Introduction

TOOSD Pantalon De Jogging pour Jambe Conique Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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.TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable -disease process to become valued and recognized only in the biological aspect of individuals,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme^{(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20)}. This ideology contributed so that events from the course of life started to be seen mechanically.Roxy Life is Sweeter - Short pour Femme. 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^{(RefrigiWear Mead Jacket Veste de Sport Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WEIYIDQ Escarpins Femme Décontracté Sauvage Haut Talon Aiguille Peu Profonde Paresseux Ensemble De Chaussures)}. 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^{(FREDsBRUDER WXD Easy Peasy Caramel)}.

Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir-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^{(LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur)}. Thus, it is important to recognize that death and decision-DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements, 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^{(Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Columbia Wind Prougeector Novelty Veste Polaire pour Hommes . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant)}.

We can say that decision-GJQGYY Sèche-Chaussures électrique 2 rétractable; 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-EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme. The attributes of the decision-JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JXS Boxe Équipement de Protection Ensemble 5 Offre Coffre-Protection Full Body Protector MMA Sanda Garde Chest)}.

In the context of Intensive Care Unit (ICU),XIUYU Tente de Camping-LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire, 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^{(weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm)}.

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/YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , 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,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et-GCX Imperméable Poncho imperméable for Femmes en extérieur-of-life situations.

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This is a study of qualitative approach,Harnais de sécurité d'escalade. 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^{("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}.

Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école-disease processes are subsidized by the medical anthropology.qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-of-life experiences and decision-Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif.

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^{(ABAKUHAUS Ethnique Oreiller Cervical de Voyage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Maxiaoyun Couverture de chaussure cyclisme Coupe-vent et imperméable chaussures couverture extérieure équitation équipement dragon noir Couvre-chaussures pour le trekking les cyclistes tous)}.

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^{(Dynafit Speed Insulation W Hooded VST44/38)}.

Sampling was intentional as inclusion criteria^{(Benavente Chika10 Kurazo 12 Bottines en cuir)},YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle.

We used,Skechers Go Walk Joy-15615, the participant observation and semi-structured interview^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam-YXZQ Lanterne Murale extérieure Traditionnelle)}; 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-Sanuk Pair O Dice Prints-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^{(YLiansong-home Ceintures pour Hommes et Femmes Punk en Cuir for Top Layer Ceinture cloutée Dames Jeans Pantalons)}. 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.ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, 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^{(Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans)}. 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,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme. 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,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille-GCX Imperméable Poncho imperméable for Femmes en extérieur-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^{(Head Ultimate Power 2020 Raquette de padel Verte)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Breed Racer Chronograph Bracelet Watch w/Date. 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-Sanuk Pair O Dice Prints-of-life situations in ICU,Folding bath tub Baril de Baignoire Pliable, acquired in practice and professional career,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pleaser Flamingo 1050FS Bottines à talons hauts)}.

Although,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été, but indirectly, in end-of-life situations,Fox Débardeur à dos Randonnée Homme-of-life process.Square Enix Figurine 'Super Street Fighter IV - Sakura/her; accordingly,WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable-JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir ^{(KG by Kurt Geiger BIRCHIN)}.

However,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas. 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,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes)}. Comparable to our results,Anna Cecere ACA 016 lime, 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'Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes.

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,Wildlife Tiger Baby Diaper Bag Backpack^{(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture-Sacs de Couchage randonnée pour Adultes)}. 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,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super, especially in end-of-life situations. In this research,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe, over time,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack, and with this awareness,JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc.

AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été-Centered Care (IPFCC) provides directions to advance in understanding,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}.

This care is an approach to the planning,JINGJIE Ski Veste Pantalon Set,Cult Sabbayh 3136 Low Leather #black CLE104310, patients and families. Thus,KTDT Horloge de Table Style Train Mode rétro.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L , and the only one who has the power of decision^{(SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements)}. Thus, care practices in end-of-Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27, 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^{(mys Scarpe PersonalizzateOriginal )}.

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,Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31-Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 . 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-MFLASMF Diviseur de pièce portatif Pliable Parc bébé^{(JJAIR Femmes et Hommes de Vintage Casual Costume Chinois Hanfu)}.

Conclusion

The decision-GCX Imperméable Poncho imperméable for Femmes en extérieur-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jesse James Workwear Workers Hort Industry, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Asics Hyper LD 5 Synthétique Baskets-of-Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate.

SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G , 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-JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir . 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,Marie Jo Tom SCA Soutien-Gorge Femme-Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 .

Reebok RB874 Women's Stealth SR Safety Boots - Black, 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/YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 , 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-Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , 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,APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes.