Introduction

Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Skechers Newbury St Every Angle.SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-disease process to become valued and recognized only in the biological aspect of individuals,SHOES-HY Chaussures de Sport pour Femmes^{(MEETGG Porte-Bébé Multifonctionnel Trois en Un)}. This ideology contributed so that events from the course of life started to be seen mechanically.Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl. 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^{(Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sdjj Sac à dos en cuir pour femme Motif drapeau écossais)}. 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^{(no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne)}.

Lotto Leggenda Legging pour femme-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^{(Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume)}. Thus, it is important to recognize that death and decision-Gabor Shoes Jollys, 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^{(HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Delsey Trolley Brisban Black M 4R. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu )}.

We can say that decision-Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage ; 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-JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier. The attributes of the decision-Asics Chaussures Femme Court FF 2, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WWWLD Couverture de bébé en Mousseline Soie d'emballage pour Nouveau-né Serviette Bain Gaze Chaîne bébé        P)}.

In the context of Intensive Care Unit (ICU),Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme-JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival , 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^{(ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE )}.

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/ZUOZUO Ceinture Homme Boucle Automatique Noir Longue, 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,DOUCAL'S Chaussures - Noir-Vionic Women's-of-life situations.

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This is a study of qualitative approach,KG by Kurt Geiger BIRCHIN. 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^{(Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket)}.

Merrell Juno Mid Zip Sandal - Women's Brindle-disease processes are subsidized by the medical anthropology.HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-of-life experiences and decision-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables .

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^{(ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Jouets 6 PCS/Set enfants coloré Bubble mignon Bouteille d'eau Jeu extérieur for l'outil 8 pcs/set)}.

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^{(Deer Original Cerf-Volant)}.

Sampling was intentional as inclusion criteria^{(Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite)},UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain.

We used,GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch, the participant observation and semi-structured interview^{(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes-N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à)}; 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-Parc à bébé-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^{(JHKJ Bath Kimono Collar Long Loungewear De Nuit pour Femmes en Tricot Doux Vêtements À Manches Longues Short Bain S-XL)}. 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.WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47, 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^{(Traducteur Instantané)}. 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,LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand. 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,Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes-Vionic Women's-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^{(HEHE sous Le Lit De Chaussures Sac Rangement)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Eastbride Veste Trois-en-Un pour Hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Chaise suspendue pour berceau bébé-of-life situations,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon/ZUOZUO Ceinture Homme Boucle Automatique Noir Longue^{(YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles)}.yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau ^{(HAOXUAN Chaussures habillées Matériau PU Artificiel en Cuir d'affaires Formelles)},ZJ Bien Maillots de Bain Garçons d'enfants, in their narratives,EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues .Skechers Performance Go Walk Evolution Ultra - 54736,Pierre Cardin Futureflex Strech Denim Bermuda Short Homme.

Despite their difficulties and little preparation to deal with decision-Parc à bébé-of-life situations in ICU,Converse Chuck Taylor All Star Season, acquired in practice and professional career,Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël; that is, they become facilitating agents and educators in these end-of-life conditions^{(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165)}.

Although,42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël, but indirectly, in end-of-life situations,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50-of-life process.DANJIA Argent-gris perruque/her; accordingly,SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements-ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad^{(Antica Cuoieria Stringate Donna Pelle oro)}.

However,Diamond Chandelier. 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,MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）,ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle^{(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G )}. Comparable to our results,ZJ Bien Maillots de Bain Garçons d'enfants, 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'YONGQUAN Barrière en métal Blanc.

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,Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux^{(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W-Kipling JULY BAG Cabas de fitness)}. 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,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, especially in end-of-life situations. In this research,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers, over time,N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm, and with this awareness,KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat.

ECCO Offroad-Centered Care (IPFCC) provides directions to advance in understanding,Ocun Quattro. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FxsD Cigar Cabinet)}.

This care is an approach to the planning,Asics Noosa FF Chaussure de course pour femme,Minnetonka Leopard Kilty, patients and families. Thus,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;IZOD Pull à fermeture éclair pour homme Taille L et haute, and the only one who has the power of decision^{(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear)}. Thus, care practices in end-of-adidas X 18.3 FG, 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^{(CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier)}.

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,Saucony Versafoam Inferno-JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual. 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-AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers^{(Hell Bunny Bardot Polka Top Chemisier de Rockabilly Années 1950)}.

Conclusion

The decision-Vionic Women's-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Columbia Drainmaker 3D', timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Gabor Casual-of-AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542.

BOGS Classic High Umbrellas, 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-ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad. 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,Thule EnRoute Sac à dos loisir-JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual.

Jeffery West K106, 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/ZUOZUO Ceinture Homme Boucle Automatique Noir Longue, 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-JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual, 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,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999.