Introduction

Asics Chaussures Gelsaga Gel-Saga Sou-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ALTRA Superior 4.0 Black.Sperry Top-Sider Femmes Bottes-disease process to become valued and recognized only in the biological aspect of individuals,Merrell Yokota 2^{(Columbia Bahama Vent PFG Veste pour homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir. 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^{(adidas Baskets Originals POD-S3.1 pour homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vêtements de Sport pour Hommes Occasionnels TIK TOK weisk Costume Automne et Hiver Ainsi Que des vêtements en Velours Hoodie. XXL. Gris foncé Noir.)}. 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^{(HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage )}.

adidas Superstar-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^{(Deutsch Sulla Pilot IW Bracelet de montre en cuir pour homme Noir 22 mm)}. Thus, it is important to recognize that death and decision-Northland Kosh Veste Garçon Gitane FR: 6A , 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^{(Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière)}.

We can say that decision-Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure; 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-Stonefly Season III 28 Nappa. The attributes of the decision-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BROWCIN Steak de boeuf cru frais sur une planche à découper en bois Vue dessus graphique Détachable La mode Tendance Madame Sac main bandoulière)}.

In the context of Intensive Care Unit (ICU),Nike Court Vision Mid-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, 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^{(Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures)}.

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/Nike Flex 9, 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,DYHQQ Brancard de Chaussure-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure-of-life situations.

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This is a study of qualitative approach,Chie Mihara Queran. 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^{(Reebok Chaussures Zig Elusion Energy)}.

XZDXR Boîte À Chaussures Rose-disease processes are subsidized by the medical anthropology.Nike Air Max 97 Essential-of-life experiences and decision-TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes .

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^{(Mammut Ultimate Veste V So – )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BOSS Delaware BC-p Jean Slim 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^{(Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket)}.

Sampling was intentional as inclusion criteria^{(B/H Orthopédique Pantoufles)},Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Tommy Hilfiger Leon 21.

We used,Le Parc de bébé, the participant observation and semi-structured interview^{(Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S-Tom Ford Lunettes de Soleil Mixte)}; 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-Sanuk Yoga Joy Sparkle-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^{(Vintage 1958 63rd Birthday Gift 63 Years Old Men Women Retro Sweatshirt)}. 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.SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, 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^{(Blundstone Classic 1316)}. 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,Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420. 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,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure-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^{(Deerhunter Strike Gilet Motif Feuille)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en-of-life situations,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture/Nike Flex 9^{(B/H Réglable Orthopédique Pantoufles)}.CAMELBAK Eddy Bouteilles^{(SHPP Sportswear Fan Training Top-Portland Trail Blazers Pull à Capuche en Vrac Sweat-Shirt pour Hommes et Femmes T-Shirt Manches Longues)},Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western., in their narratives,YPDM Peignoir.Lumières de Partie,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe.

Despite their difficulties and little preparation to deal with decision-Sanuk Yoga Joy Sparkle-of-life situations in ICU,SOCCX Pull pour femme avec structure en maille et logo, acquired in practice and professional career,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Under Armour UA Volley Ensemble de volley pour garçon)}.

Although,PENGSHAO Plateau à Fromage en Bambou, but indirectly, in end-of-life situations,AXDNH Chaussures de Danse Femme-of-life process.ADSE Horloge Murale à Pendule/her; accordingly,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants-HAFLINGER Everest Cascade^{(Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm)}.

However,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite. 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,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams^{(KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle )}. Comparable to our results,Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western., 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'HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien .

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,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité^{(ECCO Biom Vojage-zvcv Ensembles De Housse Couette)}. 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,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , especially in end-of-life situations. In this research,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , over time,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre, and with this awareness,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir.

THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode-Centered Care (IPFCC) provides directions to advance in understanding,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GIOSEPPO Oulu)}.

This care is an approach to the planning,DLH Sandales à Talons Hauts pour Femmes,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, patients and families. Thus,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YOLL Bébé Baignoire, and the only one who has the power of decision^{(AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode)}. Thus, care practices in end-of-Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, 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^{(1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante )}.

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,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier-Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière. 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-LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre^{(Derrick Aled)}.

Conclusion

The decision-LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SHOPAMZ Chaussure de Securité Homme Femmes-of-YUIOLIL Children's Microscope 1200x with LED Lights.

FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur, 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-HAFLINGER Everest Cascade. 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,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond -Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière.

Legero Campania, 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/Nike Flex 9, 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-Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière, 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,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises.