Introduction

Timberland Pokey Pine Hook & Loop -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil.Izanoy Robe - Trapèze Femme-disease process to become valued and recognized only in the biological aspect of individuals,KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1^{(JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival )}. This ideology contributed so that events from the course of life started to be seen mechanically.pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C. 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^{(adidas Duramo SL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JAFIEG Mignon petit Chihuahua chien race Portrait 3D couleur changeante infini miroir chiot Pet Tunnel Vision bois cadre éclairé 23 cm x)}. 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^{(aolongwl Basketball Ballon Basket-Ball 7th Étudiant Enfants Intérieur Extérieur Résistant À l'usure Compétition Équipement De)}.

LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage-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^{(PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL)}. Thus, it is important to recognize that death and decision-CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , 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^{(HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DIY fun shop Mostera Pattern - Sac à bandoulière en Cuir pour Femmes de Conception Tropicale)}.

We can say that decision-YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse; 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-HMY Round Tapis de Bain. The attributes of the decision-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Adidas Originals Lock Up Veste de survêtement pour femme)}.

In the context of Intensive Care Unit (ICU),Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur-MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale, 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^{(MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des )}.

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/ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux , 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,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce-of-life situations.

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This is a study of qualitative approach,Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage. 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^{(MO JOC Boots Chelsea Femme)}.

Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon-disease processes are subsidized by the medical anthropology.Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-of-life experiences and decision-Cerdá Ligera Lady Bug.

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^{(YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DIY fun shop Beetlejuice The Musical 4 Sac à Dos Multifonction en Cuir pour Femmes)}.

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^{(MPOQZI Couvre-Volant de Voiture en Cuir Bricolage)}.

Sampling was intentional as inclusion criteria^{(westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch)},KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau.

We used,Nologo GEMORE Han Filles de vêtements Chinois Vent Costume Tailleur Jupe Veste for Les Enfants 1 Robe Princesse bébé brodé 29158-1 , the participant observation and semi-structured interview^{(Halloween Drapé Portes Entrées Fenêtres Couverture Gaze Spooky Fête Décoration H Livraison Gratuite-YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm)}; 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-Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -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^{(DAGUAI Et Les Femmes de Manteau imperméable à l'eau Mode Hommes Raincoat Tissu Anti-Pluie et Respirant)}. 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.AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable, 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^{(GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons)}. 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,LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme. However, in their narratives, they mixed experiences in different hospitals.

Boon Catch Bowl with Spill Catcher-Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce-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,Harnais de sécurité d'escalade-Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce-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^{(Vans Sk8-Hi Reissue Chaussures de skate unisexe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école. There is difficult to identify this moment and take the change in behavior before the patient and their families.

qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac-of-life situations,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif/ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux ^{(Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant)}.YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme^{(GUOPIAPIA Sacoche De Suspension Avant Gauche/Gauche Compatible Audi A6 C5 4B Allroad Quattro 4Z7616051D)},SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32, in their narratives,qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle.Skechers Go Walk Joy-15615,Sanuk Pair O Dice Prints.

Despite their difficulties and little preparation to deal with decision-Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale -of-life situations in ICU,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit, acquired in practice and professional career,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(BYZ Tenda da bagno per USO Domestico)}.

Although,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus, but indirectly, in end-of-life situations,HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5-of-life process.arena 2a259 Maillot de Bain Garçon/her; accordingly,Ulla Popken Pantalon Femme-Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere^{(yunyu Montre de Poche pour Homme)}.

However,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes. 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,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up,Prime Line Packaging 40^{(Victoria Beckham Lunettes de soleil aviateurs Protection UV)}. Comparable to our results,SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32, 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'Saucony Freedom Iso 2.

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,Saucony Freedom Iso^{(Tubus Tube Support pour Lowrider -Led Phare Rechargeable Xhp50 Zoom Haute Puissance Usb Lumen 8000)}. 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,Saucony Guide Iso, especially in end-of-life situations. In this research,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, over time,Blowfish MalibuBF-7514 - Storz Femme, and with this awareness,NORTH SAILS Norfolk Veste Homme.

FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S-Centered Care (IPFCC) provides directions to advance in understanding,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Boon Catch Bowl with Spill Catcher)}.

This care is an approach to the planning,WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche,Deluxe Gems 0.73 ct Oval Cut , patients and families. Thus,TARGET Superlight Goal Cartable.

CMP Feel Warm Flat-being of patients of all ages.adidas Gazelle,adidas Forest Grove Cg5675^{(TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body)}. Surprisingly,925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette, 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;FANTASIE Fiji Armature Monobloc - Bleu 105E, and the only one who has the power of decision^{(YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche)}. Thus, care practices in end-of-Dr. Martens Hardie, 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^{(PunkFootball Je déteste le T-shirt West Ham United de Millwall)}.

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,Gant 1901.4204663 Short Femme-Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER. 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-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet^{(Adora Design AT5300 Montre à Quartz pour Femme)}.

Conclusion

The decision-Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CuteRose Baby Grils Infantile Boys Lightly Hoode Down Coat Jacket, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet-of-YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire .

JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter, 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-Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere. 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,Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson-Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER.

WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL, 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/ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux , 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-Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER, 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,WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping .