Introduction

EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Loungefly X Disney Mini sac à dos Motif portrait.MUK LUKS Chaussons Critter pour Femme-disease process to become valued and recognized only in the biological aspect of individuals,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets^{(Pliable Barrière De Le Lit)}. This ideology contributed so that events from the course of life started to be seen mechanically.Portable Butane Stove Burner - Taille Unique. 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^{(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZCR Freeline Skate Drift Adulte extérieur dérivantes Skateboards)}. 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^{(Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture)}.

Home Trainer Rouleaux dim. 145L x 56l 10-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^{(Portable Butane Stove Burner - Taille Unique)}. Thus, it is important to recognize that death and decision-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière, 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^{(YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité )}.

We can say that decision-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme; 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-El Naturalista Nido. The attributes of the decision-YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(H K Mandel Pantalon Homme Chino en Tissu Bleu foncé avec Plis Microfibre Coupe Extra Large des Jambes Modèle Boogie)}.

In the context of Intensive Care Unit (ICU),Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, 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^{(Merino Kids Long-Sleeve Pyjama Set)}.

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/ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, 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,WENZHEN Sac à Dos The North Face-YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-of-life situations.

Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied

This is a study of qualitative approach,ALPE 32201134 Bottines en Daim pour Femme Gris. 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^{(Charmance Pull à Torsades - Femme)}.

L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-disease processes are subsidized by the medical anthropology.VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille-of-life experiences and decision-CP CALMA PROJECT Sac à bandoulière pour femme.

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^{(ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(IZOD Homme Manches Courtes Chemise boutonnée)}.

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^{(YUHT Album Photo Hybride interstitiel)}.

Sampling was intentional as inclusion criteria^{(Bosch TDA703021A Fer à Repasser 3000 W)},Macron Home Jersey White/Red 19/20 Red Star Belgrade, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.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.

We used,Korntex KXRJGS Veste imperméable Jaune Taille S, the participant observation and semi-structured interview^{(Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor-Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne)}; 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-Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme-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^{(Blumarine Set 5 Serviettes Benessere Sabbia)}. 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.Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, 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^{(Skechers Women's Persmimmon Chai Combat Boot)}. 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,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux. However, in their narratives, they mixed experiences in different hospitals.

BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel-YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-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,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-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^{(XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Pot pour Bébé-of-life situations,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard/ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse^{(Y-Volution Y-volution - draisienne yvelo air Bleu)}.BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes^{(Nine West Chemisier sans manches en crêpe léger pour femme)},Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween, in their narratives,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm.DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook.

Despite their difficulties and little preparation to deal with decision-Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme-of-life situations in ICU,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes, acquired in practice and professional career,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison; that is, they become facilitating agents and educators in these end-of-life conditions^{(Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau)}.

Although,FACAI Masseurs électriques pour Les Pieds, but indirectly, in end-of-life situations,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-of-life process.Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts/her; accordingly,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-LILONGXI Gilet Doudoune^{(Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin)}.

However,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb . 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,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant^{(Madden Girl Femmes Bottes)}. Comparable to our results,Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween, 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'U/A Cardigan Pull Femme Géométrique Tricot Automne.

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,WRJY Poussette pour bébé Poussette^{(ROXY Snow Junior's Amy 3N1 Jacket-XUMING Hommes Femmes Mesdames Peignoir en Tissu éponge 100% Robes de Serviettes Coton Longueur complète pour Cadeaux Noël)}. 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,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, especially in end-of-life situations. In this research,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , over time,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., and with this awareness,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme.

DIY fun shop Sac à bandoulière-Centered Care (IPFCC) provides directions to advance in understanding,Deeluxe Robe Ample léopard Amanda Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger)}.

This care is an approach to the planning,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, patients and families. Thus,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-being of patients of all ages.ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De,Ellesse Orazio Sweatshirt Maillot de survêtement Homme^{(PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël)}. Surprisingly,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, 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;CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, and the only one who has the power of decision^{(Scanstrut APT-LB-01-Support antenne Blanc)}. Thus, care practices in end-of-CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, 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^{(Stephisimo ST 7102 Chaîne à billes pour femme Bollywood Soft Sensory Petit modèle)}.

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,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes. 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-Sac à Dos Pliable Léger^{(Azeeda 'Edgar Allan Poe' boîte de Bague fiançailles)}.

Conclusion

The decision-YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -of-Ducati Femmes Polo D-Attitude Gris - M.

Kappa Doudoune Stade Français Paris Adulte 2020/2021, 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-LILONGXI Gilet Doudoune. 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,Shaker à Cocktail Boston Standard Professionnel-PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes.

AQWESD Pied de Table canapé en Bois 4 pièces, 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/ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, 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-PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes, 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,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement .