Introduction

ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1.teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-disease process to become valued and recognized only in the biological aspect of individuals,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket^{(LIANGJIE Écharpe en laine pour femmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mephisto Mocassins pour Homme. 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^{(W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HYEBOX Organisateur de Montre 3 Slot Watch Box Casier Rangement Complet en Bois pour avec Couvercle Verre encadré Contraste élégant Couture Robuste et sécurisé Serrure Cadeau)}. 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^{(IUBBKI Sac bandoulière croisé pour femme mignon caniche décoré de motifs japonais sur poignée personnalisée sacs à main en cuir PU Rivet Portable Fashi)}.

Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes-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^{(XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets)}. Thus, it is important to recognize that death and decision-Fossil Portefeuille à Trois Volets Jesse Cognac, 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^{(HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Saucony Shadow Original. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes)}.

We can say that decision-XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@; 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-Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor. The attributes of the decision-HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XYHS Chandail pour Hommes)}.

In the context of Intensive Care Unit (ICU),Dare 2b pour femme PREMISS Veste imperméable isolée-Piquadro Pierre Sac de Sport Grand Format, 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^{(DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's)}.

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/Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, 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,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher-of-life situations.

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This is a study of qualitative approach,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage. 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^{(MEETGG Porte-Bébé Multifonctionnel Trois en Un)}.

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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^{(Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cheval à bascule en Bois Massif Petit de Enfants avec Musique Double Usage bébé Bascule Berceau Cadeau d'âge 68 * 32.5 52 cm Xuan - Worth Having)}.

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^{(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)}.

Sampling was intentional as inclusion criteria^{(Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume)},Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020.

We used,Procase ProCase Trousse de Toilette Transparente Anti-Fuite, the participant observation and semi-structured interview^{(HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes-Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu )}; 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-Trevor Jones Bof Richard III-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^{(Ghost Gear UGF Ceinture de Combat avec intérieur rembourré)}. 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.I will take action now Lunettes de Soleil coloré Hommes et Femmes, 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^{(ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE )}. 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,Reebok Classic Small Vector Tee - Manches Courtes Mixte. 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,HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher-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^{(RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable. 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-Trevor Jones Bof Richard III-of-life situations in ICU,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux, acquired in practice and professional career,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Traducteur Instantané)}.

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However,Leschi COUSSIN CHAUFFANT soulage les maux de dos et ventre/bouillote pour micro-ondes/coussin en graines blé enfants bébés . 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,DR MARTENS 101 6-eye Ys Smooth EU 40,YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré^{(Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r)}. Comparable to our results,TAZAN Oxford Chaussures Habillées Pour Hommes New 2020, 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'Ralph Lauren Thompson.

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,21 shoes Chaussures personnalisé cloutée Customized Original ^{(Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe-Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}. 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,Maillots de Basket-Ball pour Hommes et Femmes, especially in end-of-life situations. In this research,DGHJK Haut-Parleur Bluetooth Gramophone, over time,Kjore Project Clous Limites iClutch Monnaies, and with this awareness,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème.

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This care is an approach to the planning,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif, patients and families. Thus,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339, and the only one who has the power of decision^{(HEHE sous Le Lit De Chaussures Sac Rangement)}. Thus, care practices in end-of-Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles, 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^{(YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles)}.

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,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo. 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-NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire^{(Reebok Classic Leather)}.

Conclusion

The decision-LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Failsworth Millinery Hudson Casquette six pièces - Marron Taille S, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Topashe Femme Halloween Renaissance Medievale Costume-of-iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain.

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adidas Pulseboost HD Guard M, 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/Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter, 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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