Introduction

Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Asics Accelerate - Veste de Running pour Femme.fischer 13948 Hausschuh-disease process to become valued and recognized only in the biological aspect of individuals,jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.^{(Craghoppers Pantalon Anti-Moustique Clair - Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer . 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^{(CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Housse de Siege Voiture Universelle 5 sièges Ensemble Complet pour A cura TSX avec Appui-tête et Coussin Lombaire Beige Noir)}. 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^{(Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass)}.

Sperry Women's Crest Vibe Satin Lace Sneaker-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^{(BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt)}. Thus, it is important to recognize that death and decision-ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime, 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^{(Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Under Armour Rival Fleece Homme Sweat à Capuche Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 )}.

We can say that decision-NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit; 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-Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme. The attributes of the decision-SNDWAY Télémètre Laser télémètre monoculaire de Chasse, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FRWANG Homme Cuir Soulier en Motif de Crocodile Business Brogues)}.

In the context of Intensive Care Unit (ICU),Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats-Palladium Pampa Hi M Bottines pour femme - Vert foncé., 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^{(Jumelles 8-10X42-32 Zoom HD Grande Ouverture)}.

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/P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié, 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,Molly Bracken Manteau Droit à Chevron-MARC JOSEPH NEW YORK Women's Driving Style Loafer-of-life situations.

HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture

This is a study of qualitative approach,Jiger Women Small Cell Phone Purse Crossbody. 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^{(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T)}.

Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages -disease processes are subsidized by the medical anthropology.FRWANG Hommes Été Sandales Respirant Tongs Pantoufles-of-life experiences and decision-Will's Vegan Shoes WVSport Bottes de randonnée Noir - .

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^{(Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QIXUN Jupe Printemps Et été Pyjama Mi-Long Femme Impression De Soie Vêtements Maison)}.

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^{(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur)}.

Sampling was intentional as inclusion criteria^{(Columbia Wander Plus Jogger)},WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation.

We used,zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338, the participant observation and semi-structured interview^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres -Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}; 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-Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41-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^{(YiqiUime Assassination Classroom Chaussures Plates Convient for Hommes et Femmes Cartoon Impression Patterned Haute Montantes en Toile Unisexe)}. 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.Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons, 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^{(XLTCK Lunettes de soleil en titane pur polarisées B)}. 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,MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau. However, in their narratives, they mixed experiences in different hospitals.

SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants-MARC JOSEPH NEW YORK Women's Driving Style Loafer-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,XWWshapewear Homme Taille Corset Elastique Ventre Minceur Skinny Obésité Et de Bière avec Crochets-MARC JOSEPH NEW YORK Women's Driving Style Loafer-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^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -of-life situations,JJ Cole Couvre-sangles Matelassé occultant/P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié^{(Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité)}.Light Rose Baby Diaper Bag Backpack^{(WYBD.Y Vélo d'équilibre Solide pour garçons de 2 à 6 Ans)},Asics Gel-Kayano Trainer Evo, in their narratives,La Strada 1902517 Sneaker Knitted Blue.GJNVBDZSF Lavabo de Camping,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh.

Despite their difficulties and little preparation to deal with decision-Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41-of-life situations in ICU,P448 John Sneaker blanc et rouge, acquired in practice and professional career,JHGK Haut-Top Chaussures De Basket-Ball Couple; that is, they become facilitating agents and educators in these end-of-life conditions^{(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit)}.

Although,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les, but indirectly, in end-of-life situations,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme-of-life process.Lola Cruz Bottines/her; accordingly,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches-Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22^{(ROTHCO 7502 flightsuits 6XL All)}.

However,Olga Berg Pochette Femme Doré Ob2028. 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,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes,SPYDER Chambers GTX Veste pour homme L Volcan^{(BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier )}. Comparable to our results,Asics Gel-Kayano Trainer Evo, 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'AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil.

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,Yoga Design Lab Serviette de Hot | Douce^{(Blackstone Sg30-LTE Lit de Matelas Gonflable Voyage d'air Voiture Universel pour l'oreiller Multifonctionnel Sofa siège arrière)}. 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,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, especially in end-of-life situations. In this research,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir, over time,Melluso 06330, and with this awareness,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.

Oreiller-Centered Care (IPFCC) provides directions to advance in understanding,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Dolce & Gabbana Denim Jeans)}.

This care is an approach to the planning,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant,Helga Kreft Kreft90012 Police Mobil Puzzle , patients and families. Thus,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles.

Zhik Hybrid Skiff Suit 2020-being of patients of all ages.DazzlingRock Collection 0,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom^{(Natori Pure Allure: FF Contour UW Soutien-Gorge Femme)}. Surprisingly,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, 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;Adrun 9202 Chaussures de sport légères pour femme, and the only one who has the power of decision^{(The North Face Women's Aphrodite Motion Capri)}. Thus, care practices in end-of-QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho, 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^{(Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux)}.

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,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation-IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in. 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-WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité^{(Converse Chuck Taylor CTAS 70 Ox Canvas)}.

Conclusion

The decision-MARC JOSEPH NEW YORK Women's Driving Style Loafer-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA-of-JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau.

SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper, 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-Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22. 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,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in.

LZJN Veste d'hiver pour femme avec boutonnage long et matelassé, 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/P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié, 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-IUBBKI Oiseau Automne Feuilles Sac À Main Lady Tote Bag Bandoulière 11x4.3x7.5in, 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,YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement.