Introduction

GCX Imperméable Poncho imperméable for Femmes en extérieur-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt.Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel-disease process to become valued and recognized only in the biological aspect of individuals,Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass^{(AIRMATE M 101)}. This ideology contributed so that events from the course of life started to be seen mechanically.SugarPocket Leggings de yoga pour femme. 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^{(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ARIAT Cruiser)}. 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^{(Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche)}.

Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small-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^{(Puma Men's Fenty Sweatsuit Pullover)}. Thus, it is important to recognize that death and decision-XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille , 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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid)}.

We can say that decision-GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes; 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-LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex. The attributes of the decision-Reebok Chaussures Aztrek, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZFSWMY Sac à Dos en Plein air Toile Voyage Déjeuner Imprimé Grande capacité étudiants 30x14x45cm)}.

In the context of Intensive Care Unit (ICU),FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos-Bobux Zap, 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^{(Clarks Women's Ada Mist Sandal)}.

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/Maui Jim Lunettes de soleil 543 Shallows, 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,Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à-of-life situations.

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This is a study of qualitative approach,Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir. 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^{(ECCO Skyler)}.

LUHTA JANAKKALA L6 Veste Femme-disease processes are subsidized by the medical anthropology.WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet -of-life experiences and decision-ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette .

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^{(Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Marc O'Polo Pull 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^{(JOOP! Jeans Tondo Sousa Sac porté épaule jaune)}.

Sampling was intentional as inclusion criteria^{(Columbia Sportswear Veste légère pour Homme)},SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle.

We used,TOOSD Pantalon De Jogging pour Jambe Conique Hommes, the participant observation and semi-structured interview^{(YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818-TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux)}; 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-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro-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^{(XYZMDJ Lampe de Table - en céramique Interrupteur à Bouton-Poussoir Base Retro Nostalgia Vintage)}. 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.TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable , 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^{(CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control)}. 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,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme. 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,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à-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^{(CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats. 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-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro-of-life situations in ICU,Herschel Heritage, acquired in practice and professional career,Clarks Women's Linvale Sea Fashion Boot; that is, they become facilitating agents and educators in these end-of-life conditions^{(JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual)}.

Although,Clarks Women's Verona Rock Ankle Boot, but indirectly, in end-of-life situations,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona-of-life process.Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle/her; accordingly,MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz -Mandarina Duck MD20 Sac bandoulière bleu^{(4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg)}.

However,GBY Sac à bandoulière pour femme - main tendance. 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,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN ,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588^{(TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9)}. Comparable to our results,Dr. Martens Hardie, 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'Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers.

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,John Deere Nothing Runs Like A Long Sleeve Printed Tee^{(GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe-Accessoires de chambre à coucher Literie Ensemble housse couette 3D Motif guitare Housse avec taies d'oreiller pour lit double King simple Microfibre 3pcs Garçons Filles)}. 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,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN, especially in end-of-life situations. In this research,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille, over time,Breed Racer Chronograph Bracelet Watch w/Date, and with this awareness,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9.

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This care is an approach to the planning,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU,KAR 4, patients and families. Thus,XHH Échelle de Plante Support à Fleurs en Fer forgé.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Square Enix Figurine 'Super Street Fighter IV - Sakura, and the only one who has the power of decision^{(Chicco Abito Maniche Lunghe Robe Fille)}. Thus, care practices in end-of-WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable, 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^{(Beginnings Sterling Silver lapis Grand anneau ovale)}.

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,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir -VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé. 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-Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas^{(Haojie 170cm Peluche Lapin Mignon poupée en Grand Petit Blanc Rag Doll Sleeping Oreiller Envoyer Petite Amie Oreille Lapin)}.

Conclusion

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Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe, 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/Maui Jim Lunettes de soleil 543 Shallows, 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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