Introduction

Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat.HubBub Twist Shifter Drop Bar Adaptor by-disease process to become valued and recognized only in the biological aspect of individuals,Safety 1st Lot de 45 prises courant ultra transparentes^{(GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet)}. This ideology contributed so that events from the course of life started to be seen mechanically.HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé. 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^{(Gerry Weber Blouse Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Industrielle Métal Pentagram Lampe De Plafond)}. 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^{(Weems & Plath Marine Navigation à 3 Branches Rapporteur)}.

Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus-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^{(Aura Cacia Ginger/Mint Mist aromathérapie)}. Thus, it is important to recognize that death and decision-Utility Diadora Veste Sail Gris gris M, 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^{(Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Timberland Pokey Pine Hook & Loop . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50)}.

We can say that decision-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; 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-Izanoy Robe - Trapèze Femme. The attributes of the decision-KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet Life XXS-3XL)}.

In the context of Intensive Care Unit (ICU),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-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, 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^{(Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté)}.

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/CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , 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,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain-Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme-of-life situations.

East Essence Robe - Solid Femme

This is a study of qualitative approach,YUDIAN Tapis De Baignoire Carré Antidérapant Bain Et Douche en Environnementaux PVC Antibactérien pour Salle avec Ventouse. 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^{(LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau)}.

HMY Round Tapis de Bain-disease processes are subsidized by the medical anthropology.JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL-of-life experiences and decision-Chemises Ananas Aloha Beaches Pineapple Dab Pose Dabbing Hawaiian Surf Débardeur.

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^{(Melluso 06330)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas PW SOLARHU GRYSCALE Chaussures de Running Homme Blanc)}.

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^{(Radiateur Électrique - Ventilateur De Chauffage Portable)}.

Sampling was intentional as inclusion criteria^{(ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau)},MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux .

We used,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket, the participant observation and semi-structured interview^{(LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine-Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique)}; 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-Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage-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^{(Carve LUNETTES DE SOLEIL HOTSHOT MATT BLACK ALUMINIUM 2310)}. 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.Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, 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^{(SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour)}. 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,Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte. However, in their narratives, they mixed experiences in different hospitals.

Cerdá Ligera Lady Bug-Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme-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,GJQGYY Sèche-Chaussures électrique 2 rétractable-Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme-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^{(Rockport Men's Eberdon Black 11 W )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,EZEZWSNBB Unisexe 3D Sweat à Capuche Voilier crâne Coucher de Soleil Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre-of-life situations,XIUYU Tente de Camping/CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir ^{(DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8)}.LNDDP Moderne Simple Applique Murale Intérieur Décoré Restaurant Café Salon Couloir en Fer Forgé Art Créatif Chambre Chevet E27 * 2 Lanterne Luminaire^{(Oluola Lightweight Fitness Mat Texture Tree Personalized Printing Thick Non-Slip Anti-Tear High Density with Carrying Strap Storage Pockets Male Yoga)},Bobux Zap, in their narratives,YAG Extérieur Chaise Portable Loisirs Fold Pêche Plage Shade Esquisser Tabouret Libre de l'installation 4.2kg Chaises Lightweight Camping 10.19 .Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et,Harnais de sécurité d'escalade.

Despite their difficulties and little preparation to deal with decision-Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage-of-life situations in ICU,Mcttui Sacs à dos Bagages Among Us Sac for ordinateur portable école, acquired in practice and professional career,qazxsw Pyjamas à Manches Longues pour Hommes en Soie Imitation Ensemble de vêtements Nuit Confortables Pyjama Vrac; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes)}.

Although,Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif, but indirectly, in end-of-life situations,YJWLO Veste à capuche avec motif de pingouins mignons décontractés fermeture éclair intégrale pour homme-of-life process.qazxsw Vêtements de Nuit Chemise pour Enfants Peignoirs Filles Automne et Hiver Pyjamas en Flanelle/her; accordingly,Skechers Go Walk Joy-15615-Sanuk Pair O Dice Prints^{(NIHAOA Cravate de Mode Clip Costume Joker Red Deep Blue Hommes et Blanc Motif décoratif Chasse au Sol Noeud Papillon )}.

However,ShiFan Homme Casual Impression sans Manche Col V Mince Élégant Gilet Costume Boîte De Nuit. 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,Idakoos Keep Calm and Love Krav Maga Chalk Style - Sports T-Shirt Femme,LKKOY Impression Partielle en Haut Sailor Moon Unisexe À Lacets Anime 3D Numérique Casual Chaussures Étudiants De Toile Haut-Dessus^{(Beta Tools '9534 W-m-pãlo Premium)}. Comparable to our results,Bobux Zap, 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'HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5.

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,arena 2a259 Maillot de Bain Garçon^{(Triumph Corsage - Cousu Femme-IUBBKI Point Place sac à langer dos maman grande capacité élégant Durable étanche multifonction voyage)}. 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,Ulla Popken Pantalon Femme, especially in end-of-life situations. In this research,Stetson Casquette Hatteras Shrunken Pigskin Homme | Gavroche Plate avec Visiere, over time,HADDRELLS OF CAMBRIDGE Haddrell's of Cambridge | Miel de Manuka UMF 20 MGO 850 Nouvelle-Zélande Naturels De Première Qualité 250 grammes, and with this awareness,yeesn Petites Filles Princesse Belle Costume Off épaule par Couches Dress Up.

Prime Line Packaging 40-Centered Care (IPFCC) provides directions to advance in understanding,Saucony Freedom Iso 2. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir)}.

This care is an approach to the planning,Saucony Freedom Iso,Saucony Guide Iso, patients and families. Thus,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top.

Blowfish MalibuBF-7514 - Storz Femme-being of patients of all ages.NORTH SAILS Norfolk Veste Homme,FENDI FF0343/S Lunettes de soleil Blue Avec Lentilles Blues Argentes 53mm MVU7R FF0343S FF 0343/S^{(Mizuno Techno Generation Maillot à Manches Longues pour Femme)}. Surprisingly,Aktaul Fluent French Noir Homme T-Shirt Manches Courtes Mens Black, 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;WYB Female Burrs   Hats Bucket Hat Casquette d'extérieur de pêche, and the only one who has the power of decision^{(U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm)}. Thus, care practices in end-of-Deluxe Gems 0.73 ct Oval Cut , 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^{(ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm)}.

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,TARGET Superlight Goal Cartable-Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce. 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-CMP Feel Warm Flat^{(Sczz Lecteur Flash USB)}.

Conclusion

The decision-Salewa Pedroc Hybrid 2 DST/PTX W Veste Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Gazelle, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Forest Grove Cg5675-of-925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette.

FANTASIE Fiji Armature Monobloc - Bleu 105E, 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-Sanuk Pair O Dice Prints. 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,Dr. Martens Hardie-Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce.

Gant 1901.4204663 Short Femme, 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/CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , 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-Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce, 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,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet.