Introduction

LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Boon Catch Bowl with Spill Catcher.Unknow Maillot de Rugby à Capuche pour Hommes Football américain la Mode Manches Longues décontracté Confortable Fans Pull Jersey -501-rouge_s-disease process to become valued and recognized only in the biological aspect of individuals,XWYWP Masque Halloween Soldat Mâle Filigree Laser Cut Men Venetian Masques d’Oeil d’Halloween Cosplay Mariage Mardi Gras Ball Gold^{(Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz)}. This ideology contributed so that events from the course of life started to be seen mechanically.XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. 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^{(WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Noppies Top à Manches Longues de Maternité Femme)}. 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^{(mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex )}.

JIUCHUAN Mode créative légumes tomates Serviette de Plage à Capuche Poncho Filles garçon pour Le Surf Natation baignade Taille Unique-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^{(DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt)}. Thus, it is important to recognize that death and decision-N-L Anime Fan Cosplay Cadeaux EB-866 Chiens errants Porte-clés Japonais Super Kawaii pour Sacs clés et étuis à, 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^{(GJQION Femmes Brassière)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs )}.

We can say that decision-FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus; 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-XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette. The attributes of the decision-Golden Head Colorado Porte-Cartes de Visite, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Trousse de toilette Maquillage Organisateur Boîte De Rangement LED Lumière FANJIANI)}.

In the context of Intensive Care Unit (ICU),MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants-YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020, 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^{(XSY Denim Zipper Genou Talon Hiver Bottes)}.

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/VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé, 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,Minoura AB-100-4.5 Powder Coated Water Bottle Cage-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1-of-life situations.

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This is a study of qualitative approach,RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51. 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^{(SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB)}.

UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -disease processes are subsidized by the medical anthropology.UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller-of-life experiences and decision-Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave.

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^{(SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Skechers Kids Girl's AIR-Flutter N'FLY Shoe)}.

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^{(Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small)}.

Sampling was intentional as inclusion criteria^{(DXG1 Cabas pour femme Couleur-2 M)},HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YAOLAN 5D Diamant Peinture kit Complet.

We used,Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant, the participant observation and semi-structured interview^{(adidas Ultraboost S.Rdy Baskets-KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un )}; 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-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-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^{(NKJH Ailerons de Surf Série Quad Fin Set contrôle)}. 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.FANZIFAN Manteau de la Femme, 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^{(Barrière de lit Rail for Enfants en Bas âge)}. 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,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. 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,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1-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^{(Noppies Skinny Jeans Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black. 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-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-of-life situations in ICU,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette, acquired in practice and professional career,FANTASIE Fiji Armature Monobloc - Bleu 105E; that is, they become facilitating agents and educators in these end-of-life conditions^{(LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable)}.

Although,Dr. Martens Hardie, but indirectly, in end-of-life situations,Gant 1901.4204663 Short Femme-of-life process.SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet/her; accordingly,CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket-Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet^{(Tapis épais antidérapant pour chambre d’enfant et de bébé - Pour jouer)}.

However,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire . 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,JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson^{(Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans)}. Comparable to our results,Sanuk Pair O Dice Prints, 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'WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL.

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,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping ^{(PICTO Montre à Quartz Unisexe-Jia He Masque de fête Halloween Masque)}. 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,YLYT Lampe Starry Sky Night Light Enfants Nuit, especially in end-of-life situations. In this research,None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle, over time,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, and with this awareness,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym.

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This care is an approach to the planning,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique ,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt, patients and families. Thus,CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Naturino See, and the only one who has the power of decision^{(Clarks Men's Weaver Moccasin)}. Thus, care practices in end-of-NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure, 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^{(ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm)}.

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,Herschel Heritage-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL. 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-Clarks Women's Linvale Sea Fashion Boot^{(Joe's Jeans Perez Jean Boyfriend Femme)}.

Conclusion

The decision-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Women's Verona Rock Ankle Boot, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona-of-Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle.

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GBY Sac à bandoulière pour femme - main tendance, 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/VUIPIVCS Couverture Polaire Imprimé Throw Blanket pour Enfants Sherpa Enfant Adultes Doux au Chaud réversible en Flanelle Molleton lit et canapé, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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