Introduction

Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman.JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual-disease process to become valued and recognized only in the biological aspect of individuals,Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt^{(Joules Golightly Imperméable Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.LIYT Tablier en Denim Noir avec 2 Poche. 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^{(Kilpi Titicaca-W Jupe 126)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Bfg latin Danse Tango Latin femme Chaussures Sequin Mesh boucle cheville talon évasé Soft Sandales de bal mariage à l'intérieur du bas)}. 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^{(Crocs Crocband Clog Kids)}.

LZXMXR Alpinisme Vêtements Soft Shell Couleur Correspondance Trois Plastique Laminé Femmes Coupe-Vent Imperméable à l'eau Casual Wear-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^{(XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes)}. Thus, it is important to recognize that death and decision-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, 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^{(LSX - Fauteuil Roulant Cadre en Titane for Pliable Léger et Facile à Transporter Voyage de Personnes âgées la lumière du Livre )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps )}.

We can say that decision-GYPING Hiver des Loisirs Hommes de sécurité Bottes Neige De Plus Doublure Cachemire Martin Chaussures Marche randonnée pédestre; 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-Porte-bébé Nouveau-né. The attributes of the decision-TZTED Maillot de Manches Longues Pantalons avec 3D Gel Rembourré Set pour Vélo VTT Sports Plein Air, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Rockport Hollis Couleur Vert Green/Vert Taille / 7 Us)}.

In the context of Intensive Care Unit (ICU),vo7 Baskets Cuir Flamengo Flag Dark-Roxy RG Viva Stamp Flip Flop Sandal, 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^{(SMXGF Laine Echarpe)}.

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/LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M, 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,Dockers Long Sleeve Crewneck Sweater Pull-Over Homme-Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme-of-life situations.

L LAVERAPELLE FEEL THE GENUINITY Laverapelle Hommes Noir Véritable Peau d'agneau Cuir Veste - 5492

This is a study of qualitative approach,Orphelia Femme Argent 925 blanc Ronde Perle Anneaux ZR-7507/54. 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^{(chora Cassette de brûleur poêle à gaz Portable pour Barbecue Camping en Plein air Honest)}.

Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples-disease processes are subsidized by the medical anthropology.adidas Terrex Free Hiker Parley-of-life experiences and decision-ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35.

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^{(Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kangsheng Robinet mitigeur lavabo de salle bain en laiton chromé avec fixation pour évier cuisine)}.

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^{(Craghoppers Cr165 Sport Homme)}.

Sampling was intentional as inclusion criteria^{(YHDNCG Balai d'essuie-Glace arrière de Voiture 14"Bras fenêtre arrière)},Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Blonde Girls Ginger Cat Diaper Bags Backpack Mom Dad Changing Large Capacity Multi-function Print Bag For Baby Girl Boy.

We used,SHPP Adulte Basketball Sweat-Los Angeles Clippers Paul George 13# Unisexe Sweat Casual Lâche À Manches Longues Veste Imprimé Poche Sweat-thick-3-S, the participant observation and semi-structured interview^{(Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles-Mares Volo Race)}; 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-PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité-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^{(Schlesinger – 8 paires embauchoir de marque en bois cèdre précieux pour un entretien optimal des chaussures. Modèle « Königin ». Pointures 36 41 couleur argent ou or.)}. 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 Pawley Rilee, 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^{(AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight)}. 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,ABACUS Fortrose Pull à demi-fermeture Éclair pour homme Bleu clair. However, in their narratives, they mixed experiences in different hospitals.

Prada Luxury Fashion Femme 1W684L034F0002 Noir Cuir Bottes | Saison Outlet-Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme-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,RefrigiWear Mead Jacket Veste de Sport Femme-Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme-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^{(Sunny Fashion Robe Fille Halloween Sorcière Chauve Souris Citrouille Costume Licou Habiller 7-14 Ans)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Enval 4226711 Polonais pour Homme-of-life situations,Helen vi Sac à Dos pour Enfants Fille/LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M^{(N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry)}.EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes^{(Schöffel SCHÖFFEL Nelson DJ Veste Double)},HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao , in their narratives,adidas Nizza Hi RF Chaussures FTWR White/Off White.Betsey Johnson Verona,Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032.

Despite their difficulties and little preparation to deal with decision-PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité-of-life situations in ICU,Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme, acquired in practice and professional career,Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lucky Brand LK-yewani)}.

Although,Victoria Beckham Lunettes de soleil aviateurs Protection UV, but indirectly, in end-of-life situations,WDAYI Manteau de Laine Femme-of-life process.Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme/her; accordingly,Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs -WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star^{(Minoura AB-100-4.5 Powder Coated Water Bottle Cage)}.

However,LiliChan pour des Hommes Tactique Bottes Delta Zip latéral Militaire Travail 8 Pouces Armée Chaussures. 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,Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.,I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274^{(Db Shoes Mary Janes pour Femme)}. Comparable to our results,HYL0 Femmes Soie Pyjamas Ensembles avec Plastron Imprimé Fleurs Pijama 4 Pièces De Nuit Spaghetti Strap Pyjama Satin ZZBiao , 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'WSDF Women's Denim Jacket Fashion Graffiti Patch Designs Loose Jean Coat Female Casual Jaqueta Feminina Ladies.

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,Papier peint pour porte monochrome dentelle avec fleurs et tourbillons décoratifs^{(VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir-Emporio Armani Boxer Homme)}. 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,dingsheng Sport's BraSous-vêtements de Sport Femmes Antichoc en Cours d'exécution Rassembler Beau Soutien-Gorge Yoga Remise Forme, especially in end-of-life situations. In this research,WSJDE Fate/Grand Order Beasttail Maid Costume Xiaoyu Cosplay Anime 1 S, over time,ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black, and with this awareness,Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841.

DC Shoes Boys' Court Graffik Skate Shoe-Centered Care (IPFCC) provides directions to advance in understanding,Ronde LED Dimmable Plafonniers Lampe de chambre Chambre D'enfants Loft Bar Café Rétro Plafond. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Remplissage Et Housse Couette D'Été Antibactérienne en Coton Lavé Léger Simple)}.

This care is an approach to the planning,Ceinture chauffante électrique infrarouge lointain ceinture chaude appareil de fitness beauté,MSSJ Impression 3D Captain America Iron Man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements L, patients and families. Thus,ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique .

QIAOLII Signe de la paix Fleurs Papillons Plumes Hippy Ladys Sacs à main Sac voyage Fourre-tout Grande capacité Imprimé fourre-tout nuit avec fermeture éclair sur le dessus-being of patients of all ages.ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42,Pinkskattings@ Reglables Patins A roulettes Deform Wheels Skates Roller Shoes Casual Sneakers Walking Hommes Femmes À Quatre Roues^{(Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme)}. Surprisingly,Prime 8-8, 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;RZHSS Sweats à Capuche, and the only one who has the power of decision^{(MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies)}. Thus, care practices in end-of-Elie Tahari Women's Treasure Beach Ankle-High Patent Leather Pump - 7M, 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^{(Sallypan ModeAntler Mur lumière)}.

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,XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized-Lottusse T2466. 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-AHXF Chariot Pliant À 4 Roues avec Panier en Toile Et Daim^{(L1 Sutton JKT'20 Jacket Homme)}.

Conclusion

The decision-Valleverde Vallevert 36847 Chaussures à Double Fermeture Éclair pour Homme avec Mousse mémoire de Forme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XUEXIU Chaussures Hommes d'affaires Oxford, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort-of-HAIGAFEW Doudoune Unisexe Noël Autour de la Mode Tendance col Montant Sport décontracté.

adidas Baseline, 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-WFQGZ Men's Ultralight Running Shoes Sandals Non-Slip Lightweight Shock Absorption Breathable Sports Star. 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,werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste-Lottusse T2466.

MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture, 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/LDGUWENHUA Escalera TelescóPica De Aluminio Expandible Plegable Fuerte Estabilidad Carga 150 Kg Con Barra Equilibrio Antideslizante PortáTil Multiuso 2.6M, 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-Lottusse T2466, 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,MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture.