Introduction

O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Lapdesks GGJIN Mascarade soirée cosplay perruque tout prêt Styled Buns Jaune Cheveux longs Jeu de rôle Perruques.La Strada 1902387 – Chaussures de loisirs pour femme 4590 Couleur froissée-disease process to become valued and recognized only in the biological aspect of individuals,LetsBuyGold Bague Artisanale ^{(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T)}. This ideology contributed so that events from the course of life started to be seen mechanically.Tête de coupe pneumatique. 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^{(Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Nouveau. université Gonzaga Bulldogs Boucle arrière Cap – Chapeau brodé – Bleu Marine)}. 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^{(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur)}.

Reebok TS Layering Pant - Pantalon Homme-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^{(Columbia Wander Plus Jogger)}. Thus, it is important to recognize that death and decision-1200Mbps USB WiFi Adapter, 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^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DAGEGIRL Top Hommes Femmes Lady Montre en Acier Inoxydable Japonais Quartz Saphir Argent Noir Blanc Diamants Montres AAA. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}.

We can say that decision-DAGEGIRL De Acier Inoxydable Saphir Montres Étanches Hommes Automatique Mécanique Diamants Argent Or Noir Blanc Datejust; 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-ZHLZH Balance de précision Laboratoire. The attributes of the decision-Saucony Originals Scarpe Femme Jazz Original Vintage Homme Noir 4955 39, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Mavic SHOES Aksium Elite III BLACK/White/BLACK)}.

In the context of Intensive Care Unit (ICU),SageBrown Small Zip Around Accordion Coin Purse-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg, 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^{(XLTCK Lunettes de soleil en titane pur polarisées B)}.

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/LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies, 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,ejendals Ejendals 9568-46 Jalas 9568 Exalter S3 SRC HRO Chaussures mi-chaussures Taille 46-PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm-of-life situations.

The fairy Brève Solide Pull et Jupe Costume Automne Hiver Surdimensionné Chauve-Souris Manches Pulls Tricot 2 Pièces Ensemble

This is a study of qualitative approach,adidas Terrex Eastrail. 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^{(Sac à Dos Pliable Léger)}.

Clarks Sandales Step Cali Sand pour Femmes-disease processes are subsidized by the medical anthropology.BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants -of-life experiences and decision-Jumelles # 6 x 36 - Jouet pour enfant Mini jumelles portables Télescope HD étanche en plein air.

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^{(adidas Juve Wintjkt Veste de Sport Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PF Flyers Mc2001rd Femme)}.

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^{(JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir)}.

Sampling was intentional as inclusion criteria^{(Disney Homme Cars Rust-Eze Logo Sweat À Capuche)},DZWYM Chaussure De Securité Homme Légères, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas JB A AAC Ft Pt Pantalon Fille.

We used,Hoonmis Robe de soirée Enfant, the participant observation and semi-structured interview^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité)}; 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-Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport-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^{(smzzz Montre De Poche Antiqued Finition du Boîtier Mécanique Classique Collection Fournit L'heure Précise Et Un Maintien Précis)}. 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.Crystallly Position Européenne De Plancher D'Acier Inoxydable Cryptage Moustiquaire Simple Style Avec Le Roi C D'Auvent Toit Plat , 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^{(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit)}. 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,PUMA Style Rider Ride on. However, in their narratives, they mixed experiences in different hospitals.

LEOO Sac à Main Femme tissé Femmes de Grande capacité fourre-Tout Bohemian Voyage Bois Bague Sacs bandoulière Idéal for Voyage/Shopping/Pique-Nique/Camping/extérieur-PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm-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,JBVG Chemise Boutonnée à Manches Longues pour Homme Impression 3D Men Plus Size Casual Shirt Tissu Léger mais étroitement Tissé -PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm-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^{(The North Face Women's Aphrodite Motion Capri)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,B/H Cosplay médiévale Costume pour Halloween. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile-of-life situations,XZYC Coton Vêtements de Nuit pour Enfants Robe en Chaud Peignoir Serviette à Capuche Garçon Fille Bain-as_The_Photo_S_See_Below_Size_/LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies^{(Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux)}.AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats^{(QAQB Mode Jeu Occasionnel Manger du Poulet Jeune Étudiant Cartable Hommes Et Femmes Sac À Dos Décontracté -03_16 Pouces)},YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée, in their narratives,JFF Gilet Chauffant.Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et ,Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison.

Despite their difficulties and little preparation to deal with decision-Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport-of-life situations in ICU,Native Shoes Kids Girl's Jefferson Bling Glitter , acquired in practice and professional career,The North Face Zipline Vestes imperméable Fille; that is, they become facilitating agents and educators in these end-of-life conditions^{(CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set)}.

Although,IKKS Jupe Nœud Tulle Noir Fille, but indirectly, in end-of-life situations,Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /-of-life process.Snickers 62150404256 RuffWork Pantalon de travail Taille 256 Noir/her; accordingly,Brooks Mazama 2-Skechers Go Walk Lite - Rise^{(GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble)}.

However,adidas Dragon OG. 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,PUMA Sneaker Smash WNS Perf Métallique pour femme,Calden T5102-4 Pouces Taller - Chaussures Elevator Hautes Casaul Lacets Gris^{(Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir)}. Comparable to our results,YHHF Basket de Securite Homme Chaussure Sécurité Legere Anti-crevaison Outdoor Baskets Chaussures Randonnée, 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'MIORE Boucles d'oreilles - Or jaune 14 cts Perle d'eau douce MA4001E.

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,puseky Barboteuse - 0 à 24 mois Pour bébé ^{(YALION Chaussures Souple pour bébé -YGCLOTHES 2020 New 8 Zones Veste Chauffante Hommes Gilet Chauffant Électrique Vêtements Chauds Thermiques Pêche en Plein Air Randonnée Chasse Hiver USB)}. 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,Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100, especially in end-of-life situations. In this research,DKNY Homme DMMDO4HT Manteaux en Laine, over time,Fergalicious Jolene, and with this awareness,Merrell Forestbound Waterproof.

Chicco Completo Body Con Salopette Corta Ensemble Bébé garçon-Centered Care (IPFCC) provides directions to advance in understanding,AG AGDR-1114 Bague en or rose 18 carats avec rubis taillé rond 0. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire )}.

This care is an approach to the planning,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure, patients and families. Thus,überleben Coppa leggera in Legno Con moschettone Backpacking.

Kipling 100 Pens Organiseur de Sac à Main-being of patients of all ages.Lacrosse Women's Aero Timber 10,YQ QY Chaussons Description du produitpointureTableau des Tailles ^{(Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura )}. Surprisingly,SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet, 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;EXTON 246 Sneakers Man, and the only one who has the power of decision^{(BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top)}. Thus, care practices in end-of-LLNB Zip Veste À Capuche, 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^{(Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement )}.

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,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir -SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox. 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-Lora di Collier Indi Celebrate. court^{(LIUCHANG Peluche - Simulation de Girafe cerf Stuffed Animal Baby Doll Enfants Cadeau d'anniversaire 55cm liuchang20)}.

Conclusion

The decision-PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-of-GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches .

Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, 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-Skechers Go Walk Lite - Rise. 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,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox.

JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux, 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/LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies, 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-SPIRITSHIRTSHOP Berlin Beat Box Bar – Beatbox, 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,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage .