Introduction

Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020.Procase ProCase Trousse de Toilette Transparente Anti-Fuite-disease process to become valued and recognized only in the biological aspect of individuals,Trevor Jones Bof Richard III^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26")}. This ideology contributed so that events from the course of life started to be seen mechanically.I will take action now Lunettes de Soleil coloré 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^{(Cole Haan Morris Wing Ox:Java Oxford pour Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TYQQU Femmes Sexy Avant Bouton Robe Dos Nu Casual Vocation sans Manches Imprimé Beach Party Midi)}. 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^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}.

Reebok Classic Small Vector Tee - Manches Courtes Mixte-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^{(Essuyez Chaud)}. Thus, it is important to recognize that death and decision-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC, 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^{(Lacoste PH4010 Polo Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Little Me Bébés Filles Foot. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques)}.

We can say that decision-My Tiny Treasures Box Company Boîte à Musique Motif Ballerine; 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-HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen. The attributes of the decision-nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LXZSP Miroirs muraux rétro)}.

In the context of Intensive Care Unit (ICU),Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54-AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight, 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^{(RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision )}.

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/AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight, 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,S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15-Hatley Swimsuits Maillot Une pièce Garçon-of-life situations.

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This is a study of qualitative approach,Couverture pour bébé. 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^{(FACAI Masseurs électriques pour Les Pieds)}.

Camfosy Bottines Femme Cuir Talons-disease processes are subsidized by the medical anthropology.Couverture pour bébé-of-life experiences and decision-weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet.

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^{(SKTWOE Bottes De Cheville Femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(UGHUIHG Edgar Allan Bro Sac à main pliable en cuir imperméable)}.

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^{(Küchenks Chariot de magasinage Chariot)}.

Sampling was intentional as inclusion criteria^{(T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50)},Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm .

We used,Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde, the participant observation and semi-structured interview^{(Figurine Statuette Sculptures Bouddha-Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas)}; 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-LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG-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^{(JPDP WESTAL Messenger Bag Hommes en Cuir véritable Sacs à bandoulière pour Faits de Serviettes masculines Naturelles Sac Ordinateur Portable 9103 3)}. 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.XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée, 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^{(Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM)}. 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,XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini. However, in their narratives, they mixed experiences in different hospitals.

Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt-Hatley Swimsuits Maillot Une pièce Garçon-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,21 shoes Chaussures personnalisé cloutée Customized Original -Hatley Swimsuits Maillot Une pièce Garçon-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^{(Lee Brooklyn Jeans Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Maillots de Basket-Ball pour Hommes et Femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DGHJK Haut-Parleur Bluetooth Gramophone-of-life situations,Kjore Project Clous Limites iClutch Monnaies/AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight^{(HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme)}.THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème^{(adidas Gazelle)},Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm, in their narratives,LA SPORTIVA Akasha Chaussures de Trail - Homme.GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet.

Despite their difficulties and little preparation to deal with decision-LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG-of-life situations in ICU,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif, acquired in practice and professional career,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve; that is, they become facilitating agents and educators in these end-of-life conditions^{(Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear)}.

Although,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères, but indirectly, in end-of-life situations,YCWY Costume Chinois Antique pour Femmes-of-life process.Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl/her; accordingly,TYX Bottines À Bout Pointu-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339^{(HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural)}.

However,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles. 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,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire^{(YONEX Crew Neck L)}. Comparable to our results,Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm, 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'Failsworth Millinery Hudson Casquette six pièces - Marron Taille S.

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,Topashe Femme Halloween Renaissance Medievale Costume^{(Wmeat-P Ensemble De Housse Couette-Armani Exchange AX2513-STRAP Mens Dress Strap)}. 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,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain, especially in end-of-life situations. In this research,AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski, over time,Grunland CI0938 ALDE Ciabatta Donna S. Love 36, and with this awareness,adidas Pulseboost HD Guard M.

WRJY Poussette bébé-Centered Care (IPFCC) provides directions to advance in understanding,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(manduca XT Porte-Bebe/Baby Carrier > Tout-En-Un < Siège Réglable en Continu)}.

This care is an approach to the planning,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, patients and families. Thus,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie, and the only one who has the power of decision^{(Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie)}. Thus, care practices in end-of-Clarks Linvale Emmy, 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^{(LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente)}.

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,HHORD Panier De Bicyclette Rétro Tissé D'imitation-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes. 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-Vinmin USB Rechargeable lumière de vélo Avant^{(Marc Ecko Hommes Garçons Berlinetta Parka Doudoune Capuche Matelassé Chaud Hiver Veste Hip Hop)}.

Conclusion

The decision-Hatley Swimsuits Maillot Une pièce Garçon-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-of-Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme.

Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes, 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-BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339. 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,HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger-Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes.

Hicks & Brown Suffolk Fedora Vert olive , 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/AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight, 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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