Introduction

Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android.TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende-disease process to become valued and recognized only in the biological aspect of individuals,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable^{(Absolute Cult Disney Femme Bambi Meadow T-Shirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable. 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^{(Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ScanGrip Lighting 03.5070 Lampe Baladeuse Rechargeable)}. 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^{(VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine)}.

XLTCK Lunettes de soleil en titane pur polarisées B-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^{(Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us)}. Thus, it is important to recognize that death and decision-MH Bottes Militaires des Hommes, 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^{(Art I Breathe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Bogner Serfaus Zaha Shopper Xlho)}.

We can say that decision-NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M; 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-nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche. The attributes of the decision-FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Situen A.ssassin Cat Tshirt C. Attitude with K.Itty Sized Weapons-328472)}.

In the context of Intensive Care Unit (ICU),Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-Ital-Design Bottes Classiques pour Femme, 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^{(Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin)}.

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/Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage, 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,Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle-SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila-of-life situations.

Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair

This is a study of qualitative approach,Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie. 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^{(Carlos by Santana Bottines pour femme)}.

Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1-disease processes are subsidized by the medical anthropology.Splendid Lorne Ii Mule pour femme-of-life experiences and decision-FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent.

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^{(Hotter Glove)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CHANGL Anime Kimetsu no Yaiba/Demon Slayer Kibutsuji Muzan nouveauté Cosplay pour Les Costumes de fête Robe Kimono Quotidienne Japonaise avec Accessoires Haute qualité)}.

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^{(DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard)}.

Sampling was intentional as inclusion criteria^{(Couverture à gaze cinq couches Petite de coton frais nordique douce et confortable)},Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule.

We used,FxsD Cigar Cabinet, the participant observation and semi-structured interview^{(SUWEN Sandales Plates pour Hommes-Guess Shawna Pebble Petit sacoche Cali)}; 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-no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne-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^{(Alfred & Compagnie Barrière adaptable 70cm blanche)}. 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.LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans, 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^{(COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto)}. 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,PICKME Hommes Femmes USB Chauffage Gilet. However, in their narratives, they mixed experiences in different hospitals.

JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou-SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila-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,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby -SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila-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^{(Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse -of-life situations,Puma Men's Fenty Sweatsuit Pullover/Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage^{(Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets)}.WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le^{(YBWEN Rack Ball Sports de Ballon Trémie Stockage et matériel Roulant métallique Panier for Un accès Facile Boules médecine)},Legero Campania, in their narratives,bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short.MELLUSO Sandales pour Femme,C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant.

Despite their difficulties and little preparation to deal with decision-no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne-of-life situations in ICU,adidas Originals Nite Jogger, acquired in practice and professional career,Joules Roll Up Welly; that is, they become facilitating agents and educators in these end-of-life conditions^{(TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes)}.

Although,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning, but indirectly, in end-of-life situations,Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG-of-life process.Circus By Sam Edelman Goodwin Bottes de Combat pour Femme/her; accordingly,MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité-Nike Air Max Oketo^{(YAOLAN Raindrop Lampe de Table en Cristal)}.

However,HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style. 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,Reebok Softshell Active Jacket Vareuse Homme,MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE^{(XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs)}. Comparable to our results,Legero Campania, 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'Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey.

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,Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57^{(Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau-Giovanni Doudoune en Cuir avec Capuche Fourrure pour Femme Niny Noir)}. 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,KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison, especially in end-of-life situations. In this research,Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN, over time,HONGYU Sac à Dos de randonnée, and with this awareness,Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes.

Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm-Centered Care (IPFCC) provides directions to advance in understanding,Camper Runner. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier)}.

This care is an approach to the planning,DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial,Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir , patients and families. Thus,NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins.

WTFYSYN Chaussures diabétiques à Pantoufle Extra Large-being of patients of all ages.YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux^{(GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable)}. Surprisingly,HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe, 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;16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway, and the only one who has the power of decision^{(adidas pour Homme Athletics Team problème Bomber)}. Thus, care practices in end-of-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant, 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^{(yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation)}.

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,OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting-MASCOT WORKWEAR Mascot Polo De Travail Crossover. 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-QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes^{(ONEILL WETSUITS Reactor II 2mm Back Zip Spring Combinaison de plongée Homme)}.

Conclusion

The decision-SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WRJY Poussette pour bébé-of-MARC JOSEPH NEW YORK Women's Driving Style Loafer.

HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture, 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-Nike Air Max Oketo. 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,Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage-MASCOT WORKWEAR Mascot Polo De Travail Crossover.

Lwieui Coffrets Montres Coffret Couvercle 12 Bijoux Collection vitrine en Verre Top Case Montre Boîte de Rangement , 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/Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage, 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-MASCOT WORKWEAR Mascot Polo De Travail Crossover, 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,RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes .