Introduction

Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket.Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip-disease process to become valued and recognized only in the biological aspect of individuals,GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité ^{(Generic Brands Anniversaire Grossesse première année bébé Journal Un Prix la Naissance avec Votre icônes Design Voyage Album Photo Auto-adhésif)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie. 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^{(YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZzheHou Reel Fishing Moulinet De Pêche Plein Calmar À Montage Double Et Enrouleur Roue Frein Avant Arrière Résistance Robuste Usure)}. 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^{(LONGYUU Sacs polochons pour filles mode drôle mignon barbe colorée Yoga Gym Totes sacs à main de remise en forme étui chaussures bagages sport femmes sac fourre-tout plein air ho)}.

Clarks Linvale Emmy-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^{(Skechers Solar Fuse)}. Thus, it is important to recognize that death and decision-HHORD Panier De Bicyclette Rétro Tissé D'imitation, 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^{(QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Vinmin USB Rechargeable lumière de vélo Avant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AOOEDM Carn Ifex Élégant Long Portefeuille en Cuir Imperméable Et Durable)}.

We can say that decision-ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille; 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-HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout. The attributes of the decision-Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YB Chaise De Bureau pour Fauteuil Pivotant de Ergonomique)}.

In the context of Intensive Care Unit (ICU),Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger, 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^{(Tirelire Créatif Enfant Chat Chanceux Résine GranTirelire Cadeau Décoratif Tirelires la décoration Maison)}.

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/Hicks & Brown Suffolk Fedora Vert olive , 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,NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12-SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif-of-life situations.

MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve

This is a study of qualitative approach,SMXGF Laine Echarpe. 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^{(Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería)}.

LiliMill 5579-disease processes are subsidized by the medical anthropology.N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion-of-life experiences and decision-WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid.

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^{(ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(sdssup Contrer véritable Chapeau de Baseball Masculin Cap 18CA0065 A0065 Code Denim Bleu)}.

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^{(Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements )}.

Sampling was intentional as inclusion criteria^{(New Balance Lav V1 Hard Court)},QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile .

We used,Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme, the participant observation and semi-structured interview^{(Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-Tosca Blu Bottes Mary)}; 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-Tamaris 1-1-25012-23-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^{(XWF Haltère Haltères 2 Pcs Poids Set for Culturisme Fitness de Levage Formation Accueil 4 / 6kg Bras et Les Mains - Idéal Pilates)}. 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.DC Femmes Recherche 18, 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^{(Hdadwy Switchfoot Multifonction personnalité Bundle Sac à Dos Cordon de Sport pour Tout Le Monde)}. 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,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime. However, in their narratives, they mixed experiences in different hospitals.

xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok-SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif-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,California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large-SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif-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^{(SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Warm vest TXC Gilet en coton pour homme épais sans manches Taille L-of-life situations,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus/Hicks & Brown Suffolk Fedora Vert olive ^{(YAOHEL Vêtement de Protection Solaire extérieur)}.Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending ^{(Mbswdd Baby Nest Cocon pour bébé)},kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL, in their narratives,LXZSP Brûleur d'encens de contrôle la température synchronisation.ZHMIAO Maillot de Football américain pour Homme 4# Carr,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats.

Despite their difficulties and little preparation to deal with decision-Tamaris 1-1-25012-23-of-life situations in ICU,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation, acquired in practice and professional career,JOOP! Jeans Tondo Sousa Sac porté épaule jaune; that is, they become facilitating agents and educators in these end-of-life conditions^{(totes Parapluie cannes Fille)}.

Although,DBWIN Parc de Jeu pour Enfants, but indirectly, in end-of-life situations,The North Face Veste Chimborazo réversible pour garçon-of-life process.Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique/her; accordingly,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra-New Era Americana T-Shirt ~ York Yankees^{(Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size)}.

However,In:sole Insole Sandales Talon Haut. 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,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2,weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire^{(Kawasaki Sports Polo)}. Comparable to our results,kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL, 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'Essuyez Chaud.

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,ADHW Chaise Longue d'extérieur^{(LKM Chaussettes désodorisantes épaisses de Base - Ball en Hiver Printemps et Automne-Cinzia Soft Sandale femme Cipria Pf3103 - Beige 41)}. 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,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, especially in end-of-life situations. In this research,Vienty Sandales à talon Ani Lacets Cuir, over time,adidas Originals Chaussures Junior Haiwee, and with this awareness,AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel.

Fournitures de salle bain Piscine gonflable Baignoire-Centered Care (IPFCC) provides directions to advance in understanding,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Glqwe Sac à Dos étanche pour Ordinateur Portable)}.

This care is an approach to the planning,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes,QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides, patients and families. Thus,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen.

YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches-being of patients of all ages.Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm^{(ADHW Chaise Longue d'extérieur)}. Surprisingly,YCCC Doudoune Garcon 12 Ans Hiver, 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;WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite, and the only one who has the power of decision^{(Bambino Mio)}. Thus, care practices in end-of-OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes , 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^{(SBDLXY Parc pour bébé extérieur)}.

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,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière-Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles. 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-Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor^{(FRYE Women's Carson Piping Tall Knee High Boot)}.

Conclusion

The decision-SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise-of-LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos.

Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs, 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-New Era Americana T-Shirt ~ York Yankees. 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,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble -Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles.

L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm, 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/Hicks & Brown Suffolk Fedora Vert olive , 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-Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles, 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,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche .