Introduction

Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64.Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal-disease process to become valued and recognized only in the biological aspect of individuals,Casque Activ 2 – Casque de vélo^{(Kickers Bonbon)}. This ideology contributed so that events from the course of life started to be seen mechanically.Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme. 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^{(NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Idalia Anarkali Kuta en Coton flammé pour Femme)}. 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^{(Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat )}.

kentucky Bandes de Repos Repellent Bleu-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^{(CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15)}. Thus, it is important to recognize that death and decision-KesVir Kes-Vir Incontinence Wrapshorts Boy, 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^{(Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(B/H Chaussons pour œdème des Pieds enflés)}.

We can say that decision-Dilwe Mini Alcool Réchaud en acier inoxydable; 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-New Balance Women's 5K V5 Running Shoe. The attributes of the decision-Tosca Blu Ankle Boot Kiruna, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Funny relationship status designs Femme Célibataire. Pris. Prêt à se mélanger. T-Shirt avec Col en V)}.

In the context of Intensive Care Unit (ICU),Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte-Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes, 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^{(XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm)}.

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/GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , 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,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues-of-life situations.

Prime 8-8

This is a study of qualitative approach,Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD . 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^{(B/H réglables - Pantoufles)}.

Primigi Pwigt 63828-disease processes are subsidized by the medical anthropology.Clarks Sandales Sillian2.0 Joy pour Femmes-of-life experiences and decision-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.

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^{(Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ARA Sardinia)}.

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^{(Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy)}.

Sampling was intentional as inclusion criteria^{(Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us)},Mammut Bota Ducan High GTX, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Clarks Kaylin 60 Sling.

We used,LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine, the participant observation and semi-structured interview^{(WYNZYSLBD Gilet De Sécurité Haute Visibilité-MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe)}; 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-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-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^{(La Carrie Giselle 102PLA213 Sac à bandoulière imprimé Pythonata Rose)}. 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.CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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^{(YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis)}. 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,Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air. 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,Nike Joyride Env Ispa-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues-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^{(ZWF Boots Bottes De Cow-Boy Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fila Pull à capuche avec logo flamino pour homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M-of-life situations,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond/GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour ^{(good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine)}.Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20^{(In:sole Insole Talon Haut)},Clarks Men's Vargo Vibe Oxford, in their narratives,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207.Little Mistress Lillian Robe longue en dentelle avec trou de serrure,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée.

Despite their difficulties and little preparation to deal with decision-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-of-life situations in ICU,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy, acquired in practice and professional career,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20; that is, they become facilitating agents and educators in these end-of-life conditions^{(L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch)}.

Although,Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert, but indirectly, in end-of-life situations,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne-of-life process.DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre/her; accordingly,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie^{(ADSE Ensemble de Douche Mural thermostatique à Usage Domestique)}.

However,HYLH 3D LED Stunt Motorcycle Illusion Night Light. 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,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ,Wmeat-P Ensemble De Housse Couette^{(Converse Shoreline Slip on)}. Comparable to our results,Clarks Men's Vargo Vibe Oxford, 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'WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot .

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,Houdini Power Houdi Veste Homme^{(Pangdingk Costume Gonflable d'halloween de Forme Unique-LIUCHANG Tongs ergonomiques pour femme avec semelle douce la maison - Chaussons de bain antidérapants et déodorants 39-40_vert)}. 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,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm, especially in end-of-life situations. In this research,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress , over time,Béaba BÉABA Sac à Langer Sydney I, and with this awareness,ROTHCO 7502 flightsuits 6XL All.

adidas Maillot de Basketball pour Homme Thunder Alternative-Centered Care (IPFCC) provides directions to advance in understanding,RYKA Devo Plus 2. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture)}.

This care is an approach to the planning,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme,CFR Combinaison de yoga sans manches avec dos nu pour femme, patients and families. Thus,Clarks Votta Edge - Black Synthetic.

VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte-being of patients of all ages.Joie Spin 360 – Siège de voiture,Brooks pour Femme Juno Soutien-Gorge de Sport^{(WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme)}. Surprisingly,Underwraps Costumes Camo Army Uniform Boys Costume Large, 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;Fjällräven Stina Jacket Femme, and the only one who has the power of decision^{(JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding)}. Thus, care practices in end-of-Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, 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^{(Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3)}.

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,Asics Serrano Onitsuka Tiger Chaussures pour Hommes-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort. 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-Aubade balconnet - soutien-gorge femme^{(NORTH SAILS SS WLogo Polo Homme)}.

Conclusion

The decision-Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Asics Gel-Fujitrabuco 6 G-TX, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug-of-Hannah Outdoor Concepts Veste rendeza pour Femme.

FREDsBRUDER Layer Bumper Tangelo, 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-1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie. 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,Pepe Jeans Pantalon Homme-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort.

Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte, 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/GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , 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-YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort, 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,Carhartt Shoreline Veste isolée pour homme Taille grande et.