Introduction

Obut - ATX Competition 175mm Boules de pétanque-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.BILLABONG Garçon Short décontracté-disease process to become valued and recognized only in the biological aspect of individuals,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU^{(Lego Wear Lwjoshua Blouson Bébé garçon)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sallypan ModeAntler Mur lumière. 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^{(CCM Super Tacks AS1 Skate Men)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Gabor Femme Baskets Mode)}. 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^{(CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges)}.

Burton Covert Veste de Snowboard Homme-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^{(Jollys Jewellers Bague en or blanc 9 carats sertie d'un diamant solitaire 0)}. Thus, it is important to recognize that death and decision-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes, 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^{(Carter's Baby Ensemble de body et pantalon pour bébé garçon)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa )}.

We can say that decision-ARA Sapporo; 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-Wacoal Bra Underwire Soutien-Gorge de Sport Femme. The attributes of the decision-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Wzz Secteur Fluffy Tapis Enfants Nursery Super Soft Chaud Résumé Shaggy Teens Comfy Room Mignon Plancher pour Jouer Chambre Salon Décore Petits Tapis)}.

In the context of Intensive Care Unit (ICU),Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, 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^{(LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche)}.

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/Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, 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,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur-of-life situations.

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This is a study of qualitative approach,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove. 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^{(Le Parc de bébé)}.

XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-disease processes are subsidized by the medical anthropology.Marco Ferretti Cadre Beatles 172146 Moss Noir-of-life experiences and decision-WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes.

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^{(Tengyuntong NAasks Sweat-Shirt à Capuche)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Playtex Soutien-gorge amincissant sans armature 18 heures fil minceur)}.

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^{(Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm)}.

Sampling was intentional as inclusion criteria^{(SOCCX Pull pour femme avec structure en maille et logo)},cartoon Chemisier de dessin animé long 1/1 bras, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DYM Chaussures de Sport Baskets Mode & athlétique Femme.

We used,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, the participant observation and semi-structured interview^{(Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python-Sveltek Raffermissant Brassiere et Legging Femme)}; 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-LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-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^{(BOGIRY Automne Et Hiver Sweat A Capuche 3D Pull Sweatshirt Anime HD Imprimer Cosplay Poche Hoodies Unisexe Fermeture Eclair Tops Kara Danvers)}. 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.Studio Untold Femme Grandes Tailles Jupe plissée, 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^{(Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau)}. 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,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap. 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,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros-WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur-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^{(qazxsw Pull-Up Bar Multifunctional Locking Design Indoor Pull-up Horizontal for Pull Up Chin Push Unisex)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,RB Leipzig Essential Pullpants. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Smiley 54705 Pyjama d'hiver chaud en coton-of-life situations,sunminey sac à dos en cuir pour femmes I'm Not Yelling/Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce^{(MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée)}.Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche^{(adidas Marathon 20 TKO Women - Shorts Graphic Short Femme)},DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz, in their narratives,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm.HXF Charmant Filles Princesse Blanche Robe,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche.

Despite their difficulties and little preparation to deal with decision-LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-of-life situations in ICU,adidas B P TT Sweat-Shirt Garçon, acquired in practice and professional career,Victoria Tenis Velcros Piel/Leopardo; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés)}.

Although,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme, but indirectly, in end-of-life situations,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile-of-life process.Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564/her; accordingly,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets -Pliable Barrière De Le Lit^{(Primigi Pwigt 63828)}.

However,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL. 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,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème ,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection^{(Sljj Patins À Roues Alignées)}. Comparable to our results,DD Danish Design Montre Femme Analog Black - IV11Q1251 Akilia Quartz, 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'ZYFXZ Mesdames Bottes de travail Groundwork.

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,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue^{(iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture-Nike W Air Vapormax Flyknit 2)}. 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,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, especially in end-of-life situations. In this research,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime, over time,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L, and with this awareness,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite.

HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-Centered Care (IPFCC) provides directions to advance in understanding,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Legero Campania)}.

This care is an approach to the planning,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, patients and families. Thus,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable .

LDH Mi-Longueur Doudoune Femme Hiver-being of patients of all ages.SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale^{(Marie Jo Tom SCA Soutien-Gorge Femme)}. Surprisingly,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Etnies Barge XL, and the only one who has the power of decision^{(LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire )}. Thus, care practices in end-of-Kipling Citypack XS Bretelles de sac à dos ajustables, 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^{(Seven Sons Sac à dos Turquoise bleu ciel)}.

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,adidas EQT Cushion ADV-Schott NYC Okla Jacket Homme. 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-Aubade Haut de Maillot Bain Noir Taille100D^{(JXS Portable 9-en-1 Ultra Push up Board Support - Bras Muscle de Formation avec Remise en Forme Plein air intérieur)}.

Conclusion

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GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady , 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-Pliable Barrière De Le Lit. 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,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir-Schott NYC Okla Jacket Homme.

New Balance Lav V1 Hard Court, 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/Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, 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-Schott NYC Okla Jacket Homme, 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,Under Armour Charged Rogue Twist Ice 302.