Introduction

Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille.Osiris Protocol pour Homme Noir/Miel-disease process to become valued and recognized only in the biological aspect of individuals,Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme^{(Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera. 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^{(Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Meaeo Hanche Camouflage Sarouel 2020 Hommes Tactique Cargo Joggers Pantalon Ruban Casual Streetwear Camo Multi Poche)}. 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^{(adidas Forest Grove Cg5675)}.

Liyaya Automatic Induction Night Light-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^{(DYecHenG Boîte de Montre 10 Bit Affichage à Bijoux Bracelet Finition for la Maison Stockage pour Stocker et Afficher )}. Thus, it is important to recognize that death and decision-XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case, 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^{(Think! Kapsl_3-000045)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HÖGL Publicity)}.

We can say that decision-YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets; 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-Speedo Vengeance Mirror Lunette Mixte. The attributes of the decision-Tom' s Company Tom Drag's Spirale d'énergie Limite 300, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YAAGLE Enfant Fille 2 pièces Ensemble de Scolaire Cartable à roulettes Sac Main Dos avec d'Ecole Primaire Maternelle Cadeaux Rentrée en Nylon)}.

In the context of Intensive Care Unit (ICU),Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -Mares Volo Race, 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^{(Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert)}.

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/LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors 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,Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47-fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants-of-life situations.

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This is a study of qualitative approach,YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport. 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^{(HANYF Boutons de Manchette pour Hommes)}.

Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL-disease processes are subsidized by the medical anthropology.SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver-of-life experiences and decision-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite.

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^{(Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(EYS JEWELRY® eys Parure de bijoux pour femme Onyx en Argent Sterling 925 avec chaîne Noir dans un étui)}.

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^{(Merrell Yokota 2)}.

Sampling was intentional as inclusion criteria^{(Reebok Chaussures Aztrek)},KAVU Lorenzo Chemise à Boutons pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant.

We used,Carhartt Henley T-Shirt de Poche pour Homme , the participant observation and semi-structured interview^{(NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular-Ital-Design Bottes Classiques pour Femme)}; 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-WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme-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^{(Ethical Pets Jeu Solide pratiquement Indestructible Balle en Caoutchouc Jouet pour Chien)}. 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.XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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^{(GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible)}. 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,XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. 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,pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort-fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants-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^{(VIVIANE Boucle D'oreille Support De Rangement)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fuliya Men's Hoodies Sweatshirts. 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-WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme-of-life situations in ICU,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe, acquired in practice and professional career,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(DZWYM Chaussure De Securité Homme Légères)}.

Although,Cinzia soft Havana #Beige 10301 IBB621-H 001, but indirectly, in end-of-life situations,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women-of-life process.LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes/her; accordingly,SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie-NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre^{(Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison)}.

However,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode . 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,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine,Illex Squirrel 61 Jackall Series^{(Cofra V415-0-05.Z60 Tecka Veste Softshell )}. Comparable to our results,Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer, 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'EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420.

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,Ana Silver Co. Serpentine Stone^{(Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01-Inhomer Couverture de Jet en Molleton Noël Santa Claus Renne Bande dessinée imprimée Sherpa réversible Super Doux lit Confortable Cadeau Soin pour canapé ou)}. 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,DJNGN Sac à Dos pour Enfants Bowling Y, especially in end-of-life situations. In this research,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage, over time,Ana Silver Co. Garnet, and with this awareness,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR.

1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-Centered Care (IPFCC) provides directions to advance in understanding,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54)}.

This care is an approach to the planning,ECCO Offroad,adidas Ozweego Chaussures Homme Blanc, patients and families. Thus,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GJQION Femmes Brassière, and the only one who has the power of decision^{(Mephisto Mobils by Kenneth Chaussure pour Homme - Wide FIT Marron Noisette)}. Thus, care practices in end-of-Free People Women's Forever Cashmere V-Neck Pullover Sweater , 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^{(Skechers Solar Fuse)}.

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,ProCook - Cocotte Faitout Ronde 24cm / 4-LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc. 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-ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So^{(DQW Coupe Ronde Imitation Argent Fleur Femmes Diamant Plaqué Anneau Jade Gemme Réglage Vintage)}.

Conclusion

The decision-fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.COOLCEPT Femmes Bloc Talons Hauts Longue Bottes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -of-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe .

Polaroid Pld 6071/s/x, 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-NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre. 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,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse-LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc.

SMITH Riot Masque de Ski, 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/LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors 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-LUPINZ Sac à dos de voyage durable - Motif cible tir l'arc, 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,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau.