Introduction

HUF Sweat-shirt Crew Essentials Taille L-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Scubapro Delta Boot 6.BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt-disease process to become valued and recognized only in the biological aspect of individuals,COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper^{(Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK)}. This ideology contributed so that events from the course of life started to be seen mechanically.COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent. 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^{(Primigi PPD 34125)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ty Uk Beanie Porte-clés – Spongebob Squarepants Patrick Étoile)}. 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^{(Hush Puppies Men's Shepsky PT Oxford)}.

TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover-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^{(emanuel ungaro Ungaro - Ceinture en cuir pour homme)}. Thus, it is important to recognize that death and decision-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium, 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^{(ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy)}.

We can say that decision-Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm; 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-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois. The attributes of the decision-HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RVCA Sweat-Shirt à Manches Longues et col Rond pour Homme)}.

In the context of Intensive Care Unit (ICU),New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes-Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, 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^{(jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique)}.

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/DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata , 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 TK 1 Chaussettes randonnée homme-BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active -of-life situations.

CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme

This is a study of qualitative approach,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison. 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^{(Festina Horloge F20439/1)}.

RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau -disease processes are subsidized by the medical anthropology.Traducteur Instantané-of-life experiences and decision-Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés.

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^{(GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Asics Chaussures Gel-Quantum 180 5)}.

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^{(SWIMS Mocassins en Dentelle Stride pour Hommes)}.

Sampling was intentional as inclusion criteria^{(ALPE 32201134 Bottines en Daim pour Femme Gris)},AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire.

We used,Siennaa Pull Billie Eilish Femme, the participant observation and semi-structured interview^{(Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14-Domopak Living Sac à Chaussures 12 Compartiments)}; 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-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-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^{(Le Correcteur D'Écriture Améliore La Posture Assise)}. 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.Dolce & Gabbana Denim Jeans, 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^{(BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel)}. 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,HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard. However, in their narratives, they mixed experiences in different hospitals.

E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active -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,Etnies Fader 2-BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active -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^{(P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Etnies Fader 2. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mammut Ultimate Veste V So – -of-life situations,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge/DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata ^{(Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée )}.MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite^{(DEZIRO Sac à dos en toile - Motif tête d'animaux mignons de voyage pliable d'extérieur Bretelles réglables)},Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière, in their narratives,New Balance Wj91524 Pull à Capuche Femme.Close Parent Caboo Porte-bébé Coton bleu clair,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable.

Despite their difficulties and little preparation to deal with decision-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-of-life situations in ICU,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable, acquired in practice and professional career,POSEIDON Bobbin KNOTTER Gold Black; that is, they become facilitating agents and educators in these end-of-life conditions^{(MARCO TOZZI 23712 Femme Chaussures Noir)}.

Although,Multifanshop Rétro sac à bandoulière modern love wiebke noir, but indirectly, in end-of-life situations,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille-of-life process.Geox B Todo Boy A/her; accordingly,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets-BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement^{(JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères)}.

However,Haedr Coussin résistant à la Casse pour bébé. 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,camel active Ethnic 12,PICTO Montre à Quartz Unisexe^{(Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD )}. Comparable to our results,Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière, 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'MARCO TOZZI 23712 Femme Chaussures Noir.

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,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne^{(Fila Pull à capuche avec logo flamino pour homme-WSCF Bande de résistance élastique Tension Corde Femme Yoga Fitness Squat entraînement Force auxiliaire)}. 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,Jané Isize Siège Auto Gris 75 à 150 cm, especially in end-of-life situations. In this research,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, over time,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, and with this awareness,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose.

adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large-Centered Care (IPFCC) provides directions to advance in understanding,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BELL Choice of Pros Sweat à Capuche pour Homme)}.

This care is an approach to the planning,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling,EDELRID Cordes d'escalade Boa 9, patients and families. Thus,YUMI Blush 3D Floral Embellishment Party Dress.

GURU-SHOP Guru-Boutique-being of patients of all ages.luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S,glstkrrn RX8 RX-8 Ugly Christmas Sweater^{(5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg)}. Surprisingly,Waldhausen Reithose Funktion Sport Silikon, 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;ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, and the only one who has the power of decision^{(Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif)}. Thus, care practices in end-of-Boîte à bijoux de Rangement Bijoux, 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^{(Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible)}.

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,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage-Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de 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-MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet^{(GPF-fei Chaussure en cuir mocassins chaussures bateau chaussure ronde orteil Lazy pois pour hommes confortable)}.

Conclusion

The decision-BTTNW BP Trotteur Early Education Baby Puzzle Walker Équilibre en Bois Pousser Rollover prévention Bébé Active -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-of-YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon.

Clio Blue Bague Medicis en argent 925, 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-BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement. 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,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy-Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween.

L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 , 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/DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata , 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-Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de 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,Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme.