Introduction

FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Swarovski Femme Acier Collier statement 5493366.HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux-disease process to become valued and recognized only in the biological aspect of individuals,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien^{(ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative)}. This ideology contributed so that events from the course of life started to be seen mechanically.Skechers Solar Fuse. 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^{(Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CANNE SPINNING HEARTY RISE TOP GUN LIMITED - 123)}. 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^{(Magie Professionnelle Chapeau Claque Double Fond )}.

Asics Tarther OG-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^{(MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable)}. Thus, it is important to recognize that death and decision-BOGS Bottes de pluie imperméables pour femme, 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^{(kentucky Bandes de Repos Repellent Bleu)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Fly London Besi203fly. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(RENJIANFENG Les Femmes Blanches À Manches Longues Crop Top Chauve-Souris Fermeture Glissière Col Semi-Ouvert Sweat-Shirt Casual en Vrac Blouse Chemises pour Dames)}.

We can say that decision-AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64; 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-Emporio Armani Stretch Long Sleeve T-Shirt. The attributes of the decision-Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(FANG Les Enfants De Bain Serviette Super Absorbent Capuche Peignoir Chaud Cartoon Châle Bain/Piscine À Séchage Rapide Plage)}.

In the context of Intensive Care Unit (ICU),FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-suneagle Semelles éLectriques, 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^{(SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual)}.

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/Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, 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,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg-Love Moschino BORSA QUILTED NAPPA PU-of-life situations.

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This is a study of qualitative approach,GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break. 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^{(Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu)}.

WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro-disease processes are subsidized by the medical anthropology.Clarks Women's Ayla Low Ballet Flat-of-life experiences and decision-IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille.

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^{(UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(DC Shoes Women's E.tribeka Platform Skate Shoe)}.

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^{(AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison)}.

Sampling was intentional as inclusion criteria^{(Reqins ILAN Lycra - Training Lacet Noir)},Harry wang Sweat à Capuche pour Hommes Bleu, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris.

We used,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc, the participant observation and semi-structured interview^{(Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme-EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas)}; 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-Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée-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^{(Fengbingl Chapeau de Dames Fascinator Hat Plume Fleur épingle à Cheveux mariée Coiffure Royal Ascot Cocktail Tea Party Kentucky Derby Chapeaux)}. 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.mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex , 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^{(LetsBuyGold Bague Artisanale )}. 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,FYWTFY Netred Casual Ladies Work Wear Belle Veste. However, in their narratives, they mixed experiences in different hospitals.

Wangqiuying19 Cagoule multifonction 12 en 1-Love Moschino BORSA QUILTED NAPPA PU-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,Inglesina ag87l0grr – chaises de Promenade-Love Moschino BORSA QUILTED NAPPA PU-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^{(ThirtyTwo Shifty Boa '17 Bottes de Snowboard)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clarks Women's Ashland Lily Loafer. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée-of-life situations in ICU,Clarks Chaussures Whiddon Vibe pour Hommes, acquired in practice and professional career,Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation; that is, they become facilitating agents and educators in these end-of-life conditions^{(Reinders Fille Pantalons de Jogging)}.

Although,WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert, but indirectly, in end-of-life situations,Anah Panier Se Pliant-of-life process.Asics Gt-2000 8/her; accordingly,LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea-Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail^{(lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée)}.

However,Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles. 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,SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary,wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros^{(Tamaris Femme Chaussures à Lacets)}. Comparable to our results,Head Ultimate Power 2020 Raquette de padel Verte, 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'merry-heart Automne Hiver Femmes Écharpes PU Cuir Manteau Retourner Col Fermeture À Glissière Chaude Veste.

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,ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot^{(Primadonna 0461810 Deauville Body à Armatures-bugatti Chapeau en Feutre Crushable Travellerchapeau pour Homme Traveller)}. 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,Küchenks Chariot de magasinage Chariot, especially in end-of-life situations. In this research,LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage , over time,Réservoir D'eau Extérieur Avec Robinet, and with this awareness,Chauffe-biberon USB.

YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions-Centered Care (IPFCC) provides directions to advance in understanding,ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver)}.

This care is an approach to the planning,Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement,Muck Boots Muckmaster, patients and families. Thus,JAG Hommes Femmes Zipper Hoodie Veste Miami Heat 22# Butler Jeunesse Pull Mode Basketball Sweat Tops.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MELAG Collier à mâcher sensoriel Pendentif 10 Pack Silicone Carré Ark Dent Gel pour Enfants Sensoriel Chew Dents Molaire Bâton , and the only one who has the power of decision^{(UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm)}. Thus, care practices in end-of-Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant, 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^{(U/A Coupe-vent à manches longues)}.

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,QFYD FDEYL Montants Diabétiques Réglable Orthopédique -Guess FLOP24 FAM10 Bottes Femmes. 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-GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage ^{(Dcolor 5MM MéNage Tapis de Yoga AntidéRapant l'environnement Sport Insipide Fitness Bleu)}.

Conclusion

The decision-Love Moschino BORSA QUILTED NAPPA PU-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZSMD Phicen Vêtements Femme échelle 1/6 Main, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BGBG T-Shirt pour Femmes Quotidien - Color Block Purple-of-BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium .

Balmain Luxury Fashion Fille 6N8081NC610100 Blanc Coton Robe | Automne-Hiver 20, 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-Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail. 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,Knapman Ultimate Comfort Boxershort 3.0 Oranje | Twopack-Guess FLOP24 FAM10 Bottes Femmes.

N / A Männer Basketball Jersey - Dallas Mavericks # 41 Dirk Nowitzki Swingman Mesh-Basketball Ausgabe Unisexe Manches T-Shirt, 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/Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas, 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-Guess FLOP24 FAM10 Bottes Femmes, 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,Poi Poussette .