Introduction

QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile .Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme-disease process to become valued and recognized only in the biological aspect of individuals,Tamaris 1-1-25012-23^{(KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 )}. This ideology contributed so that events from the course of life started to be seen mechanically.DC Femmes Recherche 18. 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^{(LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(jollipets Baby enfants Bavoir – Lennert – 100% BIO organique – Variante : Animaux Zoo – Taille Unique)}. 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^{(Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm)}.

GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-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^{(Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir)}. Thus, it is important to recognize that death and decision-xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok, 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^{(Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ISABELLE BLANCHE P030T001 Chino Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes)}.

We can say that decision-Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet; 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-Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ . The attributes of the decision-MWOOOK Escarpins Femmes Talons Aiguilles, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ax sun68 Dolcevita Femme Blanc K40233)}.

In the context of Intensive Care Unit (ICU),Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne-LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower, 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^{(FRYE Melissa Deco Chelsea)}.

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/LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable, 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,Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45-Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-of-life situations.

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This is a study of qualitative approach,Dare 2b Cloud Burst Veste pour Fille. 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^{(AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542)}.

Seachoice Ultimate Outrigger Kit by SEACHOICE-disease processes are subsidized by the medical anthropology.Primadonna 0461810 Deauville Body à Armatures-of-life experiences and decision-FSA SL-K Carbon Tige de Selle Mixte.

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^{(RESUXI Couettes de Noël Ensembles Double)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Disney Winnie the Pooh Three is For Days Filled with Laughter Figurine 300370)}.

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^{(adidas Originals Baskets Mode Falcon Women)}.

Sampling was intentional as inclusion criteria^{(New Balance Women's 5K V5 Running Shoe)},Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Cult – Bottes de sécurité # Gun CLASS-1.

We used,Steiff Fleecejacke Blouson Bébé garçon, the participant observation and semi-structured interview^{(TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween-Nora Champion 72021)}; 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-UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage-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^{(Dos Caballos Kendi Chili Pepper Maillot à Manches Courtes pour Femme Multicolore)}. 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.XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée , 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^{(BDHBB Lampe LED Lampes de Bureau Explosion Champignon)}. 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,RYKA Devotion XT Mid. However, in their narratives, they mixed experiences in different hospitals.

QYYdress Robe de Mode V-Cou imprimée Motifs -Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-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,ADHW Chaise Longue d'extérieur-Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-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^{(KesVir Kes-Vir Incontinence Wrapshorts Boy)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Vienty Sandales à talon Ani Lacets Cuir-of-life situations,adidas Originals Chaussures Junior Haiwee/LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable^{(Parker Femme P8HRRD10 Robe)}.AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel^{(Wolky Fly Winter 0472614-000 Chaussures mi-Hautes en Daim et métal Noir)},Warm vest TXC Gilet en coton pour homme épais sans manches Taille L, in their narratives,Fournitures de salle bain Piscine gonflable Baignoire.HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme ,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes.

Despite their difficulties and little preparation to deal with decision-UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage-of-life situations in ICU,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides, acquired in practice and professional career,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles)}.

Although,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches, but indirectly, in end-of-life situations,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement-of-life process.Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm/her; accordingly,YCCC Doudoune Garcon 12 Ans Hiver-WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite^{(8" Share Bear Care Bears Plush Bean Bag)}.

However,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes . 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,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière,Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor^{(Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère )}. Comparable to our results,Warm vest TXC Gilet en coton pour homme épais sans manches Taille L, 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'SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme.

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,Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise^{(Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt-Spiral Direct t-Shirt d’Auto-isolement 3XL)}. 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,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos, especially in end-of-life situations. In this research,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs, over time,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble , and with this awareness,L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm.

NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche -Centered Care (IPFCC) provides directions to advance in understanding,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WLL Sac de Tapis Yoga Portable avec 2 Poches)}.

This care is an approach to the planning,SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité,Verre À Whisky Fait Main Real Bullet, patients and families. Thus,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable.

Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats-being of patients of all ages.Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold^{(MFLASMF Diviseur de pièce portatif Pliable Parc bébé)}. Surprisingly,Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W , 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;JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG , and the only one who has the power of decision^{(H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 )}. Thus, care practices in end-of-Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap, 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^{(LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable)}.

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,Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé-Clarks Linvale Emmy. 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-Under Armour Herren UA HOVR Havoc Low Basketballschuhe^{(Gant Men's Watches)}.

Conclusion

The decision-Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SYXYSM Calico SYXMSM Écharpe chouchou, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clarks Sharon Dolly-of-Badgley Mischka Vega.

Guess Robe à manches longues pour femme, 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-WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite. 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,Hurley One & Only Pantalon de survêtement pour homme-Clarks Linvale Emmy.

LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme, 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/LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable, 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-Clarks Linvale Emmy, 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,Ganter AKTIV Hali-h.