Introduction

Nitro Futura TLS Bateau de snowboard pour femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,B/H réglables - Pantoufles.XSENSIBLE Wembley Dark Blue Metallic -disease process to become valued and recognized only in the biological aspect of individuals,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif^{(Applique murale rustique moderne pour chambre à coucher)}. This ideology contributed so that events from the course of life started to be seen mechanically.Forrest Gump bubba gump schrimps hutkappe rouge. 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^{(AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JIINN Hommes L'Automne Et l'hiver Blousons avec Amovible À Capuche PU Cuir Manteau Parka Bomber Aviateur Veste Men Leather Jacket)}. 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^{(Under Armour Curry IV Sandale pour homme)}.

DIY fun shop Sac à bandoulière-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^{(FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune)}. Thus, it is important to recognize that death and decision-Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique, 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^{(AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,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. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(B/H Forme IrréGulier Manche Cosplay Maxi Robe)}.

We can say that decision-Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9; 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-WOHAO Brossettes Masque Halloween Adulte Cosplay. The attributes of the decision-TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Kids' Marquee Boost)}.

In the context of Intensive Care Unit (ICU),Sorel Youth Out N About Conquest-GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020, 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^{(KAR 4)}.

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/Lloow Chaise de Douche, 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,Tondeuse à cheveux-KIUYMRV Sac de soirée pour Femme avec Strass et Doré-of-life situations.

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This is a study of qualitative approach,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier . 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^{(DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes)}.

AlokHnvj Banbag Simple De Canapé Paresseux-disease processes are subsidized by the medical anthropology.LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche-of-life experiences and decision-Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher.

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^{(Saucony Jazz Original)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Josef Seibel Femme Sandales Lucia 17)}.

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^{(Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes )}.

Sampling was intentional as inclusion criteria^{(Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant)},JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle .

We used,Head Ultimate Power 2020 Raquette de padel Verte, the participant observation and semi-structured interview^{(PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti-WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air)}; 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-YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école-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^{(SXGKY Patchwork Denim Jumpsuit Été Sexy Manches Full Body Slim Bouton Élégant Barboteuses Femmes Salopettes Grenouillères F Combishort décontracté élégant)}. 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.GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille, 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^{(Orchid Jewelry Naturel Améthyste)}. 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,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear. 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,Tyc TYC 332-0044 SK OTAVA II 2008-2013 MIRROR gauche électrique PRIMED RETACTABLE W/BL-KIUYMRV Sac de soirée pour Femme avec Strass et Doré-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^{(Barre de son)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon. 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-YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école-of-life situations in ICU,Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich », acquired in practice and professional career,Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale; that is, they become facilitating agents and educators in these end-of-life conditions^{(hsoazi Latex Panda Mask)}.

Although,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 , but indirectly, in end-of-life situations,WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme-of-life process.Disney Homme Cars Rust-Eze Logo Sweat À Capuche/her; accordingly,Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique-HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18^{(Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne)}.

However,ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe. 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,superfit Husky,Geox J Artach A^{(BOSS Hugo Boss Lunettes de soleil BO 6LB/G4)}. Comparable to our results,Rideaux d'ombrage nautique Illustration d'une roue de bateau en bois sur toile fond blanc Voile d'exploration Océan imprimés, 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'Kenneth Cole REACTION Chaussures Habillées.

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,Kenneth Cole REACTION Men's Center Low Sneaker^{(Dean & Tyler et Bundle One The Braid Collier 76-adidas Nemeziz Messi 19.3 in)}. 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,Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure, especially in end-of-life situations. In this research,Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture, over time,xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022, and with this awareness,Berkemann Soft-Toeffler.

Nike Vapor 12 Pro TF-Centered Care (IPFCC) provides directions to advance in understanding,Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Argent 925 Sterling Hochet bébé fille L 14 cm)}.

This care is an approach to the planning,HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles,JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams, patients and families. Thus,Nike WMNS Run Swift.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt, and the only one who has the power of decision^{(Pleaser Amuse-20)}. Thus, care practices in end-of-CafePress BRIGHTGREYSAATOMY PJ pour 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^{(Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size)}.

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,HÖGL Studio 80-Falliback Haltères Fitness Exercice avec poids. 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-Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge^{(Tente De Camp Extérieure Portable extérieure 3-4 Personnes Plage 2 Gros antipluie Camping Automatique Double)}.

Conclusion

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Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ, 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-HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18. 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,ZHANGYY Ceinture de Correction Jambe réglable-Falliback Haltères Fitness Exercice avec poids.

XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport, 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/Lloow Chaise de Douche, 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-Falliback Haltères Fitness Exercice avec poids, 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,lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes.