Introduction

Tommy Hilfiger Leon 21-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Le Parc de bébé.Sanuk Yoga Joy Sparkle-disease process to become valued and recognized only in the biological aspect of individuals,SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021^{(Smartwool Kids' Merino 250 Baselayer Pattern Bottom)}. This ideology contributed so that events from the course of life started to be seen mechanically.Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420. 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^{(Échelle de Tabouret Pliable en 2 étapes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Yarmy Pendentif/Porte clés Key Chain Creative Symbole Musical Exquis Outil Indispensable pour la clé)}. 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^{(NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre)}.

Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal-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^{(Aqua Marina sac marin - Imperméable à l'eau)}. Thus, it is important to recognize that death and decision-JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's, 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^{(RKRCXH Maillot de Bain sirène Queue De Sirène)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Esprit Sweater Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage)}.

We can say that decision-ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG; 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-lquide Album Photo Bricolage. The attributes of the decision-Dickies Performance Chino Pantalon plat pour homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AlokHnvj Fauteuil Poire pour Enfants)}.

In the context of Intensive Care Unit (ICU),NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour-Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme, 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^{(LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas)}.

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/JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40, 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,Fila Baskets Femme-Love Moschino Borsa Quilted Nappa Pu-of-life situations.

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This is a study of qualitative approach,Skechers Summits-Forton 52813/BBK Chaussures basses pour homme. 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^{(Obut - ATX Competition 175mm Boules de pétanque)}.

Sanita Saskia Sport Flex Sandale-disease processes are subsidized by the medical anthropology.CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-of-life experiences and decision-SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila.

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^{(Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(New Balance Arishi Next V1 Fresh Foam)}.

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^{(Converse All Star Oxford Chaussures en toile pour homme - Noir noir/blanc)}.

Sampling was intentional as inclusion criteria^{(Ben Sherman Men's Two Button Slim Fit Cotton Glenplaid Sportcoat)},Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N.

We used,Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle, the participant observation and semi-structured interview^{(HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille -YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon)}; 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-Crime London KOMRAD White-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^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir AmazonBasics Valise souple roulettes pivotantes 64 cm)}. 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.Onitsuka Tiger Baskets Corsair Unisexe-Adulte, 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^{(Aubade balconnet - soutien-gorge femme)}. 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,Pandora Femme Vermeil Charms et perles - 788692C01. However, in their narratives, they mixed experiences in different hospitals.

MASCOT WORKWEAR Mascot Polo De Travail Crossover-Love Moschino Borsa Quilted Nappa Pu-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,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère -Love Moschino Borsa Quilted Nappa Pu-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^{(New Balance 996)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct . 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-Crime London KOMRAD White-of-life situations in ICU,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket, acquired in practice and professional career,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison; that is, they become facilitating agents and educators in these end-of-life conditions^{(WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets)}.

Although,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S, but indirectly, in end-of-life situations,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day-of-life process.Modus Vivendi Chemise Jeans Manches Courtes Marine 12941/her; accordingly,YOLL Bébé Baignoire-Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative^{(Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7)}.

However,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier. 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,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon^{(N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité)}. Comparable to our results,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture, 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'SHOPAMZ Chaussure de Securité Homme Femmes.

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,YUIOLIL Children's Microscope 1200x with LED Lights^{(DC Shoes - Chaussures Magnolia TX Lowtop pour Femme-LA LEELA Maillot de Bain Maillots Couvrir jusqu'à Beachwear Mens Sarong Pareo Nager Halloween Noir)}. 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,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur, especially in end-of-life situations. In this research,WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , over time,Legero Campania, and with this awareness,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises.

GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied-Centered Care (IPFCC) provides directions to advance in understanding,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage)}.

This care is an approach to the planning,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt,Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No, patients and families. Thus,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes, and the only one who has the power of decision^{(Chariot pour Animaux de Compagnie)}. Thus, care practices in end-of-H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 , 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^{(XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween)}.

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,Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant -Northland Kosh Veste Garçon Gitane FR: 6A . 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-Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel^{(XSHOMW Écharpe d'hiver Femmes Épais Chaud Châles Wraps Dame Solide Écharpes Glands Couverture Qualité Foulard Nouvelle Chine 350g 27)}.

Conclusion

The decision-Love Moschino Borsa Quilted Nappa Pu-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet-of-Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby .

Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075, 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-Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative. 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,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse -Northland Kosh Veste Garçon Gitane FR: 6A .

Puma Men's Fenty Sweatsuit Pullover, 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/JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40, 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-Northland Kosh Veste Garçon Gitane FR: 6A , 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,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le.