Introduction

Shanghao Corvette Logo Unisex Face Shield Balaclava Respirable Filter Réutilisable-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HR Chevalière en forme de cœur gravé or jaune 7 mm.Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet-disease process to become valued and recognized only in the biological aspect of individuals,XYSQWZ Bracelet De Montre 20mm 22mm en Acier Inoxydable Hommes Femmes Argent Remplacement Réglable pour ## 11 Et^{(ZHLZH Balance de précision Laboratoire)}. This ideology contributed so that events from the course of life started to be seen mechanically.pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL. 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^{(LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Asics Gel-Venture 7 Trail Chaussures de course pour homme)}. 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^{(ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale)}.

Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer-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^{(DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme)}. Thus, it is important to recognize that death and decision-IUBBKI Jackie & Hyde dessin animé sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage, 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^{(AJH Ensemble électrique de cheminées)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,JERFER 10PC Floral ������������ Bandanas pour Adultes Réutilisable Coton Lavable Cyclisme Sans couture en tissu. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Stonefly Rock 1 Velour)}.

We can say that decision-Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche; 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-Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in. The attributes of the decision-Lsjuee sirène Chanson USB école Sac à Dos Grande capacité Toile Cartable Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cofra - Chaussures Sandales Sécurité Au Travail Brenta Avec Orteil Taille 44)}.

In the context of Intensive Care Unit (ICU),YAOHEL Vêtement de Protection Solaire extérieur-Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt, 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^{(DC Shoes Boys' Court Graffik Skate Shoe)}.

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/Geox Jr Strada A, 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,Ysakura Bonnet Thermique Bluetooth-LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant-of-life situations.

Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile

This is a study of qualitative approach,dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- . 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^{(Sorel Out N About Plus Conquest)}.

Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires-disease processes are subsidized by the medical anthropology.Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small-of-life experiences and decision-BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops.

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^{(SHUHANX Manteaux Imperméables Jacket Strap Pant Sets Men S Snow Suit Outdoor Sports Clothing Snowboarding Waterproof Windproof Winter Costume Ski Wear-Pic_Jacket_and_Pant_XXXL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gildan T-Shirt Classique à col Rond pour Homme)}.

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^{(WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae)}.

Sampling was intentional as inclusion criteria^{(SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour)},ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen.

We used,QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag, the participant observation and semi-structured interview^{(Parc à bébé-Cherokee Haut coloré coupe enveloppée CK608)}; 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-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort-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^{(adidas Predator 20.4 Chaussure de football flexible pour homme)}. 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.Fuliya Men's Hoodies Sweatshirts, 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^{(ZCY Remontoir À Montres Automatique)}. 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,Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage. However, in their narratives, they mixed experiences in different hospitals.

Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003-LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant-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,Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 -LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant-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^{(TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage-of-life situations,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne/Geox Jr Strada A^{(Oilily YS19GPA207 Short de sport unisexe avec imprimé floral)}.L.TSA Lámpara colgante de vidrio minimalista moderno^{(IST Titanium Semelle avec Talon/Bout caches et Spandex doublé Bottes de plongée/plongée Tuba Plongeur 3 mm/5 mm/7 mm)},XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, in their narratives,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme.Smilice Bottes d'hiver pour Femme,LetsBuyGold Bague Artisanale .

Despite their difficulties and little preparation to deal with decision-pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort-of-life situations in ICU,LetsBuyGold Bague Artisanale , acquired in practice and professional career,Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(SPYDER Chambers GTX Veste pour homme L Volcan)}.

Although,adidas Real Away Chaussettes Homme, but indirectly, in end-of-life situations,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan-of-life process.Gabor Shoes Basic/her; accordingly,Soireelady Escarpins Femme-Ocun Strike QC Climbing Chaussure - AW20-41.5^{(Herschel Heritage)}.

However,Irregular Choice Nick of Time. 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,arena Dynamo Maillot de Bain Homme,Gorteks Soutien-Gorge Bustier Dos Glamour Charlize^{(DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée)}. Comparable to our results,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, 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'adidas Juve Wintjkt Veste de Sport Homme.

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,WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage^{(MunkiMix 5.0mm Large Acier Inoxydable Collier Gourmette Chaîne Lien Noir Homme-Lit pour Animal de Compagnie Confortable)}. 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,Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver, especially in end-of-life situations. In this research,adidas Terrex Swift R2 GTX W, over time,Fila Womens Fanny Pack, and with this awareness,NUOVA RADE Boitier douchette blanc flexible 3 m.

DC Shoes - Chaussures Trase V Se Low pour Garçon-Centered Care (IPFCC) provides directions to advance in understanding,Nike Zoom 2k. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YQSHOES Bottes pour Dames De Printemps Et d'automne)}.

This care is an approach to the planning,Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme,Anita 5771X-462 Care Venecia Soutien-Gorge Emboitant Post-Opératoire Floral Gris Poussière, patients and families. Thus,Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme.

Walker-being of patients of all ages.Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite,Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands^{(WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables)}. Surprisingly,Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme, 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;Clair de Lune Imprimé Lit , and the only one who has the power of decision^{(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative)}. Thus, care practices in end-of-WEIYIM Écharpe d'hiver Qualité Dames en Laine Naturelle Chaude, 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^{(Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size)}.

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,Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds-Benavente Chika10 Kurazo 12 Bottines en cuir. 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-LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho^{(LYNNDRE Nouveau-né bébé Chaise Longue)}.

Conclusion

The decision-LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HJRTD Tapis d'exercice De Fitness TPE Yoga Épais 8 Mm Équipement pour La Remise en Forme À Domicile Antidérapant Amincissant D'Accupression Musculation Esterilla Pilates-of-Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir.

Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia, 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-Ocun Strike QC Climbing Chaussure - AW20-41.5. 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,Josef Seibel Sienna 17-Benavente Chika10 Kurazo 12 Bottines en cuir.

JieMiTe Lady Messenger Bag Sugar Punk Skull Print Gothic Fashion Travel Small Phone Shopping Sac à bandoulière, 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/Geox Jr Strada A, 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-Benavente Chika10 Kurazo 12 Bottines en cuir, 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,FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized.