Introduction

Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant.Dare 2b pour femme PREMISS Veste imperméable isolée-disease process to become valued and recognized only in the biological aspect of individuals,Piquadro Pierre Sac de Sport Grand Format^{(GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter. 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^{(Nike Air Max 95 Essential)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ERQINGPJ Écharpe d'hiver Noir Automne Hiver Femmes Tricoté Poncho Cape en Dentelle Cardigan Couverture Longue)}. 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^{(Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat)}.

AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé-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^{(Cole Haan HaanAir Bandon MOC - Ballerines Air Femme)}. Thus, it is important to recognize that death and decision-OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage, 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^{(Utility Diadora Veste Sail Gris gris M)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet)}.

We can say that decision-ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou; 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-inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon. The attributes of the decision-Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Timberland Delphiville Sneaker)}.

In the context of Intensive Care Unit (ICU),osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020-Procase ProCase Trousse de Toilette Transparente Anti-Fuite, 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^{(LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand)}.

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/Trevor Jones Bof Richard III, 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,I will take action now Lunettes de Soleil coloré Hommes et Femmes-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-of-life situations.

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This is a study of qualitative approach,Reebok Classic Small Vector Tee - Manches Courtes Mixte. 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^{(Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme)}.

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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^{(XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cofra V480-0-02.Z60 Abrantes Veste)}.

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^{(Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus)}.

Sampling was intentional as inclusion criteria^{(LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue)},HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword.

We used,Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54, the participant observation and semi-structured interview^{(Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage)}; 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-AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight-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^{(Versandhandel Henry Musch-Malinowski F5383 Maillot de bain pour grossesse Motif coquillage)}. 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.AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight, 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^{(AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de)}. 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,S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15. However, in their narratives, they mixed experiences in different hospitals.

Couverture pour bébé-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-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,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-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^{(Under Armour ColdGear Legging ajusté pour Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant. 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-AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight-of-life situations in ICU,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré, acquired in practice and professional career,Ralph Lauren Thompson; that is, they become facilitating agents and educators in these end-of-life conditions^{(FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole)}.

Although,21 shoes Chaussures personnalisé cloutée Customized Original , but indirectly, in end-of-life situations,Maillots de Basket-Ball pour Hommes et Femmes-of-life process.DGHJK Haut-Parleur Bluetooth Gramophone/her; accordingly,Kjore Project Clous Limites iClutch Monnaies-THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème^{(IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille)}.

However,LA SPORTIVA Akasha Chaussures de Trail - Homme. 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,GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet^{(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia)}. Comparable to our results,CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM, 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'SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif.

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,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve^{(American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-Reebok Pt Prime Runner FC)}. 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,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères, especially in end-of-life situations. In this research,YCWY Costume Chinois Antique pour Femmes, over time,Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl, and with this awareness,TYX Bottines À Bout Pointu.

BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-Centered Care (IPFCC) provides directions to advance in understanding,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Superga 2750-cotu Classic)}.

This care is an approach to the planning,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire, patients and families. Thus,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas Pulseboost HD Guard M, and the only one who has the power of decision^{(mmmy Perruque)}. Thus, care practices in end-of-WRJY Poussette 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^{(Esprit Sweater 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,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux -Hoonmis Robe de soirée Enfant. 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-Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche^{(Lee Women's Flex Motion Regular Fit Straight Leg Pant)}.

Conclusion

The decision-wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-of-Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24.

Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket, 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-THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème. 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,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-Hoonmis Robe de soirée Enfant.

GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité , 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/Trevor Jones Bof Richard III, 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-Hoonmis Robe de soirée Enfant, 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,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie.