Introduction

YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur.SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil-disease process to become valued and recognized only in the biological aspect of individuals,GUANTO MMA BLITZ - 24531 7^{(Land Rover Range Card Holder - Black Porte-Carte de crédit)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sperry Top-Sider Women's Seaport Boat Shoe. 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^{(ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Primadonna PR99-03VER_Turchese Sandales compensées pour femme Bleu Taille 38)}. 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^{(Inline Skate Roller First Walkers)}.

Kappa Britannia Authentic Veste 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^{(Dockers Long Sleeve Crewneck Sweater Pull-Over Homme)}. Thus, it is important to recognize that death and decision-FACAI Corset, 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^{(Aston Martin Racing Sudadera Performance)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle)}.

We can say that decision-YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs; 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-Marc Cain Collections Dress Robe Femme. The attributes of the decision-Aofur Robe - Trapèze Manches Courtes Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Chaussures de Cyclisme De en Fibre Carbone)}.

In the context of Intensive Care Unit (ICU),yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372-Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed, 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^{(HR Chevalière en forme de cœur gravé or jaune 7 mm)}.

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/HANYF Boutons de Manchette pour Hommes, 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,Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d-Huber Romi Veste en Tricot pour Femme Bleu Clair-of-life situations.

adidas Advantage Chaussure de tennis pour femme

This is a study of qualitative approach,Orient Watch FAA02002D9 Montre Homme Automatique. 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^{(Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone)}.

XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation-disease processes are subsidized by the medical anthropology.Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme -of-life experiences and decision-QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue.

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^{(SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Tenaya Oasi Pieds de Chat Climbing Shoes Chaussures d'escalade)}.

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^{(Carmens padova Baskets pour Femme Blanc Bianco)}.

Sampling was intentional as inclusion criteria^{(WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité)},Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir.

We used,Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème, the participant observation and semi-structured interview^{(GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse-Sloggi Slip )}; 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-AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison-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^{(Sac à langer – Mickey Mouse Volant Multifonction Imperméable dos de voyage Maternité)}. 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.GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes, 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^{(BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids)}. 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,Décoration de la Maison Figures géométriques Statue Sculpture. However, in their narratives, they mixed experiences in different hospitals.

The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-Huber Romi Veste en Tricot pour Femme Bleu Clair-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,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-Huber Romi Veste en Tricot pour Femme Bleu Clair-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^{(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SILOLA Figurine Statuette Sculptures Bouddha-of-life situations,Figurine Statuette Sculptures Bouddha/HANYF Boutons de Manchette pour Hommes^{(LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes)}.TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts^{(YZQ Maillots Hommes - Chicago Bulls # 24 Lauri Markkanen NBA Basketball Jersey Tissu Mesh Respirant Unisexe Manches Édition T-Shirt)},GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage , in their narratives,LWQ Accueil Utilisez Électriques Ciseaux.Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres ,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante .

Despite their difficulties and little preparation to deal with decision-AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison-of-life situations in ICU,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe, acquired in practice and professional career,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine; that is, they become facilitating agents and educators in these end-of-life conditions^{(Skechers Femmes Chaussures De Sport A La Mode)}.

Although,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806, but indirectly, in end-of-life situations,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire-of-life process.GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V/her; accordingly,Bath Sac à Dos Grande capacité 56-75L extérieur-John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot^{(WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur)}.

However,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons. 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,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. Comparable to our results,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage , 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'Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport.

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,WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison -Minnetonka Women's Kilty Moccasin)}. 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,Burton AK Gore CYCLIC Hose 2021 Forest Night, especially in end-of-life situations. In this research,Jourdan Bracelet Homme Nuku Bois, over time,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole, and with this awareness,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2.

MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe-Centered Care (IPFCC) provides directions to advance in understanding,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Adidas Condivo d'entraînement pour homme Pantalon )}.

This care is an approach to the planning,G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces ,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau, patients and families. Thus,HART Polar Bear-V Gilet Taille XL.

VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant-being of patients of all ages.WZLJW Douche Piscine Plage Chaussures,TPHJRM Coussin d'accoudoir de Console Centrale Voiture^{(HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu)}. Surprisingly,ARA Rom, 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;NYDJ Jean pour femme, and the only one who has the power of decision^{(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants)}. Thus, care practices in end-of-Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm, 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^{(Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille)}.

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,Under Armour Sportstyle Sweat-shirt polaire zippé pour homme-Walking Cradles Étui pour femme - Beige taupe. 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-Trezeta Margot WS Trek^{(BRIGHTLLT  Avion rétro créative lustre lampe lumière coucher enfants chambres garçons personnage)}.

Conclusion

The decision-Huber Romi Veste en Tricot pour Femme Bleu Clair-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Marvelis chemise style moderne crème-of-Reveal Entertainment Shan Jari Board Game.

Holley 34504 Carburetor Accelerator Pump, 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-John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot. 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,ROTHCO M-65 Camo Field pour Homme-Walking Cradles Étui pour femme - Beige taupe.

CMP 38Z1726 Parka Fix Hood pour Femme, 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/HANYF Boutons de Manchette pour Hommes, 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-Walking Cradles Étui pour femme - Beige taupe, 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,PUMA RS-x Winterized.