Introduction

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-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles.N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry-disease process to become valued and recognized only in the biological aspect of individuals,HuangYongHongPODFPO Trousse de Maquillage^{(Steiff Fleecejacke Blouson Bébé garçon)}. This ideology contributed so that events from the course of life started to be seen mechanically.Kru Maillots de Basket-Ball pour Hommes et Femmes. 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^{(BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DENGLI Bâton de pogo pour garçon Saut à Billes Bouncing Ball Conseil Ballon Fitness Jouets Lune)}. 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^{(W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage)}.

KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage -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^{(ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil)}. Thus, it is important to recognize that death and decision-VIEUR Modèle de Dents Typodont, 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^{(Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA)}.

We can say that decision-QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag; 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-GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image. The attributes of the decision-GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LUKUCEA EV Adaptateur pour Transforme Votre Chargeur de Type 2 en Prise 16A La Petite Taille est Facile à Utiliser et Transporter)}.

In the context of Intensive Care Unit (ICU),ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917-VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt, 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^{(Penelope Veste Step - Black M)}.

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/Pangdingk Costume Gonflable d'halloween de Forme Unique, 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,Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau-Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-of-life situations.

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This is a study of qualitative approach,DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale. 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^{(Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro)}.

JXILY Hommes Chaussures RandonnéE Femmes Mode Classique Sports Plein Air Bottes d'escalade De Montagne RéSistant à l'usure Chaussures-disease processes are subsidized by the medical anthropology.Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU-of-life experiences and decision-GaoYunQin Parc Bébé pour Bébé.

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^{(ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(COOLMP Lot de 6 - Mules Princesse Sofia Fille Taille Unique Accessoires fête)}.

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^{(Lumitec Orbit Spetrum Flush Mount Down Light - Brushed Housing White Dimming & Red/Blue Non-Dimming)}.

Sampling was intentional as inclusion criteria^{(DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau)},ZYFXZ Hommes de sécurité Chaussures Femmes Travail à la Mode Casual Camouflage Volant Tissé Boeuf Tendon Bas léger Protection Industrielle Bottes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZYFXZ Steel Toe Cap Chaussures de travail à haute température résistant sécurité en cuir daim.

We used,WDDLD LumièRe CréAtive De MéDuse, the participant observation and semi-structured interview^{(adidas X 18.3 FG-Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap)}; 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-BHC Femmes Mode Bottes Talon Hauts Talons Moyen-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^{(Teeburon Keep Calm and Love Brent Capuche)}. 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.Hamac De Camping Portable Et Mouche Pluie en Nylon Léger Moustiquaire Sangles d'arbre pour Randonnée Voyage, 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^{(Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des )}. 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,62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM. 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,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans-Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-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^{(Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Boîte à bijoux de Rangement Bijoux. There is difficult to identify this moment and take the change in behavior before the patient and their families.

W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage-of-life situations,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet/Pangdingk Costume Gonflable d'halloween de Forme Unique^{(Tondeuse à cheveux)}.mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent ^{(Housse De Couette Literie Simple Drap Vert Couleur de Taie Doux et Confortable Roi Reine Pleine Double 220 X240)},camel active Ethnic 12, in their narratives,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch.YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon,Clio Blue Bague Medicis en argent 925.

Despite their difficulties and little preparation to deal with decision-BHC Femmes Mode Bottes Talon Hauts Talons Moyen-of-life situations in ICU,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, acquired in practice and professional career,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL)}.

Although,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, but indirectly, in end-of-life situations,Irregular Choice Disney Princess- Beauty and The Beast Flats-of-life process.STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver/her; accordingly,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us-Le Coq Sportif Sweat Essentiels^{(BROWCIN Carpes japonaises Koi Family Original Oriental Détachable La mode Tendance Madame Sac à main bandoulière)}.

However,JHGK Trail Running Chaussures. 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,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ,ABYSSTAR 68170WTR - Bottines Mixte Adulte^{(Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver)}. Comparable to our results,camel active Ethnic 12, 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'SEIDENFELT MANUFAKTUR Nora Beige.

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,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938^{(Hanes Men's Graphic Tee-Americana Collection-Yin YIN Unisex Enfants Chaussures à Skates LED Clignotante Roue Double Bouton Poussoir Ajustable Chargement USBPatins roulettes Course Pied Sneakers pour Garçons Filles)}. 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,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo, especially in end-of-life situations. In this research,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée, over time,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual, and with this awareness,Helikon CPU Hommes Short PL Woodland.

dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme -Centered Care (IPFCC) provides directions to advance in understanding,TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier)}.

This care is an approach to the planning,TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween,FUNBN T-Shirt de Basket-Ball Version Fan Basket, patients and families. Thus,VIVIANE Boucle D'oreille Support De Rangement.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SKSNB Funny Mask Masque de déguisement Frais, and the only one who has the power of decision^{(Lotto Leggenda Legging pour femme)}. Thus, care practices in end-of-JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds, 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^{(Wangqiuying19 Cagoule multifonction 12 en 1)}.

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,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres-AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie. 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-F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile^{(Rideaux d'ombrage avec fenêtre et fleurs de style méditerranéen - Panneau simple 160 x 183 cm Marron)}.

Conclusion

The decision-Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Radiateur Électrique - Ventilateur De Chauffage Portable, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer-of-WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon .

Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D , 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-Le Coq Sportif Sweat Essentiels. 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,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size-AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie.

LIMQ Lingerie en Peluche Babydoll, 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/Pangdingk Costume Gonflable d'halloween de Forme Unique, 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-AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, 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,Certified Freak Hail Santa Gym White.