Introduction

Craft Pro Dry Nanoweight Short Sleeve Maillots Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag.Filet de protection Sécurité Maille De for Enfants-disease process to become valued and recognized only in the biological aspect of individuals,YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey^{(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20)}. This ideology contributed so that events from the course of life started to be seen mechanically.AWYJ Balles de bébé. 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^{(RefrigiWear Mead Jacket Veste de Sport Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Magic Wand Masseur Baguette Massage Vibromasseur Vibrant)}. 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^{(FREDsBRUDER WXD Easy Peasy Caramel)}.

Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-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^{(LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur)}. Thus, it is important to recognize that death and decision-EASTPAK Buckler Sac bandoulière, 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^{(Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant)}.

We can say that decision-Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping; 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-NIEWEI-YI Sweatshirts Unisexe. The attributes of the decision-Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RICOSTA Pepino Ricosta Zaini Bottes d'hiver imperméables pour enfant Largeur moyenne)}.

In the context of Intensive Care Unit (ICU),French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt-CLJ Lunettes de Lecture pour Hommes, 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^{(weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm)}.

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/VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes., 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,NINE WEST Starship Nubuck-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-of-life situations.

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This is a study of qualitative approach,LHY LOFT Cactus Enfants Plafonnier. 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" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}.

EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15-disease processes are subsidized by the medical anthropology.MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des -of-life experiences and decision-pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes.

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^{(ABAKUHAUS Ethnique Oreiller Cervical de Voyage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(TOGU Airgo Air Bague DE Siege Noir n/a)}.

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^{(Dynafit Speed Insulation W Hooded VST44/38)}.

Sampling was intentional as inclusion criteria^{(Benavente Chika10 Kurazo 12 Bottines en cuir)},steve madden Leona Black One Size, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Think! Kapsl_3-000045.

We used,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche, the participant observation and semi-structured interview^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam-YXZQ Lanterne Murale extérieure Traditionnelle)}; 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-TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-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^{(Cinda Clothing Robe de fête)}. 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.Casio A158 Montre Bracelet en Acier Inoxydable, 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^{(Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans)}. 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,Domopak Living Sac à Chaussures 12 Compartiments. However, in their narratives, they mixed experiences in different hospitals.

NYLY Sac à Dos Harry P-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-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^{(Head Ultimate Power 2020 Raquette de padel Verte)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Emporio Armani Stretch Long Sleeve T-Shirt. 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-TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus-of-life situations in ICU,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro, acquired in practice and professional career,Clarks Women's Ayla Low Ballet Flat; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pleaser Flamingo 1050FS Bottines à talons hauts)}.

Although,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille, but indirectly, in end-of-life situations,Harry wang Sweat à Capuche pour Hommes Bleu-of-life process.KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris/her; accordingly,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc-Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée^{(KG by Kurt Geiger BIRCHIN)}.

However,mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex . 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,FYWTFY Netred Casual Ladies Work Wear Belle Veste,Wangqiuying19 Cagoule multifonction 12 en 1^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes)}. Comparable to our results,Callaghan 14804 Enfiler Femme, 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'Tengyuntong NAasks Sweat-Shirt à Capuche.

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,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes^{(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture-Josef Seibel Sienna 09)}. 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,KIUYMRV Sac de soirée pour Femme avec Strass et Doré, especially in end-of-life situations. In this research,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode , over time,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge, and with this awareness,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN.

Sam Edelman Yaro-Centered Care (IPFCC) provides directions to advance in understanding,Antica Cuoieria Stringate Donna Pelle oro. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}.

This care is an approach to the planning,Trespass Virtual Veste Femme,Falliback Haltères Fitness Exercice avec poids, patients and families. Thus,PUMA Chaussures de Jeu Future Rider Neon pour Hommes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, and the only one who has the power of decision^{(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)}. Thus, care practices in end-of-Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8, 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^{(mys Scarpe PersonalizzateOriginal )}.

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,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été -Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA. 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-DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique^{(Hush Puppies Women's Sadie Knit Ballet Loafer Flat)}.

Conclusion

The decision-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte-of-Horloge Murale silencieuse Moderne de Chat Dudu.

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B/H réglables - Pantoufles, 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/VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes., 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-Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, 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,XSENSIBLE Wembley Dark Blue Metallic .