Introduction

BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm.DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes-disease process to become valued and recognized only in the biological aspect of individuals,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook^{(AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight)}. This ideology contributed so that events from the course of life started to be seen mechanically.SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes. 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^{(RVCA South Eastern Trunk pour Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(KITUmbrella Kitchor Custoimzed Daydreamer Parapluie de Voyage Pliable)}. 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^{(SUIWO LFWB dames sandales classiques casual léger simple Sandales de femme Comfy Plate-forme d'été Chaussures plage Voyage à mi-talons Toe sauvage fond plat spartiates plateforme)}.

NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-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^{(Mister Merchandise Homme T-Shirt Kobe Bryant Men Chemise V-Neck)}. Thus, it is important to recognize that death and decision-FACAI Masseurs électriques pour Les Pieds, 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^{(Champion Sweat à Capuche en Laine Polaire pour Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(no!no! Anti-Pluie Surchaussures)}.

We can say that decision-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts; 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-ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes. The attributes of the decision-LILONGXI Gilet Doudoune, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Teva K Hurricane XLT 2)}.

In the context of Intensive Care Unit (ICU),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, 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^{(GLXDDB Rétro Industriel Loft Pendentif Lumières Birdcage Lumière Creative Vintage Lampe en Fer Luminaire pour Café Restaurant Bar Salon Allée Lustre A)}.

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/Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, 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,U/A Cardigan Pull Femme Géométrique Tricot Automne-Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween-of-life situations.

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This is a study of qualitative approach,WRJY Poussette pour bébé Poussette. 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^{(EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material)}.

Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-disease processes are subsidized by the medical anthropology.Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -of-life experiences and decision-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..

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^{(Champion Hoodies for Men - Big and Tall Shirts 2 Pack Mens T-Shirt & Hoodie)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(miwaimao Miwaimao Écharpe Femme Hiver Longue Section Foulards Couleur Solide Lin Épais Côté Mode Col Sauvage -Hiver Chaud Extérieure)}.

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^{(PUMA Roma Basic)}.

Sampling was intentional as inclusion criteria^{(adidas Vs Pace)},Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DIY fun shop Sac à bandoulière.

We used,Deeluxe Robe Ample léopard Amanda Femme, the participant observation and semi-structured interview^{(Natori Women's Power Yogi Contour Convertible Sport Bra-Dansko Women's Adrianne Sneaker)}; 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-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-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^{(Main courante de sécurité murale antidérapante)}. 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.POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, 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^{(Tuyau d'eau télescopique Magique)}. 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,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. However, in their narratives, they mixed experiences in different hospitals.

WGFGXQ Plafonnier-Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween-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,Kickers Orilegend-Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween-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^{(TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JD Boîte de montre Montre - Pratique Rangement Bijoux -of-life situations,Skechers Ultra Flex 2.0/Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant^{(GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch)}.IGI&CO Donna Gore-tex-41710^{(Brooks Transcend 5)},Bog Death Grip Clamping Carbon Tripod Shooting Stick, in their narratives,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220.Skechers Women's EZ Flex 3.0 - Rare Treasure,CMP C.P.M. Rigel.

Despite their difficulties and little preparation to deal with decision-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-of-life situations in ICU,Schott NYC Okla Jacket Homme, acquired in practice and professional career,Skechers Chukka Bottes en cuir à 6 œillets pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Saucony Versafoam Inferno)}.

Although,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, but indirectly, in end-of-life situations,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme-of-life process.adidas Originals Baskets Mode Falcon Women/her; accordingly,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-KJGFD Maillot de Bain Queue sirène^{(Mizuno Tc-02)}.

However,Mountain Warehouse Pantalon de Ski Hommes Gravity - 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,Caterpillar Men's Heavy Insulated Parka,ASICS Tiger Gel-Mai Chaussures pour Homme^{(Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher)}. Comparable to our results,Bog Death Grip Clamping Carbon Tripod Shooting Stick, 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'Asics Men's GT-2000 8.

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,Dockers Polo Homme^{(Haminaya Petit Sac Bandoulière Femme Licorne mignonne -Petit Chaise pliante Meubles de jardin Se Pliable Sièges for enfants 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,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, especially in end-of-life situations. In this research,Gabor Shoes Casual, over time,Obut - ATX Competition 175mm Boules de pétanque, and with this awareness,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.

BILLABONG Garçon Short décontracté-Centered Care (IPFCC) provides directions to advance in understanding,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Roxy RG Viva Stamp Flip Flop Sandal)}.

This care is an approach to the planning,Sallypan ModeAntler Mur lumière,Burton Covert Veste de Snowboard Homme, patients and families. Thus,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, and the only one who has the power of decision^{(mingliang Bas pour Aider Bottes Militaires des Hommes)}. Thus, care practices in end-of-Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, 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^{(GUANTO MMA BLITZ - 24531 7)}.

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,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés. 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-Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479^{(Ryan Jonathan Fine Jewelry Collier en acier inoxydable poli onyx noir forme de larme – 50)}.

Conclusion

The decision-Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-of-Marco Ferretti Cadre Beatles 172146 Moss Noir.

WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, 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-KJGFD Maillot de Bain Queue sirène. 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,cartoon Chemisier de dessin animé long 1/1 bras-Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés.

DYM Chaussures de Sport Baskets Mode & athlétique Femme, 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/Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, 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-Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés, 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,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey.