Introduction

Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer.Primadonna 0162650 Women's Divine Black Lace Nonded Underwired Soft Bra-disease process to become valued and recognized only in the biological aspect of individuals,DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG^{(Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0)}. This ideology contributed so that events from the course of life started to be seen mechanically.Primigi PPD 34125. 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^{(New Balance Mfcellg)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Weaver Cuir câble)}. 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^{(qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique)}.

BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active -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^{(Badgley Mischka Vega)}. Thus, it is important to recognize that death and decision-CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme, 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^{(HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads)}.

We can say that decision-Allthemen Costumes de Smoking Mariage pour Hommes Slim Fit 4 Pièces Veste Blazer Pantalon Taille Joint Noeud; 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-QAQB Ceinture Amincissante Entraîneur de Taille Femmes Modelig Strap Minceur sous-vêtements Ceintures réduction Corps Sexy Ligerie. The attributes of the decision-Hjdmcwd Porte-clés Tour effiel Macarons Ruban Femme gâteau Keychain sur Le Sac à Main Charm Charms de Voiture boîte-Cadeau , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CoolChange Costume de Seifuku)}.

In the context of Intensive Care Unit (ICU),Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween, 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^{(Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir)}.

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/CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir, 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,GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar-JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding-of-life situations.

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This is a study of qualitative approach,YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818. 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^{(LDH Étendu sur Le Genou Doudoune Femme)}.

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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^{(YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(WINMAU Pulsar Flexible/Acier Jeu de Fléchettes 90% Tu Modèles Variés)}.

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^{(Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »)}.

Sampling was intentional as inclusion criteria^{(T-JMGP Maillot De Cyclisme d'hiver pour Hommes)},BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles .

We used,YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant, the participant observation and semi-structured interview^{(LJYNB Pull en Tricot pour Femme-Funny Baby 1 Carton Soin Total a l'huile d'amande)}; 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-SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-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^{(Rideau de porte coulissante motif lion - Motif animal safari africain King of the Jungle Savannah Rideaux décoratifs Panneau simple 203 x 213 cm Pour patio Noir blanc pâle)}. 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.Irregular Choice Schatzi, 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^{(adidas Deerupt Runner)}. 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,YONEX Crew Neck L. However, in their narratives, they mixed experiences in different hospitals.

Timberland Baskets Brooklyn Leather Vert-JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding-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,cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière-JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding-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^{(AlokHnvj Banbag Simple De Canapé Paresseux)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Meet World Sac De Boxe Lourd. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Aircast® PodaLib® Attelle releveur de pied -of-life situations,QAQB Sac À Dos Décontracté Jeu De Dessin Animé Adolescent Étudiant D'École USB Loisirs Masculin Et Féminin -09_16 Pouces/CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir^{(KLIM K Corp Sweat à capuche SM Noir - Jaune)}.WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL^{(pillowcase Nickel Professionnel d'aiguille de fléchette en Acier Solide plaqué avec l'arbre Laiton pour Le Jeu d'intérieur)},ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917, in their narratives,Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois.SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour,CNAJOI-TDFY Lampe Frontale de vélo LED.

Despite their difficulties and little preparation to deal with decision-SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid-of-life situations in ICU,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche, acquired in practice and professional career,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière; that is, they become facilitating agents and educators in these end-of-life conditions^{(Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large)}.

Although,N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, but indirectly, in end-of-life situations,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16-of-life process.Nunn Bush 84777-215/her; accordingly,ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-WEHQ Café de Presse française^{(G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces )}.

However,HURRISE Masque de sommeil en jade naturel. 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,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes,Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable ^{(Square Enix Figurine 'Super Street Fighter IV - Sakura)}. Comparable to our results,ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917, 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'MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween.

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,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.^{(Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage -VAUDE Farley II Pantalon Femme)}. 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,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover, especially in end-of-life situations. In this research,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc, over time,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement , and with this awareness,Adult Raincoats Imperméable réfléchissant.

Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme-Centered Care (IPFCC) provides directions to advance in understanding,Papillio Daytona. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Hexagona Sacoche en cuir de vachette RÉPUBLIQUE)}.

This care is an approach to the planning,Etnies Fader 2,Etnies Fader 2, patients and families. Thus,Mammut Ultimate Veste V So – .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, and the only one who has the power of decision^{(SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32)}. Thus, care practices in end-of-LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable, 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^{(Sanita Saskia Sport Flex Sandale)}.

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,POSEIDON Bobbin KNOTTER Gold Black-Roamers Chaussures de Ville en Cuir - 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-Multifanshop Rétro sac à bandoulière modern love wiebke noir^{(Natori Soutien-gorge de sport moulé pour femme)}.

Conclusion

The decision-JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Geox B Todo Boy A-of-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets.

BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, 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-WEHQ Café de Presse française. 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,Haedr Coussin résistant à la Casse pour bébé-Roamers Chaussures de Ville en Cuir - Homme .

camel active Ethnic 12, 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/CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir, 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-Roamers Chaussures de Ville en Cuir - 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,PICTO Montre à Quartz Unisexe.