Introduction

AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sperry Women's Crest Vibe Satin Lace Sneaker.ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime-disease process to become valued and recognized only in the biological aspect of individuals,Under Armour Rival Fleece Homme Sweat à Capuche Noir^{(SPORTUBE Series 1 Platinum Deluxe Étui à snowboard)}. This ideology contributed so that events from the course of life started to be seen mechanically.NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit. 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^{(YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Free People Women's Yesica Maxi Dress)}. 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^{(MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet)}.

Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean 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^{(WRJY Poussette pour bébé Poussette)}. Thus, it is important to recognize that death and decision-SNDWAY Télémètre Laser télémètre monoculaire de Chasse, 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^{(WOHAO Brossettes Masque Halloween Adulte Cosplay)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling )}.

We can say that decision-Palladium Pampa Hi M Bottines pour femme - Vert foncé.; 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-P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié. The attributes of the decision-Molly Bracken Manteau Droit à Chevron, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HZHYZJ Pantoufles Extra Larges d'œdème diabétique pour Hommes Femmes Chaussures de fasciite Plantaire à Bout Ouvert réglable Oignons orthopédiques Pieds enflés Arthrite Personnes âgées Gris)}.

In the context of Intensive Care Unit (ICU),Jiger Women Small Cell Phone Purse Crossbody-Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages , 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^{(mantraroma Bague argent 925 sterling pierre de lune )}.

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/FRWANG Hommes Été Sandales Respirant Tongs Pantoufles, 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,Will's Vegan Shoes WVSport Bottes de randonnée Noir - -RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -of-life situations.

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This is a study of qualitative approach,WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration. 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^{(Metal.CH 2133.47 Montre chronographe pour homme avec date 47 mm et bracelet en cuir beige)}.

Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation-disease processes are subsidized by the medical anthropology.zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338-of-life experiences and decision-Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41.

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^{(RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Nrpfell Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot)}.

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^{(Nike Viale)}.

Sampling was intentional as inclusion criteria^{(Nike Nike886872-011 - Nk Fc Top Haut Noir pour Homme 886872-011)},Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau.

We used,SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants, the participant observation and semi-structured interview^{(Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule-MASCOT WORKWEAR Mascot Polo De Travail Crossover)}; 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-GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable-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^{(REED Veste 1950 en cuir d'agneau véritable avec manteau à col montant pour homme)}. 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.Lee Short Homme, 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^{(WGE Mailles de 5 / 10cm)}. 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,Nautica Montres Bracelet NAPFRB008. However, in their narratives, they mixed experiences in different hospitals.

GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de-RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -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,Light Rose Baby Diaper Bag Backpack-RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -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^{(Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,La Strada 1902517 Sneaker Knitted Blue. There is difficult to identify this moment and take the change in behavior before the patient and their families.

GJNVBDZSF Lavabo de Camping-of-life situations,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh/FRWANG Hommes Été Sandales Respirant Tongs Pantoufles^{(BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour)}.P448 John Sneaker blanc et rouge^{(Pepe Jeans Jean Slim Femme)},Roxy Femme ARJX403329 Bas de Bikini, in their narratives,JHGK Haut-Top Chaussures De Basket-Ball Couple.Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme.

Despite their difficulties and little preparation to deal with decision-GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable-of-life situations in ICU,Lola Cruz Bottines, acquired in practice and professional career,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches; that is, they become facilitating agents and educators in these end-of-life conditions^{(HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique)}.

Although,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, but indirectly, in end-of-life situations,Olga Berg Pochette Femme Doré Ob2028-of-life process.DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes/her; accordingly,SPYDER Chambers GTX Veste pour homme L Volcan-AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil^{(Zhenwo Jambe Large Salopette De Femmes Grande Taille Denim Jeans Barboteuses Petit Ami Destoryed Ripped Loose Fit Tenues Baggy Trousers Fleurs Imprimer)}.

However,Yoga Design Lab Serviette de Hot | Douce. 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,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir^{(Porte Serviettes Rouleau De Papier Toilette 2Pcs Hygiénique Suspendu Salle Bains Meuble Cuisine Crochet Blanc 23 5 * 12 7Cm P)}. Comparable to our results,Roxy Femme ARJX403329 Bas de Bikini, 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'Melluso 06330.

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,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux^{(ChengLaoBan shoP Chapeau-QLSGO Big Gold Wave Wigs Blonde Fashion Pure Color Long Curly HairPerruque en dentelle sur le devant)}. 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,Oreiller, especially in end-of-life situations. In this research,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material, over time,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, and with this awareness,Helga Kreft Kreft90012 Police Mobil Puzzle .

La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles-Centered Care (IPFCC) provides directions to advance in understanding,Zhik Hybrid Skiff Suit 2020. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XHH Échelle de Plante Support à Fleurs en Fer forgé)}.

This care is an approach to the planning,DazzlingRock Collection 0,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom, patients and families. Thus,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage.

Adrun 9202 Chaussures de sport légères pour femme-being of patients of all ages.QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation^{(TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts)}. Surprisingly,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, 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;YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif , and the only one who has the power of decision^{(Columbia Women's Saturday Trail ii Convertible Pants)}. Thus, care practices in end-of-jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA, 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^{(Lsjuee Un Jour à retenir33 Sac Dos d'école USB Grande capacité Sacoche en Toile de Voyage décontracté pour Adulte Adolescent Femmes Hommes 17in)}.

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,JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau-WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual. 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-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^{(BYBYC Série Professionnelle Concours 3/4 Snooker bâton de Queue 10Mm Petite tête Split 8 Noir Huit des queues Billard Cue)}.

Conclusion

The decision-RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LZJN Veste d'hiver pour femme avec boutonnage long et matelassé-of-YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement.

QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts, 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-AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil. 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,Cetti C847 Basket Femme-WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual.

Microphone À Condensateur Kit, 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/FRWANG Hommes Été Sandales Respirant Tongs Pantoufles, 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-WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual, 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,Couvre Volant Artificiel en PU Noir Cousu à la Main.