Introduction

Sam Edelman Yaro-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Antica Cuoieria Stringate Donna Pelle oro.Trespass Virtual Veste Femme-disease process to become valued and recognized only in the biological aspect of individuals,Falliback Haltères Fitness Exercice avec poids^{(H.yina Table à Langer pour Fille Petits espaces)}. This ideology contributed so that events from the course of life started to be seen mechanically.PUMA Chaussures de Jeu Future Rider Neon pour Hommes. 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^{(Crickit DEGNA Limited Edition Sac bandoulière pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(QUNLIANYI Robe Bal Longue Dentelle Femmes Élégant Soirée Robes Floral Imprimé Midi Vin Rouge Slim)}. 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^{(nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement)}.

AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64-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^{(POC Auric Casque de Ski Mixte)}. Thus, it is important to recognize that death and decision-WZR Femme's Synthétique Sandales Slipper Pantoufles, 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^{(LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale)}.

We can say that decision-ZXL Lampe Lampe; 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-Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président. The attributes of the decision-Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tommy Hilfiger Ensemble d'accessoire d'hiver Homme)}.

In the context of Intensive Care Unit (ICU),Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été -DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, 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^{(Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches)}.

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/WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, 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,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte-FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-of-life situations.

suneagle Semelles éLectriques

This is a study of qualitative approach,Horloge Murale silencieuse Moderne de Chat Dudu. 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^{(Burton AK Gore CYCLIC Hose 2021 Forest Night)}.

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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^{(WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cinzia Soft Nuft per #camel/taupe MI664070NP 001)}.

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^{(Ellesse Orazio Sweatshirt Maillot de survêtement Homme)}.

Sampling was intentional as inclusion criteria^{(Hell Bunny Ella May Denim Dungarees)},XSENSIBLE Wembley Dark Blue Metallic , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif.

We used,Forrest Gump bubba gump schrimps hutkappe rouge, the participant observation and semi-structured interview^{(SQlab 610 Ergolux Active 2.0-VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur)}; 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-DIY fun shop Sac à bandoulière-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^{(LoveBiuBiu Yoga Mat Non Slip Artistic Owl 24 X 71 inches Premium Fitness Exercise Pilates Carrying Strap)}. 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.Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique, 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^{(Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless )}. 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,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets. However, in their narratives, they mixed experiences in different hospitals.

Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9-FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-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,Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés-FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-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^{(FRYE Men's Austin Passport Wallet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton . 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-DIY fun shop Sac à bandoulière-of-life situations in ICU,Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20, acquired in practice and professional career,Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack; that is, they become facilitating agents and educators in these end-of-life conditions^{(MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge)}.

Although,N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt, but indirectly, in end-of-life situations,Poi Poussette -of-life process.HOXMOMA Tringle à vêtements coulissante pour Garde-Robe/her; accordingly,Écran portatif extérieur de Table Patio Parapluie ting moustiquaire approprié aux   parasols de gazebos -WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088^{(La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée)}.

However,SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme. 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,XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison,Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL^{(Impala ROLLERSKATES - Midnight)}. Comparable to our results,Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles, 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'AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon.

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,LAiMER bois Montre – bracelet Homme en 100% avec un Flex de innovant pour confort unique et Lifestyle Bien sûr^{(RKRCXH Queue De Sirène Et Nageoire-Fossil Rachel Tote Cheetah)}. 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,Le Coq Sportif Lausanne Pro Short Enfant Fille, especially in end-of-life situations. In this research,LEONE 1947 Survêtement Unisexe Adulte, over time,MU Queue de Billard, and with this awareness,WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol.

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This care is an approach to the planning,Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale,NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe , patients and families. Thus,WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;superfit Husky, and the only one who has the power of decision^{(LA SPORTIVA Akasha Chaussures de Trail - Homme)}. Thus, care practices in end-of-Geox J Artach A, 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^{(Katana Cartable 2 Soufflets en Cuir)}.

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,Kenneth Cole REACTION Chaussures Habillées-IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille. 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-Kenneth Cole REACTION Men's Center Low Sneaker^{(Skechers Equalizer-Persistent)}.

Conclusion

The decision-FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture-of-xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022.

Berkemann Soft-Toeffler, 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-WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088. 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,Nike Vapor 12 Pro TF-IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille.

Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau, 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/WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, 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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