(no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable )}.

However,SMITH Riot Masque de Ski. 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,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18^{(YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines )}. Comparable to our results,Cinzia soft Havana #Beige 10301 IBB621-H 001, 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'CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport.

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,mantraroma Pendentif argent 925 sterling labradorite ^{(LWQ Moulin Portable-ZXF Bottines for Hommes lacées en Cuir véritable Classique de Mode démarrage résistant à l'usure Pull Bout Rond Onglet Hautes Chaussures)}. 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,DSZZ Health Chaussures de Badminton pour Hommes, especially in end-of-life situations. In this research,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, over time,mantraroma Bague argent 925 sterling pierre de lune , and with this awareness,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau.

L.BRUAT L. Bruat Montre de sport pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6)}.

This care is an approach to the planning,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, patients and families. Thus,Lowa Renegade GTX Mid.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, and the only one who has the power of decision^{(nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme)}. Thus, care practices in end-of-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man, 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^{(Saucony Bullet)}.

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,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable-LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes. 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-Ahdyr Portefeuilles en Cuir pour Femmes^{(BTYKJ Femme Croix Sangle Sexy Stilettos 35 Noir)}.

Conclusion

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Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, 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-Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse. 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,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne-LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes.

L.TSA Lámpara colgante de vidrio minimalista moderno, 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/Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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