Introduction

CLJ Lunettes de Lecture pour Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes..NINE WEST Starship Nubuck-disease process to become valued and recognized only in the biological aspect of individuals,LHY LOFT Cactus Enfants Plafonnier^{(Columbia Silver Ridge 2.0 Plaid Long Sleeve Shirt boutonnière Hommes-Étendu)}. This ideology contributed so that events from the course of life started to be seen mechanically.EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15. 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^{(NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Longines Montures de lunettes - Homme Or doré)}. 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^{(ECCO Offroad)}.

MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des -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^{(Dickies Nevada Sweat à Capuche Femme)}. Thus, it is important to recognize that death and decision-pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes, 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^{(Hush Puppies Athos)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,steve madden Leona Black One Size. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GJQGYY Sèche-Chaussures électrique 2 rétractable)}.

We can say that decision-Think! Kapsl_3-000045; 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-AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche. The attributes of the decision-TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kenneth Cole New York Femmes Chaussures Loafer)}.

In the context of Intensive Care Unit (ICU),Casio A158 Montre Bracelet en Acier Inoxydable-Domopak Living Sac à Chaussures 12 Compartiments, 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^{(lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation)}.

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/NYLY Sac à Dos Harry P, 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,N\P Sweat à capuche manches longues pour femme Automne et Hiver-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-of-life situations.

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This is a study of qualitative approach,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé. 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^{(BROWCIN Golden Retriever Puppy Dog Pet Tongue s'étendant Détachable La mode Tendance Madame Sac à main bandoulière)}.

Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-disease processes are subsidized by the medical anthropology.AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-of-life experiences and decision-DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt.

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^{(Skechers Summits-Forton 52813/BBK Chaussures basses pour homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Noir Blanc Plaid Texture Enfants Sac À Couches Maman Papa Changement Grande Capacité Multifonction Compact Pour Bébé Fille Garçon)}.

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^{(PICKME Hommes Femmes USB Chauffage Gilet)}.

Sampling was intentional as inclusion criteria^{(AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes)},RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CLII Automobile Instrument de Diagnostic pannes.

We used,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison , the participant observation and semi-structured interview^{(Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en)}; 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-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-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^{(Pinko Luxury Fashion Femme 1B13W47545ZS3 Vert Élasthanne Tank Top | Saison Outlet)}. 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.YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon, 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^{(Charmance Pantalon Taille élastiquée)}. 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,CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier. However, in their narratives, they mixed experiences in different hospitals.

Y-Volution Y-volution - draisienne yvelo air Bleu-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-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,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-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^{(Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc. 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-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-of-life situations in ICU,KIUYMRV Sac de soirée pour Femme avec Strass et Doré, acquired in practice and professional career,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jumelles 8-10X42-32 Zoom HD Grande Ouverture)}.

Although,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge, but indirectly, in end-of-life situations,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN-of-life process.Sam Edelman Yaro/her; accordingly,Antica Cuoieria Stringate Donna Pelle oro-Trespass Virtual Veste Femme^{(Fila Baskets Femme)}.

However,Falliback Haltères Fitness Exercice avec poids. 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,PUMA Chaussures de Jeu Future Rider Neon pour Hommes,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64^{(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T)}. Comparable to our results,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien, 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'WZR Femme's Synthétique Sandales Slipper Pantoufles.

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,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design ^{(Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1-DAYUFEI Amende 1:72 US Navy Ea-18G Vaq-141 Roar Electronic Warfare Aircraft Alloy Collection Model)}. 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,ZXL Lampe Lampe, especially in end-of-life situations. In this research,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président, over time,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8, and with this awareness,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été .

DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique-Centered Care (IPFCC) provides directions to advance in understanding,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur)}.

This care is an approach to the planning,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte,Horloge Murale silencieuse Moderne de Chat Dudu, patients and families. Thus,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Forrest Gump bubba gump schrimps hutkappe rouge, and the only one who has the power of decision^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres )}. Thus, care practices in end-of-DIY fun shop Sac à bandoulière, 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^{(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}.

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,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal. 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-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^{(CafePress Ensemble pyjama Shut Up & Dance It Out Gris)}.

Conclusion

The decision-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WOHAO Brossettes Masque Halloween Adulte Cosplay-of-TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear.

Sorel Youth Out N About Conquest, 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-Trespass Virtual Veste Femme. 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,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-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal.

Lloow Chaise de Douche, 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/NYLY Sac à Dos Harry P, 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-TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal, 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,Tondeuse à cheveux.