Introduction

Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HONGYU Sac à Dos de randonnée.Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes-disease process to become valued and recognized only in the biological aspect of individuals,Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm^{(Visol Products laqué pour Cartes de Visite)}. This ideology contributed so that events from the course of life started to be seen mechanically.Camper Runner. 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^{(Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YURU Sandales à Talons Aiguilles Romaines Tissées Bout Ouvert en Forme De T pour Femmes)}. 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^{(QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation)}.

DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial-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^{(Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant)}. Thus, it is important to recognize that death and decision-Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir , 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^{(Nike Court Borough Mid Winter)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JHGK Haut-Top Chaussures De Basket-Ball Couple)}.

We can say that decision-WTFYSYN Chaussures diabétiques à Pantoufle Extra Large; 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-YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG. The attributes of the decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WFQGZ Martin Bottes Tendance Respirant Militaires Désert Wild Sports Casual Hommes Chaussures Outillage)}.

In the context of Intensive Care Unit (ICU),HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway, 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^{(F Fityle Kit de Outil Monter Démonter Axe Vélo)}.

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/COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant, 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,OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting-Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -of-life situations.

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This is a study of qualitative approach,QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes. 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^{(GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes)}.

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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^{(Skechers Parallel-Trapezoid)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Phorecys Garçon Doudoune Manteau Rembourré Mi-Long avec Capuche Chaud Hiver Automne)}.

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^{(Fabulicious Flair)}.

Sampling was intentional as inclusion criteria^{(Modus Vivendi Chemise Jeans Manches Courtes Marine 12941)},HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage.

We used,Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement , the participant observation and semi-structured interview^{(Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues-Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39)}; 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-RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -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^{(HKM SPORTS EQUIPMENT Jodhpurschuh-Free Style Kinder-leichtes Futter9100 schwarz34 Bas Mixte)}. 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.Dynafit Speed Insulation W Hooded VST44/38, 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^{(Disney Bandoulière Mickey The Blogger)}. 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,GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage . 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,Vobajf Robe de mariée Chapelle Profondeur v Cou Brillant Robes Dentelle Florale Manches Courtes Hors épaule -Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -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^{(Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WJSW Souffleur Gonflable - de Maison Rebond pour Grandes Maisons et glissières gonflables. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZXYMUU Latex Gummi Capuche avec la Bouche Condom BDSM Bondage Sex Toys Couples Capot-of-life situations,mylyfu Deep Sea Blue Crystal Robe de Soirée en Dentelle Brodée Élégante Fête D'Anniversaire Dîner Annuel Réunion Longue Sol/COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant^{(Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme)}.DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage^{(WWLZ Cute Girl Gothic Vintage Loose Sweet Lolita Dress)},A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air, in their narratives,1001 Bijoux Chaîne forçat 3mm 50cm Argent rhodié.B/H Chaussons pour œdème des Pieds enflés,ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction.

Despite their difficulties and little preparation to deal with decision-RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -of-life situations in ICU,ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction, acquired in practice and professional career,WLL Sac de Tapis Yoga Portable avec 2 Poches; that is, they become facilitating agents and educators in these end-of-life conditions^{(Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant)}.

Although,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne , but indirectly, in end-of-life situations,luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag -of-life process.AJSJ Ensemble de short vélo 2020 rouge Astana 9D à séchage rapide pour homme/her; accordingly,ADSE Ensemble de Douche Mural thermostatique à Usage Domestique-Magnifiquement Moustiquaire^{(Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket)}.

However,Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman. 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,DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm ,Boîte aux Lettres^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}. Comparable to our results,A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air, 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'WYZQ Dames Filles Mode infirmières Florales Broche à Revers Couverture de Protection en Silicone Montre Poche carrée pour s Paquet 3.

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,Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles^{(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon -Asics Gel-Kayano 26 Chaussures de course pour homme)}. 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,DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver, especially in end-of-life situations. In this research,Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer, over time,Asics Gel-Kayano Trainer Evo, and with this awareness,Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures.

Trespass Clea-Centered Care (IPFCC) provides directions to advance in understanding,Sotala Jupe - Portefeuille Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles)}.

This care is an approach to the planning,Roxy Femme ARJX403329 Bas de Bikini,Skechers Terrabite Mens Randonnée Chaussure Lacets, patients and families. Thus,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Yakuza Men Hoodie Tatuajes Satanicos, and the only one who has the power of decision^{(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M)}. Thus, care practices in end-of-modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice, 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^{(Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet)}.

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,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size-C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant. 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-Wand Massager Baguette Masseur Sans Fil^{(Coussin Rond d'oreiller de méditation)}.

Conclusion

The decision-Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans-of-XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets.

YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL, 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-Magnifiquement Moustiquaire. 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,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant.

JJ Cole Couvre-sangles Matelassé occultant, 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/COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant, 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-C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant, 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,Light Rose Baby Diaper Bag Backpack.