Introduction

adidas 9 pair Performance Sneaker Socks Unisex short sock-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans.Y NOT? Ladies bag Ynot? Caroline 003 Black-disease process to become valued and recognized only in the biological aspect of individuals,Invicta 4432348/D Doudoune Femmes^{(Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 )}. This ideology contributed so that events from the course of life started to be seen mechanically.MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique . 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^{(Chorchester Robe à capuche pour cobra serpent multiangle Polygon)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Versace Jeans Couture femme sac bandoulière nero)}. 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^{(1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau)}.

XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude-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^{(No-Branded L.W.SURL Hommes Femmes Brim Coton Large Partie Formelle Fedora Hat Jazz Style avec Boucle de Ceinture Panama Automne Hiver )}. Thus, it is important to recognize that death and decision-Qiterr Remontoir de Montre, 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^{(New Balance 996)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339)}.

We can say that decision-SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité; 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-Panier Panier. The attributes of the decision-Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WSXM Poussette Canne Compacte Bébé Pliable avec Position Couchée De Voyage Confort La Naissance À 36 Mois)}.

In the context of Intensive Care Unit (ICU),WANGXIAO Veste en Duvet Hommes-Plafonnier carré simple à LED, 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^{(WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets)}.

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/Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires, 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,Trussardi Jeans by TrussardiZip-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière-of-life situations.

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This is a study of qualitative approach,APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans. 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^{(N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité)}.

LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L-disease processes are subsidized by the medical anthropology.Baby Mobile Music Berceau Mobile-of-life experiences and decision-DIY fun shop Sac à bandoulière en Cuir Vert Grosse tête de Serpent pour Femmes.

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^{(DC Shoes - Chaussures Magnolia TX Lowtop pour Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Xin Hai Yuan Chauffage Hiver sous-vêtements Doublure Veste USB électrique T-Shirt et Pantalon de Ski Ensemble Costume pour l'hiver Camping)}.

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^{(OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage)}.

Sampling was intentional as inclusion criteria^{(CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc )},DIY fun shop Sac à bandoulière en Cuir des Femmes de décoration Forme géométrique Jaune, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga.

We used,KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un , the participant observation and semi-structured interview^{(Chariot pour Animaux de Compagnie-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween)}; 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-Pierre Cardin Jeans - Homme Bleu-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^{(Nine West Women's Sleeveless Ruffle Hem Dress)}. 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.ZHENRENJIAFA Full hair full hand woven wig female air bangs buckle invisible headgear @40cm Perruques Cosplay pour Femmes Cheveux Halloween, 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^{(LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme)}. 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,Leder24h lederwaren rund um die Uhr Gilet en cuir avec gilet mousquetons 9000 noir Noir/orange xl. 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,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière-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^{(MUK LUKS Chaussons Critter pour Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes. 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-Pierre Cardin Jeans - Homme Bleu-of-life situations in ICU,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, acquired in practice and professional career,Sac à Dos Pliable Léger; that is, they become facilitating agents and educators in these end-of-life conditions^{(YIJIAREN pour Volkswagen Series Tapis Sol Voiture)}.

Although,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, but indirectly, in end-of-life situations,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -of-life process.Ducati Femmes Polo D-Attitude Gris - M/her; accordingly,Kappa Doudoune Stade Français Paris Adulte 2020/2021-Shaker à Cocktail Boston Standard Professionnel^{(Panier Panier)}.

However,AQWESD Pied de Table canapé en Bois 4 pièces. 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,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement ,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique^{(LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable)}. Comparable to our results,FACAI Masseurs électriques pour Les Pieds, 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'XSY Denim Zipper Genou Talon Hiver Bottes.

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,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté^{(DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust-Stella McCartney SC0064S 004 Montures de Lunettes)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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This care is an approach to the planning,Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, patients and families. Thus,Josef Seibel Tanja 13 Halbschuh Braun.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Skechers Femmes Chaussures De Sport A La Mode, and the only one who has the power of decision^{(SDJJ Sac à dos vintage en cuir pour femme Motif floral)}. Thus, care practices in end-of-Saucony Jazz Original, 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^{(WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser)}.

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,Skechers Madison Ave - City Soul-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse. 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-Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés^{(Taubert Peignoir - Homme Blanc)}.

Conclusion

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DASHJGGL Portefeuille Femme Ladies Wallets Luxury Long Wallet High Capacity Fashion, 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/Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires, 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-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, 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,Restyle Split Tunic - Robe à col roulé Noire et Gothique.