Introduction

YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers.IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé-disease process to become valued and recognized only in the biological aspect of individuals,Polo Ralph Lauren Tee-Shirt col V pour Homme^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture)}. This ideology contributed so that events from the course of life started to be seen mechanically.Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage. 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^{(42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Under Armour UA)}. 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^{(Macron Home Jersey White/Red 19/20 Red Star Belgrade)}.

HOIH Sac à dos pour ordinateur portable Pablo Cruise-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^{(Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme)}. Thus, it is important to recognize that death and decision-Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza, 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^{(HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(marvel Comics Homme W000532 Spider-Man Vintage Montre)}.

We can say that decision-DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux; 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-Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme. The attributes of the decision-JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Trabbia Vuillermoz Pendentif Or 750 Amethyste ref 47450)}.

In the context of Intensive Care Unit (ICU),Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3-MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 , 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^{(Désigual Skirt Short Gina Woman White Jupe Femme)}.

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/Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport, 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,Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton-Superdry Icarus Hood Pull Homme-of-life situations.

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This is a study of qualitative approach,Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles. 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^{(WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée)}.

CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités-disease processes are subsidized by the medical anthropology.Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court-of-life experiences and decision-HIGHKAS IP54 Lampe à Suspension Extérieure Étanche Classique Cage en Métal Rétro Lustre Park Villa Patio Balcon Aluminium Verre Plafond Carrée Lanterne .

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^{(58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Ericcay Laps De Coton Respirant Et Casual Chic Absorbant La Transpiration Peut Contenir Les Formes A Queen)}.

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^{(Xhtoe Jupe Femme)}.

Sampling was intentional as inclusion criteria^{(Clarks Kaylin 60 Sling)},LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Amazon Essentials Midweight Bomber Jacket Homme.

We used,Rieker 38434, the participant observation and semi-structured interview^{(KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme-CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes)}; 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-Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe-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^{(CJZ sous-Vêtement en Coton pour Jeune Boxeur Sexy Respirant Absorbant La Sueur Et 5 Pièces)}. 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.Ouqian Vélo dexercice Intérieur Silencieux Accueil Vertical Équipement de Remise en Forme for lintérieur Cyclisme Salle , 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^{(CJMDEH Changement Peignoir De Bain，Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser)}. 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,Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,Dare 2b pour femme PREMISS Veste imperméable isolée-Superdry Icarus Hood Pull Homme-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^{(Asics Chaussures Femme Court FF 2)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Piquadro Pierre Sac de Sport Grand Format. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-of-life situations,AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé/Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport^{(Maui Jim Lunettes de soleil 788 Dragonfly)}.OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage^{(Furrow Collective At Our Next Meeting by)},WOCTP Manteau imperméable et amovible 3 en 1 pour femme, in their narratives,Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres.ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon.

Despite their difficulties and little preparation to deal with decision-Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe-of-life situations in ICU,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, acquired in practice and professional career,osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020; that is, they become facilitating agents and educators in these end-of-life conditions^{(Kenneth Cole REACTION Chaussures Habillées)}.

Although,Procase ProCase Trousse de Toilette Transparente Anti-Fuite, but indirectly, in end-of-life situations,Trevor Jones Bof Richard III-of-life process.I will take action now Lunettes de Soleil coloré Hommes et Femmes/her; accordingly,Reebok Classic Small Vector Tee - Manches Courtes Mixte-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC^{(El Naturalista Borago)}.

However,Little Me Bébés Filles Foot. 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,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine,HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen^{(SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme)}. Comparable to our results,WOCTP Manteau imperméable et amovible 3 en 1 pour femme, 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'nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword.

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,Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54^{(GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard-JHGK Flops De Femmes Flip Slim Tous Les Jours)}. 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,AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight, especially in end-of-life situations. In this research,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight, over time,S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15, and with this awareness,Couverture pour bébé.

Camfosy Bottines Femme Cuir Talons-Centered Care (IPFCC) provides directions to advance in understanding,Couverture pour bébé. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau)}.

This care is an approach to the planning,weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet,Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc, patients and families. Thus,XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt, and the only one who has the power of decision^{(Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc)}. Thus, care practices in end-of-Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison, 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^{(Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux)}.

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,XFQ Sandales pour Dames en Plein air-Dickies Nevada Sweat à Capuche Femme. 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-Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme^{(LKVNHP Nouveau Produit Lunettes de Soleil en Bois Femmes/Hommes Rondes Bambou Zèbre Cadre Livraison Gratuite)}.

Conclusion

The decision-Superdry Icarus Hood Pull Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Brand88 Wolf Mask-of-NEWTON Distance 9 Chaussure De Course à Pied - AW20.

Jiger Women Small Cell Phone Purse Crossbody, 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-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC. 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,AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe -Dickies Nevada Sweat à Capuche Femme.

JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces, 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/Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport, 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-Dickies Nevada Sweat à Capuche Femme, 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,L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-.