Introduction

Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière .Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-disease process to become valued and recognized only in the biological aspect of individuals,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme^{(NO LOGO X-Baofu)}. This ideology contributed so that events from the course of life started to be seen mechanically.DIY fun shop Sac à bandoulière. 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^{(WOOLRICH Laureldale Pull à col roulé pour femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Icon V Turf)}. 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^{(HAFLINGER Everest Cascade)}.

Deeluxe Robe Ample léopard Amanda Femme-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^{(My Tiny Treasures Box Company Boîte à Musique Motif Ballerine)}. Thus, it is important to recognize that death and decision-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, 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^{(SaySure Charms Beads fit Original bracelet Silver Plated)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson)}.

We can say that decision-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; 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-WGFGXQ Plafonnier. The attributes of the decision-ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WMZQW Hommes Mocassins Chaussures Plates Confortables Décontractées Bateau Doux Cuir de Conduite Respirantes)}.

In the context of Intensive Care Unit (ICU),Ellesse Orazio Sweatshirt Maillot de survêtement Homme-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, 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^{(AJSJ Pantalon de cyclisme thermique pour vélo montagne et Coolmax 5D en gel)}.

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/CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, 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,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3-AKTIVE 54078 But de Football Pliable 24 x 120 cm-of-life situations.

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This is a study of qualitative approach,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée. 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^{(Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces)}.

Sac à Dos Pliable Léger-disease processes are subsidized by the medical anthropology.YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-of-life experiences and decision-RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure .

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^{(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Eastern Counties Leather Bottes Jodie en peau de mouton - Femme)}.

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^{(Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme)}.

Sampling was intentional as inclusion criteria^{(iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain)},Ducati Femmes Polo D-Attitude Gris - M, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kappa Doudoune Stade Français Paris Adulte 2020/2021.

We used,Shaker à Cocktail Boston Standard Professionnel, the participant observation and semi-structured interview^{(Wrangler Jeans - Slim Homme-weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet)}; 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-AQWESD Pied de Table canapé en Bois 4 pièces-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^{(AZSTEEL Notorious RBG Ruth Bader Ginsburg Fight for Things Feminist Tank Top | Workout Tops Men and Women Casual Summer)}. 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.GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , 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^{(BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons)}. 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,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique. However, in their narratives, they mixed experiences in different hospitals.

XSY Denim Zipper Genou Talon Hiver Bottes-AKTIVE 54078 But de Football Pliable 24 x 120 cm-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,Caterpillar Men's Heavy Insulated Parka-AKTIVE 54078 But de Football Pliable 24 x 120 cm-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^{(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ASICS Tiger Gel-Mai Chaussures pour Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Asics Men's GT-2000 8-of-life situations,Dockers Polo Homme/CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8^{(QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag)}.Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique^{(TIGOSM Personnalité Bracelets Pour Hommes Hop/Punk Iced Out Cubic Zircon Miami Curb Cuban Link Chain Bracelet Bijoux Cadeaux)},Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm, in their narratives,Gabor Shoes Casual.Obut - ATX Competition 175mm Boules de pétanque,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.

Despite their difficulties and little preparation to deal with decision-AQWESD Pied de Table canapé en Bois 4 pièces-of-life situations in ICU,BILLABONG Garçon Short décontracté, acquired in practice and professional career,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU; that is, they become facilitating agents and educators in these end-of-life conditions^{(Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes )}.

Although,Sallypan ModeAntler Mur lumière, but indirectly, in end-of-life situations,Burton Covert Veste de Snowboard Homme-of-life process.Geox J Kalispera Girl Baskets Mode Filles Gris Montantes/her; accordingly,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-ARA Sapporo^{(Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette)}.

However,Wacoal Bra Underwire Soutien-Gorge de Sport Femme. 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,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne^{(JEWEL BEADS Gemstone Beads Opal - Boulder Beads)}. Comparable to our results,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm, 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'Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39.

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,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce^{(XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini-Thema Bague Anneau Argent 925 Bridgetown)}. 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,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479, especially in end-of-life situations. In this research,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, over time,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, and with this awareness,Marco Ferretti Cadre Beatles 172146 Moss Noir.

WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-Centered Care (IPFCC) provides directions to advance in understanding,cartoon Chemisier de dessin animé long 1/1 bras. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique)}.

This care is an approach to the planning,DYM Chaussures de Sport Baskets Mode & athlétique Femme,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, patients and families. Thus,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres, and the only one who has the power of decision^{(Landaus for Les Enfants Rocking Horse Trikes Tricycle Enfant en Bas âge Vélo Tout-Petit extérieur bébé vélo intérieur et 1 Ans à 5 Convient des Fournitures pour)}. Thus, care practices in end-of-TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, 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^{(Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates)}.

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,Carter's Baby Ensemble de body et pantalon pour bébé garçon-DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes. 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-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44^{(KIRALOVE Sweat Femme Stilinski 24 - idée Cadeau Fille Unisexe)}.

Conclusion

The decision-AKTIVE 54078 But de Football Pliable 24 x 120 cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée-of-Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237.

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adidas Response It Hommes Synthétique Chaussure de Course, 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/CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, 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-DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes, 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,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni.