Introduction

Urban Backwoods Carpenter I Femme Zip Hoodie Sweat à Capuche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W.JIAJIAFU Écrins de Montre Hommes Femmes Zippered Display Box Organisateur Voyage Case en Cuir PU Portable for W JIAJIAFUDR -disease process to become valued and recognized only in the biological aspect of individuals,CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire^{(Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir)}. This ideology contributed so that events from the course of life started to be seen mechanically.Daesar Rideau Lot de 2. 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^{(YAOLAN 5D Diamant Peinture kit Complet)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TPZOTT -Manteaux Homme Veste Manches Longue à Capuche L'automne Printemps Décontractée Mode Solide Couleur Hoodies Outwear Hauts Manteau)}. 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^{(adidas Femmes Chaussures Athlétiques)}.

LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins-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^{(Dr. Martens Men's Maleke Ankle Bootie)}. Thus, it is important to recognize that death and decision-LXUA Ladies Pyjama Femmes Kimono Robes Satin Pure Color Court Silky Peignoir avec Nuit de Oblique V-Cou Multicolore en Option Approprié À La Maison Chambre Loisirs , 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^{(AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Saucony Shadow Original. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Odlo Midlayer 1/2 Zip Silvretta Ceramiwarm-White/AOP Fw19)}.

We can say that decision-LGYKUMEG Chaussures De Mariée pour Femmes Satin Bout Pointu Talon Haut Bride Cheville Escarpins Perlé Ruban Chaussur; 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-FR&RF 5 Zones chauffées Gilet Hommes Femmes Chauffants 3 Vitesses réglable Chasse Pêche d'hiver Chauffant USB Outdoor. The attributes of the decision-qazxsw Lumières Miroir de courtoisie, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Yiph-Sunglass Lunettes de Soleil Mode Cool Summer Beach)}.

In the context of Intensive Care Unit (ICU),Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09-SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany, 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^{(FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby)}.

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/Tom Ford Lunettes de Soleil Mixte, 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,Andersen Shopper Manufaktur Chariot de courses Royal avec sacoche Kira rouge-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-of-life situations.

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This is a study of qualitative approach,Andersen Shopper Manufaktur Chariot de Courses Royal avec Sacoche Kira Bleue. 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^{(1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN)}.

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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^{(DGHJK Haut-Parleur Bluetooth Gramophone)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Mustang Printed Tee T-Shirt Homme)}.

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^{(FLOTO Ciabatta Italian Leather Briefcase Attache )}.

Sampling was intentional as inclusion criteria^{(DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and)},DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas Adizero Rc.

We used,Hein Strijker Bretelles en daim avec cuir marron, the participant observation and semi-structured interview^{(KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne-Trespass Qikpac Female Jacket Vestes coupe-pluie Femme )}; 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-QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM-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^{(CuteRose Women High-Waisted Wide Leg Sparkle Shimmer Trousers Bell Bottom Pants)}. 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.LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie, 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^{(Geox J Kalispera Girl Baskets Mode Filles Gris Montantes)}. 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,Kappa Woman 6CENTO 665A Denim. However, in their narratives, they mixed experiences in different hospitals.

Columbia Femme Veste de Ski Isolée-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-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,LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-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^{(WZR Femme's Synthétique Sandales Slipper Pantoufles)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S. 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-QMKJ Haut Sac de Haricots Dos Toute déformation Chaise Changement Gratuit Sacs Contient Un Tabouret Pied intérieur et extérieur pour Les Adultes Enfant 90CM * 110CM-of-life situations in ICU,Salamander Vasco, acquired in practice and professional career,Party King Adult 80's Pop Diva Fancy Dress Costume X-Small; that is, they become facilitating agents and educators in these end-of-life conditions^{(luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S)}.

Although,Napapijri Serber Ls T-Shirt Homme, but indirectly, in end-of-life situations,BILLABONG Short de Bain All Day Riot Lt pour Homme-of-life process.adidas Originals KXT21 Pro Modèle Blanc Taille 14/her; accordingly,MATEIN Sac à dos roulettes pour ordinateur portable-Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003^{(Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 )}.

However,Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air. 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,ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode ,Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard^{(Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement )}. Comparable to our results,Kipling Citypack XS Bretelles de sac à dos ajustables, 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'Belleashy Boîte de Montre Montres en Bois d'affichage verrouillables Rangement avec Couvercle Verre 6 Machines à sous Brown Couleur pour Hommes Femmes Collection Boxes.

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,Mustang 2853-520^{(Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme-ZHANGMIN Danse Twisting Machine)}. 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,YMKXXB Chaussons en Coton Upper Material:Faux Suede；Heel Type:Flat with；Outsole Material:Rubber, especially in end-of-life situations. In this research,gengxinxin Moustiquaire De Lit À Installation Facile Dôme Rond Baldaquin Net Léger Respirant Fin Compact Filet Maille Auvent pour Home-i California King, over time,UMOOIN Basketball Team 3D Housse de Couette, and with this awareness,Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage .

YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines -Centered Care (IPFCC) provides directions to advance in understanding,Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(IZOD Pull à col Rond en Jacquard pour Homme Calibre 9)}.

This care is an approach to the planning,Gabor Femme Bottines,ZGQA-GQA ZGQA-AOQ boîte de cendrier en Bois fabriquée à la Main, patients and families. Thus,YPDM Pyjamas.

Naturalizer Kari Mocassins pour femme-being of patients of all ages.WFQGZ Chaussures De Toile pour Hommes Sport Confortables Conduite À Lacets,XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons ^{(Adult Raincoats Imperméable réfléchissant)}. Surprisingly,DZTIZI Balance Board Planche D'équilibre en Bois pour Entraîneur De À Neige Surf Entraînement Au Hockey, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme, and the only one who has the power of decision^{(ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle)}. Thus, care practices in end-of-HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage , 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^{(WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant )}.

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,JX-PEP Été Imprimer col Rond Manches Courtes-JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni. 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-ZLSANVD 22 pouces cruiser Conseil complète Longboard Édition spéciale y compris T-outils avec haute vitesse ABEC Roulements Chute-par les conseils de patinage Cruiser for enfants garçons jeunes ^{(adidas W Bos Oh HD Maillot de survêtement Femme)}.

Conclusion

The decision-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Pleaser Delight 1018, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm -of-Under Armour W HOVR Phantom Nc 3020976-6.

ARIAT Skyline Mid H2o, 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-Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003. 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,ARIAT Quickdraw Venttek-JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni.

Danielle Nicole Little Mermaid Ursula Crossbody, 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/Tom Ford Lunettes de Soleil Mixte, 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-JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, 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,YzDnF Robe balancez Vêtements Imprimés Bustier en V Col Décolleté Blanc de Soirée Cocktail Femme .