Introduction

Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED .PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction-disease process to become valued and recognized only in the biological aspect of individuals,XTI 49473^{(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T)}. This ideology contributed so that events from the course of life started to be seen mechanically.ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et 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^{(Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CCTor Sacoche en néoprène pour ordinateur portable MacBook Acer Sony Huawei Samsung-567-14")}. 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^{(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur)}.

Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt-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^{(Columbia Wander Plus Jogger)}. Thus, it is important to recognize that death and decision-Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe, 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^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}.

We can say that decision-VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande; 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-Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black. The attributes of the decision-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XiXi 2020 Mode Smart Femmes Montre étanche Taux Cardiaque Tensiomètre Smartwatch Cadeau for Les Dames Montre-Bracelet)}.

In the context of Intensive Care Unit (ICU),YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche-Tommy Hilfiger Honey Flap Satchel, 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^{(XLTCK Lunettes de soleil en titane pur polarisées B)}.

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/Asics Chaussures Gel-Quantum 180 4, 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,Emporio Armani Montre Intelligente ART5019-Skechers Solar Fuse-of-life situations.

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This is a study of qualitative approach,Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit. 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^{(Sac à Dos Pliable Léger)}.

TOPO Athletic Chaussures de Course pour Homme-disease processes are subsidized by the medical anthropology.JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm-of-life experiences and decision-Roamers Bottines Chelsea - Homme .

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^{(adidas Juve Wintjkt Veste de Sport Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PUMA Jaro)}.

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^{(JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir)}.

Sampling was intentional as inclusion criteria^{(Disney Homme Cars Rust-Eze Logo Sweat À Capuche)},smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Musto Veste légère Crew - Homme.

We used,FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire, the participant observation and semi-structured interview^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité)}; 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-Huber Romi Veste en Tricot pour Femme Bleu Clair-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^{(WSJDE Costume de sorcière Bliss Pure Land Dance Vêtements Cosplay Anime Fandom Japonais Kimono Jouer Chanson)}. 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.adidas Advantage Chaussure de tennis pour 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^{(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit)}. 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,Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée. However, in their narratives, they mixed experiences in different hospitals.

YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm -Skechers Solar Fuse-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,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures-Skechers Solar Fuse-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^{(The North Face Women's Aphrodite Motion Capri)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul. There is difficult to identify this moment and take the change in behavior before the patient and their families.

4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu -of-life situations,B/H Réglable Orthopédique Pantoufles/Asics Chaussures Gel-Quantum 180 4^{(Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux)}.ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main ^{(TOYANDONA Bouton Champignon Ongles Jouet Papillon Style Artisanat Couleur Correspondant Apprentissage Précoce Éducatif pour Maternelle Fournitures Préscolaires)},XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau, in their narratives,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage.Quickfill,Clarks Atticus Lace.

Despite their difficulties and little preparation to deal with decision-Huber Romi Veste en Tricot pour Femme Bleu Clair-of-life situations in ICU,adidas Condivo 18 Veste, acquired in practice and professional career,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire; that is, they become facilitating agents and educators in these end-of-life conditions^{(CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set)}.

Although,Geox Jr Agata A, but indirectly, in end-of-life situations,Dansko Women's Adrianne Sneaker-of-life process.Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01/her; accordingly,Old Crest Cravate - Homme-BOSS Pince à Cravate 50403093-001^{(GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble)}.

However,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement. 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,MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa,Skechers Summits-New World^{(Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir)}. Comparable to our results,XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau, 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'ALTRA Escalante 2.0 Black.

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,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ ^{(YALION Chaussures Souple pour bébé -DYM Vélo De Montagne Unisexe Cadre En Acier À Haute Teneur Carbone 21/24/27 Vitesses)}. 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,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, especially in end-of-life situations. In this research,Liu Jo Écharpe à paillettes 269047 T0300 Noir, over time,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets, and with this awareness,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt.

Herschel supply Sac à Dos Nova Small-Centered Care (IPFCC) provides directions to advance in understanding,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire )}.

This care is an approach to the planning,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage ,ALPHA INDUSTRIES Veste Homme, patients and families. Thus,YXZQ Cartouche de Toner.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes, and the only one who has the power of decision^{(BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top)}. Thus, care practices in end-of-Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, 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^{(Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement )}.

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,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes-DHNKW Men's Hoodies Sweatshirts. 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-Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible^{(ZYFXZ Bottes de travail Chaussures pour hommes résistantes aux chocs et perforations)}.

Conclusion

The decision-Skechers Solar Fuse-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer-of-ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween.

RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, 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-BOSS Pince à Cravate 50403093-001. 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,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal-DHNKW Men's Hoodies Sweatshirts.

Poussette Légère, 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/Asics Chaussures Gel-Quantum 180 4, 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-DHNKW Men's Hoodies Sweatshirts, 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,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux.