Introduction

MUK LUKS Chaussons Critter pour Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets.Portable Butane Stove Burner - Taille Unique-disease process to become valued and recognized only in the biological aspect of individuals,Home Trainer Rouleaux dim. 145L x 56l 10^{(DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière. 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^{(MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(New Balance Men Sneaker Dark Blue)}. 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^{(YQSHOES Bottes pour Dames De Printemps Et d'automne)}.

Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-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^{(WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables)}. Thus, it is important to recognize that death and decision-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme, 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^{(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,El Naturalista Nido. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size)}.

We can say that decision-YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail; 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-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant. The attributes of the decision-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Haonb Montres Hommes Montre À Quartz Étanche Multifonctionnelle Décontractée)}.

In the context of Intensive Care Unit (ICU),ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-WENZHEN Sac à Dos The North Face, 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^{(Magie Professionnelle Chapeau Claque Double Fond )}.

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/ALPE 32201134 Bottines en Daim pour Femme Gris, 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,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-of-life situations.

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This is a study of qualitative approach,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille. 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^{(kentucky Bandes de Repos Repellent Bleu)}.

CP CALMA PROJECT Sac à bandoulière pour femme-disease processes are subsidized by the medical anthropology.Macron Home Jersey White/Red 19/20 Red Star Belgrade-of-life experiences and decision-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant.

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^{(RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PUMA Cell Phase)}.

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^{(SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual)}.

Sampling was intentional as inclusion criteria^{(GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime)},Korntex KXRJGS Veste imperméable Jaune Taille S, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme.

We used,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, the participant observation and semi-structured interview^{(Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King )}; 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-lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux-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^{(Daily Ritual Marque Amazon - Robe à manches bouffantes en tissu éponge pour femme)}. 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.BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel, 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^{(AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison)}. 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,FXQ Amovible Pet Chauffage Mat. 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,Pot pour Bébé-Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-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^{(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard. 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-lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux-of-life situations in ICU,FACAI Masseurs électriques pour Les Pieds, acquired in practice and professional career,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie; that is, they become facilitating agents and educators in these end-of-life conditions^{(bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short)}.

Although,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts, but indirectly, in end-of-life situations,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-of-life process.LILONGXI Gilet Doudoune/her; accordingly,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu^{(Reebok Aztrek 96)}.

However,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant. 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,U/A Cardigan Pull Femme Géométrique Tricot Automne,WRJY Poussette pour bébé Poussette^{(ThirtyTwo Shifty Boa '17 Bottes de Snowboard)}. Comparable to our results,Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier, 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'Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.

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,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière ^{(ZHANGYY Ceinture de Correction Jambe réglable-SCOTT 275341 Vélo Femme)}. 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,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., especially in end-of-life situations. In this research,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, over time,DIY fun shop Sac à bandoulière, and with this awareness,Deeluxe Robe Ample léopard Amanda Femme.

Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-Centered Care (IPFCC) provides directions to advance in understanding,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Reinders Fille Pantalons de Jogging)}.

This care is an approach to the planning,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes,WGFGXQ Plafonnier, patients and families. Thus,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, and the only one who has the power of decision^{(Tamaris Femme Chaussures à Lacets)}. Thus, care practices in end-of-Sac à Dos Pliable Léger, 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^{(Primadonna 0461810 Deauville Body à Armatures)}.

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,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille. 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-RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure ^{(XCNGG League Shark Teemo Portefeuille RFID bloquant en Cuir véritable Portefeuilles à glissière Sac Main de Voyage Autour du Porte-Carte Organisateur Pochette)}.

Conclusion

The decision-Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ducati Femmes Polo D-Attitude Gris - M, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Kappa Doudoune Stade Français Paris Adulte 2020/2021-of-Shaker à Cocktail Boston Standard Professionnel.

AQWESD Pied de Table canapé en Bois 4 pièces, 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-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu. 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,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement -Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille.

Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, 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/ALPE 32201134 Bottines en Daim pour Femme Gris, 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-Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille, 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,XSY Denim Zipper Genou Talon Hiver Bottes.