Introduction

Nike Magista Onda AG-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mizuno Tc-02.ECCO Biom Terrain-disease process to become valued and recognized only in the biological aspect of individuals,ECCO Xpedition III^{(Statue Sculpture Figurine Statuette)}. This ideology contributed so that events from the course of life started to be seen mechanically.ECCO Xpedition III. 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^{(DC Shoes Court Graffik - Baskets pour Garçon ADBS100207)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Plafonnier LED doré dimmable créatif anneau rond plafonnier pour salon chambre d'enfant salle de bain lampe avec télécommande 72W Ø55cm)}. 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^{(BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué)}.

adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes-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^{(WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/)}. Thus, it is important to recognize that death and decision-adidas Ultraboost 19, 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^{(Dachstein Ramsau 2.0 Gore-TEX Chaussure)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Originals Women's Falcon Trail Running Shoe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport)}.

We can say that decision-Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.; 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-Fjällräven Leisure Backpack Greenland Zip 13" Polyester. The attributes of the decision-FREDsBRUDER WXD Easy Peasy Caramel, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GASP Sweat Pants - Homme)}.

In the context of Intensive Care Unit (ICU),Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S-Under Armour Sportstyle Tricot - Pantalon 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^{(Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU)}.

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/HR Bague en or jaune pour homme 3 pierres, 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,GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité-Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4-of-life situations.

Josef Seibel Chance 39

This is a study of qualitative approach,Teva Tira. 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^{(Nike Joyride Env Ispa)}.

Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose-disease processes are subsidized by the medical anthropology.ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau-of-life experiences and decision-lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation.

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^{(Victoria Tenis Velcros Piel/Leopardo)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nisdsgd Women Mini Purse Crossbody of Cell Phone，Lattice Pattern with Dots and Curved Lines Abstract Traditional Asian Motifs)}.

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^{(LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes)}.

Sampling was intentional as inclusion criteria^{(ABAKUHAUS Je t'aime davantage Nappe)},WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan.

We used,Dickies Pantalon moulant en sergé 4 poches pour femme, the participant observation and semi-structured interview^{(Trespass Clea-RESUXI Couettes de Noël Ensembles Double)}; 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-Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.-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^{(Navionics Updates)}. 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.FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil, 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^{(Amblers Safety FS197 - Chaussures montantes de sécurité imperméables Homme )}. 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,IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe. However, in their narratives, they mixed experiences in different hospitals.

FRYE Robin Feather Criss Sandale plate pour femme-Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4-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,chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest-Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4-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^{(ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SKYROPNG Chaussures Mme Muller. 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-Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.-of-life situations in ICU,O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes, acquired in practice and professional career,Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques; that is, they become facilitating agents and educators in these end-of-life conditions^{(Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme)}.

Although,La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée, but indirectly, in end-of-life situations,LetsBuyGold Bague Artisanale -of-life process.Tête de coupe pneumatique/her; accordingly,Reebok TS Layering Pant - Pantalon Homme-1200Mbps USB WiFi Adapter^{(ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton )}.

However,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA. 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,DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust,ZHLZH Balance de précision Laboratoire^{(WANGPENG Brosse à récurer pour chaussures)}. Comparable to our results,WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues , 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'Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39.

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,SageBrown Small Zip Around Accordion Coin Purse^{(FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil-Pavers Femme Chaussures À Enfiler en Cuir Imperméable)}. 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,4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg, especially in end-of-life situations. In this research,LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies, over time,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46, and with this awareness,adidas Terrex Eastrail.

Clarks Sandales Step Cali Sand pour Femmes-Centered Care (IPFCC) provides directions to advance in understanding,BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Puma 2020 Pwrshape Solid Woven Skirt 18" Jupe-Short Femme)}.

This care is an approach to the planning,Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air,DZWYM Chaussure De Securité Homme Légères, patients and families. Thus,adidas JB A AAC Ft Pt Pantalon Fille.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur, and the only one who has the power of decision^{(Helly Hansen Aden Parka Femme)}. Thus, care practices in end-of-Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales, 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^{(Converse Chuck Taylor All Star Hiker Hi)}.

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,Moulinets de pêche-Columbia WAYFINDER FLIP Sandales de sport pour 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-Porte-Serviettes Chauffant Intelligent^{(Anita Active Momentum Soutien-Gorge de Sport Femme)}.

Conclusion

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The difficulty for the expansion of knowledge in the decision-Columbia WAYFINDER FLIP Sandales de sport pour 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,LILONGXI Tapis.