Introduction

El Naturalista Nido-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail.Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-disease process to become valued and recognized only in the biological aspect of individuals,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume^{(WXX Chaise berçante bébé)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse. 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^{(EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sczz Chemise Femme Chemisier Élégant Sexy Col en V Cordon De Mode Rétro Lâche Long Tops Automne Nouveau Confortable Décontracté Manches Longues Évasé)}. 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^{(Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige)}.

WENZHEN Sac à Dos The North Face-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^{(mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite)}. Thus, it is important to recognize that death and decision-ALPE 32201134 Bottines en Daim pour Femme Gris, 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^{(L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique)}.

We can say that decision-VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille; 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-CP CALMA PROJECT Sac à bandoulière pour femme. The attributes of the decision-Macron Home Jersey White/Red 19/20 Red Star Belgrade, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CMP Salopette avec Rembourrage Feel Warm Flat - Mixte)}.

In the context of Intensive Care Unit (ICU),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-Korntex KXRJGS Veste imperméable Jaune Taille S, 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^{(LLSS Poussette pour bébé légère Landaus)}.

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/Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme, 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,Eastern Counties Leather Bottes Jodie en peau de mouton - Femme-Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille-of-life situations.

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This is a study of qualitative approach,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux. 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^{(Abus Hyban Casque vélo Homme)}.

BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel-disease processes are subsidized by the medical anthropology.FXQ Amovible Pet Chauffage Mat-of-life experiences and decision-adidas 9 pair Performance Sneaker Socks Unisex short sock.

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^{(Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LiangDa Pantalon Wader Chasse Poitrine Échassier for Hommes Femmes Cuissardes Pêche Waders avec Bottes Légère Imperméable Boot Pied Équipement Chest pour)}.

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^{(Fox Débardeur à dos Randonnée Homme)}.

Sampling was intentional as inclusion criteria^{(hanky panky Lingerie Femme)},Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Y NOT? Ladies bag Ynot? Caroline 003 Black.

We used,Invicta 4432348/D Doudoune Femmes, the participant observation and semi-structured interview^{(Lit pour Animal de Compagnie Doux et Confortable Grotte Chat-Infinity Veste Courte en Cuir Doux véritable Italien pour Femme à Ceinture Retro)}; 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-MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -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^{(Res Murder Junkies Liberty Black T Shirt New Band Merch GG Allin)}. 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.XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude, 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^{(JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams)}. 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,Qiterr Remontoir de Montre. 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,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille-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^{(Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,FACAI Masseurs électriques pour Les Pieds. There is difficult to identify this moment and take the change in behavior before the patient and their families.

DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-of-life situations,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts/Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme^{(HURRISE Masque de sommeil en jade naturel)}.ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes^{(Under Armour Scrimmage Backpack 2.0 Sac à dos Mixte)},Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie, in their narratives,LILONGXI Gilet Doudoune.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.

Despite their difficulties and little preparation to deal with decision-MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -of-life situations in ICU,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, acquired in practice and professional career,U/A Cardigan Pull Femme Géométrique Tricot Automne; that is, they become facilitating agents and educators in these end-of-life conditions^{(Posterlounge Tableau en Verre Acrylique 60 x 90 cm: Work Hard)}.

Although,WRJY Poussette pour bébé Poussette, but indirectly, in end-of-life situations,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-of-life process.Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière /her; accordingly,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme^{(Cakunmik Raquettes à Neige Plus la Taille des Plates Dames Bottes de Laine Coton)}.

However,DIY fun shop Sac à bandoulière. 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,Deeluxe Robe Ample léopard Amanda Femme,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson^{(JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière)}. Comparable to our results,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie, 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'POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival.

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,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^{(Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr-GuiSoHnh Homme Hiver Sweats à Capuche Epaisse Chaud Veste Manteaux Manches Longues Blousons Hoodie Anime Dragon Ball Imprimé Sweatshirts)}. 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,WGFGXQ Plafonnier, especially in end-of-life situations. In this research,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, over time,Ellesse Orazio Sweatshirt Maillot de survêtement Homme, and with this awareness,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket.

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This care is an approach to the planning,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée,Sac à Dos Pliable Léger, patients and families. Thus,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AQWESD Pied de Table canapé en Bois 4 pièces, and the only one who has the power of decision^{(CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit)}. Thus, care practices in end-of-GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , 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^{(Brand88 Wolf Mask)}.

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,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée. 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-XSY Denim Zipper Genou Talon Hiver Bottes^{(Furnituredeals kettlebell8 kg Kettlebell DE 8 xenios)}.

Conclusion

The decision-Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Cavallo Ladies Functional Parka RAMINA - Winter 2020-of-WEHQ Barre de Son sans Fil.

Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay, 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-Bong6o Penguins Sac à bandoulière en cuir véritable pour 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,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée.

Divine Follie Femme Bottines, 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/Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme, 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-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée, 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,Nine West Capri en jean pour femme.