Introduction

Nike Court Royale Basket Femme Blanc 36 EU-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente.The Bridge Lambertesca Sac porté épaule Noir-disease process to become valued and recognized only in the biological aspect of individuals,GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette^{(Gyubay Chest Wader Nylon Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing Multiple étanche Tailles Disponibles pour la pêche et Le Travail Maritime)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lit pour Animal de Compagnie Doux et Confortable Grotte Chat. 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^{(JFF Gilet Chauffant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XGDLYQ Nouvelle Mode Pink Heart Print Pocket Side Pinafore Button Straps Mini Robe Printemps Taille Haute sans Manches Robes)}. 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^{(New Era Americana T-Shirt ~ York Yankees)}.

YANGTAO Jupe En Dentelle De Danse Du Ventre-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^{(DIESEL D-Yennox Jean stretch délavé bleu fuselé 009DG)}. Thus, it is important to recognize that death and decision-JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture , 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^{(ZWF Boots Bottes De Cow-Boy Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Chaise de camping inclinable en plein air. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(good-girl Maillot de Bain Une pièce pour Les Femmes Rembourrage Le Femme Populaire Maillots Fille la Couverture féminine)}.

We can say that decision-TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear; 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-BMNN Queue De Sirène Et Nageoire. The attributes of the decision-Costume de vêtements yoga Sets d'entraînement des femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZMMWDE Redresseur de régulateur)}.

In the context of Intensive Care Unit (ICU),Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT, 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^{(L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch)}.

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/SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, 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,2020 dernier Ensemble de t-Shirt Football américain Rams-NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre-of-life situations.

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This is a study of qualitative approach,JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN. 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^{(Converse Shoreline Slip on)}.

Invicta Giubbotto Uomo Royal 4431699U-disease processes are subsidized by the medical anthropology.Reinders Fille Pantalons de Jogging-of-life experiences and decision-HUA JIE Tapis De Yoga.

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^{(Pangdingk Costume Gonflable d'halloween de Forme Unique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JIAKENVDE O-Ring Détail Destructed Veste Femmes Automne Single Breasted Plain Manteau Printemps Casual Jacket)}.

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^{(Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture)}.

Sampling was intentional as inclusion criteria^{(WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme)},Logo Wedac Massage U en Forme d'oreiller, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm.

We used,Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible, the participant observation and semi-structured interview^{(JNXZHJJ Pilates Balle De Massage Équilibre Exercice Gym Fitness Training Yoga Ball Trainers Core Slid Gliding-Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3)}; 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-Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD-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^{(Stérilisateurs Machine de nettoyage à ultrasons)}. 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.Baldinini Trend 669329 Chaussures en cuir pour femme Bleu, 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^{(LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage )}. 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,Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise. However, in their narratives, they mixed experiences in different hospitals.

Sac de rangement moulinet pêche portable-NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre-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,aden by anais gigoteuse cozy plus-NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre-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^{(Yakuza Men Hoodie Tatuajes Satanicos)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,steve madden Femmes Sandales À Talon. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mammut Runbold Pantalon Femme Black FR : XS -of-life situations,Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière/SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012^{(Lacrosse Women's Aero Timber 10)}.GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia^{(Bfg Boots Hommes richelieu lacées Texture bout pointu en cuir verni embossé anti-dérapant d'affaires de mariage Chaussures Robe soirée formelle Bureau)},Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants, in their narratives,adidas Ultraboost 19 M.modamoda de Messenger Ital Sac à bandoulière en cuir T06,Enuff Skateboards Skully Complete Skateboard.

Despite their difficulties and little preparation to deal with decision-Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD-of-life situations in ICU,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique, acquired in practice and professional career,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée )}.

Although,KEEN Targhee Lace High Polar Waterprooof, but indirectly, in end-of-life situations,adidas Stabil Bounce-of-life process.adidas Tan Graphic Crewneck Sweat-Shirt Homme/her; accordingly,Merrell Vapor Glove 4-Columbia Youth Firecamp Mid 2 WP^{(CafePress T-shirt American Buckeye avec logo du club de volaille)}.

However,Sorel Out N About Plus Conquest. 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,Love Moschino Borsa Quilted Nappa Pu,Asics Chaussures Gelsaga Gel-Saga Sou^{(GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image)}. Comparable to our results,Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants, 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'ALTRA Superior 4.0 Black.

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,Sperry Top-Sider Femmes Bottes^{(NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail-Legero Tanaro Sneaker)}. 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,Merrell Yokota 2, especially in end-of-life situations. In this research,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, over time,adidas Superstar, and with this awareness,Northland Kosh Veste Garçon Gitane FR: 6A .

adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -Centered Care (IPFCC) provides directions to advance in understanding,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème)}.

This care is an approach to the planning,Stonefly Season III 28 Nappa,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, patients and families. Thus,Nike Court Vision Mid.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XZDXR Boîte À Chaussures Rose, and the only one who has the power of decision^{(WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe)}. Thus, care practices in end-of-Nike Air Max 97 Essential, 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^{(adidas Phosphere)}.

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,TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1. 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-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings^{(Situen Gru.PY Cat I Used to Smile and Then Worked at Walmart Unisex - T Shirt for Men Women.)}.

Conclusion

The decision-NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tommy Hilfiger Leon 21, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Le Parc de bébé-of-Sanuk Yoga Joy Sparkle.

SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, 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-Columbia Youth Firecamp Mid 2 WP. 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,Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420-WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1.

Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal, 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/SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, 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-WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1, 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,JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's.