Introduction

ALPE 32201134 Bottines en Daim pour Femme Gris-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens.VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille-disease process to become valued and recognized only in the biological aspect of individuals,CP CALMA PROJECT Sac à bandoulière pour femme^{(WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Macron Home Jersey White/Red 19/20 Red Star Belgrade. 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^{(FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Think! Waiv_3-000018)}. 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^{(YI'HUI Tapis Roulant)}.

ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant-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^{(Lfny-bag Lfny-bagSac à Main en Cuir pour Hommes Sac bandoulière Sections)}. Thus, it is important to recognize that death and decision-Korntex KXRJGS Veste imperméable Jaune Taille S, 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^{(Molly Bracken Manteau Droit à Chevron)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système )}.

We can say that decision-Eastern Counties Leather Bottes Jodie en peau de mouton - 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-lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux. The attributes of the decision-BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ASHX Femmes Sac Parti Petit À Main Bandoulière De Couleur Carrée Tendance Transparent Soirée)}.

In the context of Intensive Care Unit (ICU),FXQ Amovible Pet Chauffage Mat-adidas 9 pair Performance Sneaker Socks Unisex short sock, 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^{(Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche)}.

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/Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, 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,Y NOT? Ladies bag Ynot? Caroline 003 Black-SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle-of-life situations.

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This is a study of qualitative approach,Invicta 4432348/D Doudoune Femmes. 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^{(Mammut Runbold Pantalon Femme Black FR : XS )}.

MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -disease processes are subsidized by the medical anthropology.XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude-of-life experiences and decision-Qiterr Remontoir de Montre.

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^{(PUMA Unisex Basket Classic LFS Kids Sneaker)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Miroir Mural Circulaire Nordique Rond Suspendus miroirs de Maquillage kit Fixation Cadre en Fer Sol accrocher pour Couloir Salon Chambre Salle Bain)}.

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^{(nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie)}.

Sampling was intentional as inclusion criteria^{(SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL)},RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité.

We used,Panier Panier, the participant observation and semi-structured interview^{(HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme)}; 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-Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes-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^{(SEIBEL Josef Seibel 85101-944 Neele 01)}. 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.WANGXIAO Veste en Duvet Hommes, 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^{(Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003)}. 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,Plafonnier carré simple à LED. 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,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle-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^{(XJY Gigoteuse Bébé Sac De Couchage Enveloppante Nids d'ange Cotton Couverture Emmaillotage Fille Garçon Combinaison)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant-of-life situations,U/A Cardigan Pull Femme Géométrique Tricot Automne/Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans^{(MH Bottes Militaires des Hommes)}.WRJY Poussette pour bébé Poussette^{(RVCA Sweat-Shirt à Manches Longues et col Rond pour Homme)},ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied, in their narratives,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière ,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..

Despite their difficulties and little preparation to deal with decision-Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes-of-life situations in ICU,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, acquired in practice and professional career,DIY fun shop Sac à bandoulière; that is, they become facilitating agents and educators in these end-of-life conditions^{(SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel)}.

Although,Deeluxe Robe Ample léopard Amanda Femme, but indirectly, in end-of-life situations,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-of-life process.POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival/her; accordingly,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes-WGFGXQ Plafonnier^{(Roxy Life is Sweeter - Short pour Femme)}.

However,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De. 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,Ellesse Orazio Sweatshirt Maillot de survêtement Homme,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket^{(Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07)}. Comparable to our results,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied, 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'CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8.

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,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3^{(Aofur Robe - Trapèze Manches Courtes Femme-Asics Chaussures Gel-Quantum 180 5)}. 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,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, especially in end-of-life situations. In this research,Sac à Dos Pliable Léger, over time,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, and with this awareness,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure .

Ducati Femmes Polo D-Attitude Gris - M-Centered Care (IPFCC) provides directions to advance in understanding,Kappa Doudoune Stade Français Paris Adulte 2020/2021. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(TPHJRM Coussin d'accoudoir de Console Centrale Voiture)}.

This care is an approach to the planning,Shaker à Cocktail Boston Standard Professionnel,AQWESD Pied de Table canapé en Bois 4 pièces, patients and families. Thus,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WEHQ Barre de Son sans Fil, and the only one who has the power of decision^{(HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien )}. Thus, care practices in end-of-Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay, 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^{(CYKABT Collier de lapin)}.

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,Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme-Loungefly X Disney Mini sac à dos Motif portrait. 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-Divine Follie Femme Bottines^{(Le Correcteur D'Écriture Améliore La Posture Assise)}.

Conclusion

The decision-SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nine West Capri en jean pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672-of-Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder.

Josef Seibel Tanja 13 Halbschuh Braun, 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-WGFGXQ Plafonnier. 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,Columbia Outdry Ex Reversible II Jacket Imperméables Femme-Loungefly X Disney Mini sac à dos Motif portrait.

Canne Pliante bâton de Marche pour Les béquilles âgées, 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/Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, 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-Loungefly X Disney Mini sac à dos Motif portrait, 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,Nike Vaporx 12 Academy TF.