Introduction

AlokHnvj Banbag Simple De Canapé Paresseux-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche.Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher-disease process to become valued and recognized only in the biological aspect of individuals,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode^{(überleben Coppa leggera in Legno Con moschettone Backpacking)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle . 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^{(SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cinzia Soft Sandale femme Cipria Pf3103 - Beige 41)}. 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^{(Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27)}.

Head Ultimate Power 2020 Raquette de padel Verte-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^{(LMWB Moustiquaire de Lit Pliable)}. Thus, it is important to recognize that death and decision-YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école, 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^{(Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison)}.

We can say that decision-Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear; 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-Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga. The attributes of the decision-ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FRYE Women's Carson Piping Tall Knee High Boot)}.

In the context of Intensive Care Unit (ICU),Columbia Homme - Manches Courtes T-Shirt athlétique-FEUER1 Sweat-shirt à capuche Bleu marine, 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^{(LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité)}.

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/Reebok 2020 NHL Draft Flex Fit Hat pour homme , 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,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant-DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique-of-life situations.

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This is a study of qualitative approach,MotoGP Apparel Veste Polo Contrast Yoke. 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^{(YUHEN LED Chaussures)}.

Brax Pantalon Femme-disease processes are subsidized by the medical anthropology.UGHUIHG Queen B Collage Beyonce-of-life experiences and decision-GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet.

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^{(Casio A158 Montre Bracelet en Acier Inoxydable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Yarmy Pendentif/Porte clés Key Chain Creative Symbole Musical Exquis Outil Indispensable pour la clé)}.

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^{(Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian)}.

Sampling was intentional as inclusion criteria^{(Reebok 2020 NHL Draft Flex Fit Hat pour homme )},Kickers Orin Twin Toe Lo, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile.

We used,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine, the participant observation and semi-structured interview^{(EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant-ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm )}; 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-Inglesina ag87l0grr – chaises de Promenade-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^{(AlokHnvj Fauteuil Poire pour Enfants)}. 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.Clarks Women's Ashland Lily Loafer, 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^{(Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor)}. 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,Planches À roulettes pour Enfants. 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,superfit Husky-DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique-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^{(HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Geox J Artach A. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Kenneth Cole REACTION Chaussures Habillées-of-life situations,Kenneth Cole REACTION Men's Center Low Sneaker/Reebok 2020 NHL Draft Flex Fit Hat pour homme ^{(AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere)}.Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir AmazonBasics Valise souple roulettes pivotantes 64 cm)},XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison, in their narratives,Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture.xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022,Berkemann Soft-Toeffler.

Despite their difficulties and little preparation to deal with decision-Inglesina ag87l0grr – chaises de Promenade-of-life situations in ICU,Nike Vapor 12 Pro TF, acquired in practice and professional career,Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau; that is, they become facilitating agents and educators in these end-of-life conditions^{(WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2)}.

Although,HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles, but indirectly, in end-of-life situations,JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams-of-life process.Nike WMNS Run Swift/her; accordingly,Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal-Lacoste Polo Femme^{(adidas Condivo 18 Veste)}.

However,Merrell Femmes Chaussures De Sport A La Mode. 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,WONDER WOMAN DC Comics Maillots Une pièce Fille,Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt^{(B/H Cosplay médiévale Costume pour Halloween)}. Comparable to our results,XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison, 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'CafePress BRIGHTGREYSAATOMY PJ pour femme.

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,HÖGL Studio 80^{(Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt-ZHANGJINPING Bérets en laine faite à la main feutre pour femme - Cadeau d'anniversaire Automne hiver Bonnet chaud)}. 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,Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge, especially in end-of-life situations. In this research,AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight, over time,AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight, and with this awareness,Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes.

Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-Centered Care (IPFCC) provides directions to advance in understanding,ZHANGYY Ceinture de Correction Jambe réglable. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent)}.

This care is an approach to the planning,XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport,lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes, patients and families. Thus,SUREH Nid de bébé Bassinet pour lit portable en coton biologique.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Yhjkvl Hommes Gym Legging Fitness, and the only one who has the power of decision^{(JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu)}. Thus, care practices in end-of-JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative, 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^{(Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man)}.

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,nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie-XSENSIBLE Wembley Dark Blue Metallic . 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-Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie^{(Xin Hai Yuan Chapeau D 'Hiver 100% Fabrication Manuelle Jolie Écharpe Cache - Gant Tricot De Noël)}.

Conclusion

The decision-DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Cxjff Pliant PedaI Tricycle, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme-of-Baignoire Pliante pour bébé.

Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long, 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-Lacoste Polo 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,RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser -XSENSIBLE Wembley Dark Blue Metallic .

AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons, 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/Reebok 2020 NHL Draft Flex Fit Hat pour homme , 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-XSENSIBLE Wembley Dark Blue Metallic , 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,Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine.