Introduction

H.ZHOU Les Hommes de Football américain Sweats à Capuche-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive .WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual-disease process to become valued and recognized only in the biological aspect of individuals,DHNKW Boys Swimming Shorts Funny Printed^{(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure)}. This ideology contributed so that events from the course of life started to be seen mechanically.Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap. 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^{(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Crazy Dog Tshirts Womens I Like Coffee and Maybe 3 People T Shirt Funny Sarcastic Tee for Ladies - 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^{(Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans)}.

Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie-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^{(adidas JB A AAC Ft Pt Pantalon Fille)}. Thus, it is important to recognize that death and decision-WANGCY Ensemble de Housse Couette en Coton lavé taies d'oreiller literie Naturel Aspect froissé Douce avec Fermeture à glissière B 228 * 260, 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^{(Head Ultimate Power 2020 Raquette de padel Verte)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Chariot pour Animaux de Compagnie. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm)}.

We can say that decision-Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo ; 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-Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique. The attributes of the decision-Chaussures Plates Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Chi London April Robe Femme)}.

In the context of Intensive Care Unit (ICU),WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet-Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol, 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^{(Pleaser Flamingo 1050FS Bottines à talons hauts)}.

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 Accelerate - Veste de Running pour Femme, 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,fischer 13948 Hausschuh-Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir -of-life situations.

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This is a study of qualitative approach,jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.. 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^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes)}.

AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer -disease processes are subsidized by the medical anthropology.Sperry Women's Crest Vibe Satin Lace Sneaker-of-life experiences and decision-ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime.

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^{(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gabor Shoes Basic)}.

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^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}.

Sampling was intentional as inclusion criteria^{(GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette)},Under Armour Rival Fleece Homme Sweat à Capuche Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit.

We used,Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme, the participant observation and semi-structured interview^{(SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements-mys Scarpe PersonalizzateOriginal )}; 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-SNDWAY Télémètre Laser télémètre monoculaire de Chasse-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^{(MTHDD Bottes Femmes Longues de Combat Femme Ranger Moto Vintage Bottines Cow-Boy Talons)}. 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.Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats, 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^{(George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over)}. 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,Palladium Pampa Hi M Bottines pour femme - Vert foncé.. 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,Skechers Terrabite Mens Randonnée Chaussure Lacets-Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir -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^{(Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus. 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-SNDWAY Télémètre Laser télémètre monoculaire de Chasse-of-life situations in ICU,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size, acquired in practice and professional career,Wand Massager Baguette Masseur Sans Fil; that is, they become facilitating agents and educators in these end-of-life conditions^{(Anal Applique Murale Industrielle pour luminaire Rustique d'époque avec Abat-Jour en métal)}.

Although,S-TROUBLE Support de Remise en Forme Bois Nordique pendentifs Suspendus Ensemble décorations Chambre pour bébé, but indirectly, in end-of-life situations,Petit Train|Jouets de Construction pour Enfants|Jouets éducatifs bébé assemblés|Formation à la Coordination œil-Main Les bébés 1 6 Ans-of-life process.XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets/her; accordingly,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness ^{(Cofra V415-0-04.Z52 Tecka Veste Softshell )}.

However,JJ Cole Couvre-sangles Matelassé occultant. 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,Light Rose Baby Diaper Bag Backpack,La Strada 1902517 Sneaker Knitted Blue^{(SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation)}. Comparable to our results,AINIYF Tabouret de Rangement Repose-Pieds Creative Stockage Siège Boîte Pouffe Chaise Ottoman avec Couverture Footstool Papier Composite Vigne , 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'GJNVBDZSF Lavabo de Camping.

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,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh^{(LIUCHANG Trotteur-Générique Portefeuille pour Femme en Cuir véritable avec Porte-Cartes et dragonne)}. 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,P448 John Sneaker blanc et rouge, especially in end-of-life situations. In this research,JHGK Haut-Top Chaussures De Basket-Ball Couple, over time,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les, and with this awareness,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme.

Lola Cruz Bottines-Centered Care (IPFCC) provides directions to advance in understanding,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Roxy Femme ARJX403329 Bas de Bikini)}.

This care is an approach to the planning,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22,Olga Berg Pochette Femme Doré Ob2028, patients and families. Thus,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir, and the only one who has the power of decision^{(Maier Sports Oberjoch Pantalon Fonctionnel pour Homme)}. Thus, care practices in end-of-Melluso 06330, 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^{(Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne)}.

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,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant. 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-Oreiller^{(XLFD Porte-Feuille en Cuire Colorful Pink Flamingo and Pineapple Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized)}.

Conclusion

The decision-Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant-of-Helga Kreft Kreft90012 Police Mobil Puzzle .

La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, 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-Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness . 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,Zhik Hybrid Skiff Suit 2020-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant.

DazzlingRock Collection 0, 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 Accelerate - Veste de Running pour Femme, 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-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant, 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,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom.