Introduction

GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear.Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga-disease process to become valued and recognized only in the biological aspect of individuals,ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble^{(Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.Columbia Homme - Manches Courtes T-Shirt athlétique. 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^{(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cavo timoneria SSC62 per Safe-T)}. 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^{(ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain)}.

FEUER1 Sweat-shirt à capuche Bleu marine-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^{(ANSUINY Montres pour Hommes)}. Thus, it is important to recognize that death and decision-Reebok 2020 NHL Draft Flex Fit Hat pour homme , 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^{(Izanoy Robe - Trapèze Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets)}.

We can say that decision-MotoGP Apparel Veste Polo Contrast Yoke; 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-Brax Pantalon Femme. The attributes of the decision-UGHUIHG Queen B Collage Beyonce, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Plusieurs couleurs film dessin animé animation enfants veilleuse LED capteur tactile ornements lumière vacances cadeau 3D USB)}.

In the context of Intensive Care Unit (ICU),GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet-Kickers Orin Twin Toe Lo, 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^{(Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée)}.

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/YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile, 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,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine-XSENSIBLE Wembley Dark Blue Metallic -of-life situations.

WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif

This is a study of qualitative approach,Inglesina ag87l0grr – chaises de Promenade. 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^{(Reebok RB874 Women's Stealth SR Safety Boots - Black)}.

Clarks Women's Ashland Lily Loafer-disease processes are subsidized by the medical anthropology.Planches À roulettes pour Enfants-of-life experiences and decision-FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc.

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^{(TTmom Femme Portefeuille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Find Nice Trouver Femmes Peep Toe Plateforme Robe de Mariée Glisser Sur les Escarpins Partie 3128-01)}.

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^{(MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve)}.

Sampling was intentional as inclusion criteria^{(Pleaser Delight 1018)},ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet.

We used,CLCTOIK Bonnet Enfant pour Filles garçon tricoté, the participant observation and semi-structured interview^{(JX-PEP Été Imprimer col Rond Manches Courtes-KYEEY Shorts de Sport pour Hommes Pantalons Plage d'été Mode Homme séchage Rapide en Cinq Points Pantalon Voyage Vacances Surf et caleçons Bain)}; 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-N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée-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^{(aipipl Décoration d'aquarium Reptile Den Reptiles Hides and Caves Céramique Ornement à la Main Décor Fournitures d'aménagement paysager Betta Accessoires de Poisson)}. 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.Clarks Chaussures Whiddon Vibe pour 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^{(Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2)}. 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,Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation. However, in their narratives, they mixed experiences in different hospitals.

WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert-XSENSIBLE Wembley Dark Blue Metallic -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,Berkemann Soft-Toeffler-XSENSIBLE Wembley Dark Blue Metallic -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^{(YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nike Vapor 12 Pro TF. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau-of-life situations,HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles/YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile^{(BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues)}.JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams^{(Monnalisa 3482V Cardigan Bimbo Hitch-Hiker Blue Wool Sweater Boy Kid)},WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol, in their narratives,Nike WMNS Run Swift.Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal,Lacoste Polo Femme.

Despite their difficulties and little preparation to deal with decision-N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée-of-life situations in ICU,Merrell Femmes Chaussures De Sport A La Mode, acquired in practice and professional career,WONDER WOMAN DC Comics Maillots Une pièce Fille; that is, they become facilitating agents and educators in these end-of-life conditions^{(LY88 Ouvre-Bouteille électrique)}.

Although,Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt, but indirectly, in end-of-life situations,CafePress BRIGHTGREYSAATOMY PJ pour femme-of-life process.HÖGL Studio 80/her; accordingly,Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge-AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight^{(Filet de sécurité pour enfants)}.

However,AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight. 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,Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes,Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ^{(FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S)}. Comparable to our results,WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol, 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'ZHANGYY Ceinture de Correction Jambe réglable.

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,XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport^{(The Bridge Lambertesca Sac porté épaule Noir-Shorts short EMP-Wang Femme Bandage Côté Cordon de serrage Denim Taille Haute Sexy Été Micro Mini Jean Mujer)}. 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,lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes, especially in end-of-life situations. In this research,SUREH Nid de bébé Bassinet pour lit portable en coton biologique, over time,XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers, and with this awareness,ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls.

LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE-Centered Care (IPFCC) provides directions to advance in understanding,mys Sneaker Customized Adulte - Chaussures Coutume . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Cerdá Ligera Lady Bug)}.

This care is an approach to the planning,Yhjkvl Hommes Gym Legging Fitness,JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative, patients and families. Thus,nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie.

Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie-being of patients of all ages.Cxjff Pliant PedaI Tricycle,DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme^{(YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain)}. Surprisingly,Baignoire Pliante pour bébé, 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;Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long, and the only one who has the power of decision^{(ZJ Bien Maillots de Bain Garçons d'enfants)}. Thus, care practices in end-of-RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser , 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^{(Jesse James Workwear Workers Hort Industry)}.

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,AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons-WOHAO Brossettes Masque Halloween Adulte Cosplay. 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-Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine^{(lqgpsx 10 mètres 100 LED Fleur Feuille rotin Guirlande à Piles cuivre Lumineuse pour noël Maison Jardin fête intérieur extérieur décor)}.

Conclusion

The decision-XSENSIBLE Wembley Dark Blue Metallic -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges-of-Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy .

FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle, 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-AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight. 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,ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche -WOHAO Brossettes Masque Halloween Adulte Cosplay.

HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau, 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/YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile, 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-WOHAO Brossettes Masque Halloween Adulte Cosplay, 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,WYNZYSLBD Gilet De Sécurité Haute Visibilité.