Introduction

ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert..IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages-disease process to become valued and recognized only in the biological aspect of individuals,Tyrannosaurus Rex Dinosaur Toy pour Les Garçons^{(ESDY Ensemble de sous-Vêtements Thermiques Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm. 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^{(Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Speedo Learn to Swim Slide Infant)}. 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^{(edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm)}.

YJHH Baignoire Adulte Portable-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^{(Fashion 4 Less Blazer ajusté à manches longues pour femme)}. Thus, it is important to recognize that death and decision-H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 , 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^{(Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(The North Face Zipline Vestes imperméable Fille)}.

We can say that decision-WDGXZM Plaquettes de Frein Avant et arrière Moto; 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-DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and. The attributes of the decision-Lampadaire postmoderne, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire)}.

In the context of Intensive Care Unit (ICU),Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -ZJ Bien Maillots de Bain Garçons d'enfants, 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^{(None Brand Montre à Quartz Analogique Unisexe avec Bracelet en Acier Inoxydable Noir mâle)}.

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/Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau 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,XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard-Nologo Costumes GEMORE drôles Stripe Clown gonflables -of-life situations.

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This is a study of qualitative approach,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. 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^{(Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen)}.

XIUYU Boîte à Musique en Bois Bricolage Main -disease processes are subsidized by the medical anthropology.Oluola Sweats à Capuche Vintage Elvis Presley pour Femme-of-life experiences and decision-NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme.

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^{(Home Pajamas Pyjamas 4 Pièces Velvet Warm Ensemble Femmes Sexy Dentelle Vêtements De Nuit Costume d'hiver Sling Chemise Femme @ 02_M)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MUSH T-Shirt Tokyo Ghoul Touka Manga - Dessin Anime by Dress Your Style Femme-L Blanc)}.

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^{(DIY fun shop Sac à bandoulière)}.

Sampling was intentional as inclusion criteria^{(N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée)},Craghoppers Kiwi Boulder 40, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku.

We used,ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau, the participant observation and semi-structured interview^{(Wildlife Tiger Baby Diaper Bag Backpack-SYXYSM Calico SYXMSM Écharpe chouchou)}; 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-Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main-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^{(Generic Lot de 60 piercings en acier chirurgical 316L avec pierres sèches)}. 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.HOXMOMA Berceau de bébé, 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^{(Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt)}. 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,Skechers Women's Go Walk Lite-16352 Ballet Flat. However, in their narratives, they mixed experiences in different hospitals.

YQ WHJB Recliner Réglable pour Outdoor Office Nap-Nologo Costumes GEMORE drôles Stripe Clown gonflables -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,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir-Nologo Costumes GEMORE drôles Stripe Clown gonflables -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^{(Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Marc Shoes London-of-life situations,Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif/Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes ^{(LXDDP Écran Tactile Navigation Voiture Android 9.0 10)}.Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total^{(SkirtCP Cache-Maillots Et Sarongs Femme Robes De Femmes Nouveau Modèle Ajouré en Dentelle Jaune M)},Thule EnRoute Sac à dos loisir, in their narratives,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde.Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK,Lucky Brand LK-yewani.

Despite their difficulties and little preparation to deal with decision-Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main-of-life situations in ICU,SQlab 610 Ergolux Active 2.0, acquired in practice and professional career,Asta Fanale a LED abbattibile Easy Bianco; that is, they become facilitating agents and educators in these end-of-life conditions^{(luoshan Luoshan 5 en 1 Diamant Texture PU épaule Sac imprimé Fleur Mesdames Messenger Bag )}.

Although,Mark Nason Hayden, but indirectly, in end-of-life situations,ASICS Tiger Gel-Lyte Chaussures-of-life process.Leg Avenue Spooky Board Beauty Adult Sized Costumes/her; accordingly,GIOSEPPO Oulu-Rocket Dog Sadea^{(New Balance Classics WL574Ev2)}.

However,HÖGL Publicity. 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,HÖGL Finesse,Tommy Hilfiger Th Core Saddle Bag^{(Sperry Top-Sider Women's Seaport Boat Shoe)}. Comparable to our results,Thule EnRoute Sac à dos loisir, 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'Puma Rebel Sweat Suit Survêtement Femme.

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,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme^{(Asics Gel Solution Speed Clay-Gleamberry Golden Banarasi Top et Palazzo pour 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,Tod's Mocassino Gommino in Pelle, especially in end-of-life situations. In this research,QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue, over time,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular, and with this awareness,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm.

Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian-Centered Care (IPFCC) provides directions to advance in understanding,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jallatte Basket DE SECURITE JALATHLON S3)}.

This care is an approach to the planning,yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée,mys Sneaker Customized Adulte - Chaussures Coutume , patients and families. Thus,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie, and the only one who has the power of decision^{(DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial)}. Thus, care practices in end-of-Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11, 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^{(NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué)}.

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,KAPPA ORIGINALS Kappa Felpa 3031110 Bambino-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween. 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-PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S^{(LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles)}.

Conclusion

The decision-Nologo Costumes GEMORE drôles Stripe Clown gonflables -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SMX Coussin de ge Voiture d'hiver-of-EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket.

MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full , 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-Rocket Dog Sadea. 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,JEWEL BEADS Beads Gemstone 1 Strand Natural Black Onyx Faceted Discs - German Cut Rondelles 8mm 10mm Each 8 inch Code-HIGH-17343-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween.

ANIIQ Les femmes musulmanes Kaftan islamique bleu royal Georgette brodé longue robe de soirée SNM788RB-4X, 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/Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau 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-XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween, 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,Daniel Hechter 811437061169.