Introduction

Camfosy Bottines Femme Cuir Talons-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Couverture pour bébé.weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet-disease process to become valued and recognized only in the biological aspect of individuals,Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc^{(AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight)}. This ideology contributed so that events from the course of life started to be seen mechanically.XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm . 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^{(RVCA South Eastern Trunk pour Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Naturana - Maillot de Bain Une pièce Ampliforme à Armatures 73245 Femme)}. 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^{(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)}.

Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde-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^{(Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck)}. Thus, it is important to recognize that death and decision-LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG, 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^{(Champion Sweat à Capuche en Laine Polaire pour Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(no!no! Anti-Pluie Surchaussures)}.

We can say that decision-XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini; 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-Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt. The attributes of the decision-Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DAOU Raincover Cartable à Dos Scolaire roulettes Fille Garcon Primaire Secondaire Sac Enfant en Nylon Etanche 33 * 24 48cm)}.

In the context of Intensive Care Unit (ICU),XFQ Sandales pour Dames en Plein air-Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme, 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^{(GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A)}.

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/Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by, 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,Brand88 Wolf Mask-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé-of-life situations.

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This is a study of qualitative approach,NEWTON Distance 9 Chaussure De Course à Pied - AW20. 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^{(EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material)}.

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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^{(Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Helly Hansen Active Anora Regenjacke Blouson de pluie Mixte enfant)}.

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^{(PUMA Roma Basic)}.

Sampling was intentional as inclusion criteria^{(adidas Vs Pace)},L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose.

We used,KEHUITONG Barre horizontale pour porte de sport, the participant observation and semi-structured interview^{(Natori Women's Power Yogi Contour Convertible Sport Bra-Dansko Women's Adrianne Sneaker)}; 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-WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25-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^{(YLJYJ Ensembles de thé pour Adultes Tasse à café en Porcelaine Chine Nordique Romantique Tasses Expresso créatives Haute qualité Simples après-midi)}. 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.SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, 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^{(Tuyau d'eau télescopique Magique)}. 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,RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops. 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,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé-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^{(TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Failsworth Millinery Hudson Casquette six pièces - Marron Taille S-of-life situations,Topashe Femme Halloween Renaissance Medievale Costume/Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by^{(GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch)}.iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain^{(Vince Camuto Ermania)},Ralph Lauren Thompson, in their narratives,AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski.Grunland CI0938 ALDE Ciabatta Donna S. Love 36,adidas Pulseboost HD Guard M.

Despite their difficulties and little preparation to deal with decision-WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25-of-life situations in ICU,WRJY Poussette bébé, acquired in practice and professional career,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Saucony Versafoam Inferno)}.

Although,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche, but indirectly, in end-of-life situations,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-of-life process.TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz/her; accordingly,Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24-Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket^{(Mizuno Tc-02)}.

However,Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip. 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,GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité ,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie^{(Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher)}. Comparable to our results,Ralph Lauren Thompson, 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'Clarks Linvale Emmy.

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,HHORD Panier De Bicyclette Rétro Tissé D'imitation^{(Haminaya Petit Sac Bandoulière Femme Licorne mignonne -RXTSD Parka épais pour Hommes)}. 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,Vinmin USB Rechargeable lumière de vélo Avant, especially in end-of-life situations. In this research,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille, over time,HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout, and with this awareness,Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme.

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This care is an approach to the planning,Hicks & Brown Suffolk Fedora Vert olive ,NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12, patients and families. Thus,SMXGF Laine Echarpe.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile , and the only one who has the power of decision^{(mingliang Bas pour Aider Bottes Militaires des Hommes)}. Thus, care practices in end-of-Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme, 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^{(GUANTO MMA BLITZ - 24531 7)}.

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,Tamaris 1-1-25012-23-Procase ProCase Trousse de Toilette Transparente Anti-Fuite. 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-DC Femmes Recherche 18^{(Buy and buy at Brandon Men's Jacket Winter Cotton Thick Two Sides Wear Short Down)}.

Conclusion

The decision-AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok-of-ISABELLE BLANCHE P030T001 Chino Femme.

Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet, 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-Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket. 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,Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ -Procase ProCase Trousse de Toilette Transparente Anti-Fuite.

MWOOOK Escarpins Femmes Talons Aiguilles, 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/Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by, 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-Procase ProCase Trousse de Toilette Transparente Anti-Fuite, 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,Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne.