Introduction

LUHTA JANAKKALA L6 Veste Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet .ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette -disease process to become valued and recognized only in the biological aspect of individuals,SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32^{(Skechers Go Walk Lite-Sea Dream Bateau pour femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle. 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^{(Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Gumstyle Kantai Collection Anime Manteau d'hiver en Polaire épaisse et Chaude)}. 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^{(Nike Court Borough Mid )}.

TOOSD Pantalon De Jogging pour Jambe Conique Hommes-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^{(O'NEILL Femme Blouse)}. Thus, it is important to recognize that death and decision-Tapis Premium Water Gonflable Tummy temps l'eau for les bébés de grande taille Squeaky bébé dinosaure eau tapis jeu nourrissons enfants en bas âge Activité Centre Jouet La cro, 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^{(Caterpillar Men's Heavy Insulated Parka)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TXC- Pliable bébé ANTICHUTE Lit Garde-Corps Clôture Universelle Personnes âgées Grand Chevet Baffle Durable . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Guess Bla Moritz)}.

We can say that decision-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Roxy Flying Dove - Débardeur pour Femme; 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-Roxy Life is Sweeter - Short pour Femme. The attributes of the decision-Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Little Kathmandu Gheri Épaisse chemise délavée décontractée couleur foncée pour homme avec boutons - Bleu X-Large)}.

In the context of Intensive Care Unit (ICU),DJJCN Laine Pull Hommes Automne Mode À Manches Longues Tricoté Cachemire Vêtements-Columbia Wind Prougeector Novelty Veste Polaire pour Hommes , 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^{(DC Shoes Men's E.tribeka Zip Skate Shoe)}.

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/GJQGYY Sèche-Chaussures électrique 2 rétractable, 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,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-of-life situations.

FANZIFAN Manteau de la Femme

This is a study of qualitative approach,JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre. 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^{(Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa)}.

XIUYU Tente de Camping-disease processes are subsidized by the medical anthropology.LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire-of-life experiences and decision-YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 .

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^{(DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(IUBBKI sac à main coloré hibou ailes dorées fourre-tout en cuir véritable Rivet bandoulière poignée supérieure femmes)}.

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^{(Merrell Femmes Chaussures De Sport A La Mode)}.

Sampling was intentional as inclusion criteria^{(liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm)},Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Harnais de sécurité d'escalade.

We used,Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école, the participant observation and semi-structured interview^{(Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ -BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme)}; 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-qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-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^{(RESUXI Ensembles de duvets Noël Doubles)}. 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.Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, 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^{(Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53)}. 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,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme. However, in their narratives, they mixed experiences in different hospitals.

qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-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,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN -GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-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^{(LDH Mi-Longueur Doudoune Femme Hiver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers-of-life situations,John Deere Nothing Runs Like A Long Sleeve Printed Tee/GJQGYY Sèche-Chaussures électrique 2 rétractable^{(LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand)}.OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN^{(Nisdsgd Women Mini Purse Crossbody of Cell Phone，Ethnic Tribal Pattern with Boho Aztec Native American Folk Figures)},Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique , in their narratives,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille.Breed Racer Chronograph Bracelet Watch w/Date,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9.

Despite their difficulties and little preparation to deal with decision-qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-of-life situations in ICU,Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU, acquired in practice and professional career,Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.; that is, they become facilitating agents and educators in these end-of-life conditions^{(Bewinch Moustiquaire pour lit)}.

Although,HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU, but indirectly, in end-of-life situations,KAR 4-of-life process.XHH Échelle de Plante Support à Fleurs en Fer forgé/her; accordingly,Folding bath tub Baril de Baignoire Pliable-Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes^{(DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie)}.

However,Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été. 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,Fox Débardeur à dos Randonnée Homme,Square Enix Figurine 'Super Street Fighter IV - Sakura^{(AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim)}. Comparable to our results,Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique , 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'WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable.

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,JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir ^{(Wembley X-Line Lederhalfter Finesse II-CETLFM La Mode Et Le Sport Exquis De Montre Intelligente)}. 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,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas, especially in end-of-life situations. In this research,Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection, over time,Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）, and with this awareness,Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes.

Wildlife Tiger Baby Diaper Bag Backpack-Centered Care (IPFCC) provides directions to advance in understanding,XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tête de coupe pneumatique)}.

This care is an approach to the planning,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe,MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack, patients and families. Thus,JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc.

AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été-being of patients of all ages.TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1,JINGJIE Ski Veste Pantalon Set^{(KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144)}. Surprisingly,Cult Sabbayh 3136 Low Leather #black CLE104310, 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;KTDT Horloge de Table Style Train Mode rétro, and the only one who has the power of decision^{(NOADream Femmes Bout Rond Pompes Cheville Boucle Sangle Talons Hauts Plate-Forme Sexy Mode en Cuir Verni Chaussures habillées Talon Mince Aiguilles)}. Thus, care practices in end-of-XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque, 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^{(Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme)}.

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,ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches-Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel. 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-Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne^{(Enfant 20/30/40 Cm Simulation Créative Crucian Carpe Herbe Poisson Salé Peluche Mignon Dessin Animé Chat En Oreiller Jouet Cadeau 30 A)}.

Conclusion

The decision-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.AJZXHE réservoir d'eau Réservoir avec robinet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L -of-Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27.

Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31, 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-Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes. 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,MFLASMF Diviseur de pièce portatif Pliable Parc bébé-Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel.

Jesse James Workwear Workers Hort Industry, 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/GJQGYY Sèche-Chaussures électrique 2 rétractable, 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-Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel, 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,Asics Hyper LD 5 Synthétique Baskets.