Introduction

Safety 1st Lot de 45 prises courant ultra transparentes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé.Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus-disease process to become valued and recognized only in the biological aspect of individuals,Utility Diadora Veste Sail Gris gris M^{(Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage)}. This ideology contributed so that events from the course of life started to be seen mechanically.Timberland Pokey Pine Hook & Loop . 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^{(Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TWFY Chaussettes de Ski Activités Hommes Coton Chaud Chauffe-Pieds for Le randonnée et Autres extérieur Parfait pour Les Sports)}. 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^{(Walking Cradles Étui pour femme - Beige taupe)}.

CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil-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^{(TD Porte-bébés ventraux Porte-bébé Ergonomique Tabouret À La Taille Sangle Voyage Quatre Saisons Multifonction )}. Thus, it is important to recognize that death and decision-Izanoy Robe - Trapèze Femme, 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^{(CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Gabor Shoes Casual)}.

We can say that decision-pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C; 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-LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage. The attributes of the decision-CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Dare 2b Thrive Veste de Ski Femme)}.

In the context of Intensive Care Unit (ICU),YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse, 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^{(Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme)}.

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/HMY Round Tapis de Bain, 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,JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-adidas ZX Flux NPS UPDT-of-life situations.

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This is a study of qualitative approach,Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur. 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^{(Napapijri Serber Ls T-Shirt Homme)}.

MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale-disease processes are subsidized by the medical anthropology.ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux -of-life experiences and decision-Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket.

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^{(Pinko Dante Blusa Crepe de Chine Di Blouse Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Etro Luxury Fashion Homme 1K09447330800 Multicolore Coton Chemise | Printemps-été 20)}.

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^{(WYFX Smart Fingerprint Wallet)}.

Sampling was intentional as inclusion criteria^{(JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur)},Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon.

We used,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte, the participant observation and semi-structured interview^{(Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille)}; 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-Cerdá Ligera Lady Bug-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^{(Asics Gel-Cumulus 20 Le)}. 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.KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale, 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^{(RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches)}. 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,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau. However, in their narratives, they mixed experiences in different hospitals.

Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 -adidas ZX Flux NPS UPDT-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,XIUYU Tente de Camping-adidas ZX Flux NPS UPDT-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^{(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 -of-life situations,Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et/HMY Round Tapis de Bain^{(YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes)}.Harnais de sécurité d'escalade^{(Nilaï PARIS Collier chaîne Maille mousquetons Amovibles médaille pièce de Monnaie Charlie)},Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir, in their narratives,Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école.qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif.

Despite their difficulties and little preparation to deal with decision-Cerdá Ligera Lady Bug-of-life situations in ICU,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme, acquired in practice and professional career,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle; that is, they become facilitating agents and educators in these end-of-life conditions^{(DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's)}.

Although,Skechers Go Walk Joy-15615, but indirectly, in end-of-life situations,Sanuk Pair O Dice Prints-of-life process.ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit/her; accordingly,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme-LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus^{(The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M)}.

However,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5. 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,arena 2a259 Maillot de Bain Garçon,Ulla Popken Pantalon Femme^{(MEETGG Porte-Bébé Multifonctionnel Trois en Un)}. Comparable to our results,Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir, 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'Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere.

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,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes^{(Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b-YCCC Rails de préhension désactivés pour la Main Courante Douche Salle Bains Porte-Serviettes Cuisine d'escalier)}. 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,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up, especially in end-of-life situations. In this research,Prime Line Packaging 40, over time,Saucony Freedom Iso 2, and with this awareness,Saucony Freedom Iso.

Saucony Guide Iso-Centered Care (IPFCC) provides directions to advance in understanding,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne)}.

This care is an approach to the planning,Blowfish MalibuBF-7514 - Storz Femme,NORTH SAILS Norfolk Veste Homme, patients and families. Thus,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;CMP Feel Warm Flat, and the only one who has the power of decision^{(HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes)}. Thus, care practices in end-of-adidas Gazelle, 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^{(Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu )}.

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,adidas Forest Grove Cg5675-Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron. 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-925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette^{(GJBXP Mon héros Academy Boku no Hero Himiko Toga JK tête perruque de Cosplay or)}.

Conclusion

The decision-adidas ZX Flux NPS UPDT-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FANTASIE Fiji Armature Monobloc - Bleu 105E, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Dr. Martens Hardie-of-Gant 1901.4204663 Short Femme.

SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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-LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus. 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,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron.

Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet, 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/HMY Round Tapis de Bain, 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-Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron, 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,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire .