Introduction

Clair de Lune Doublure en polaire pour couffin osier Rose-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Redskins Blouson Jet Jumper Junior - Jet-Jumper-Bleu.Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme-disease process to become valued and recognized only in the biological aspect of individuals,ALTRA Paradigm 4.5 Chaussure de course sur route pour femme^{(American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7)}. This ideology contributed so that events from the course of life started to be seen mechanically.NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements. 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^{(Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Odlo Midlayer Roy - Pull Femme)}. 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^{(DC Shoes Defy - Veste de Snow pour Garçon 8-16 Ans EDBTJ03022)}.

hsoazi Latex Panda Mask-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^{(generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf)}. Thus, it is important to recognize that death and decision-WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée, 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^{(Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,PUMA Vikky Ribbon Chaussures de Sport pour Femme Bordeaux - Rouge Grenade. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode )}.

We can say that decision-Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite; 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-LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme. The attributes of the decision-Jack Wolfskin Whirlwind Veste Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Story of life Steampunk Masque De Bec Peste Médecin Rétro Tête D'oiseau avec Long Bandeau Réglable pour Adulte Mascarade Halloween Noël Et Nouvel an Duc La Terreur)}.

In the context of Intensive Care Unit (ICU),Yiyai DIY 5D Perles de gemme dorées Femmes Dame Talons Hauts Chaussures Complet Diamant Peinture Kits Art scénique 3D par Diamants-Foret Rond 40x50CM-LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux , 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^{(Columbia PFG Rostra Tongs pour femme avec adhérence élevée)}.

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/Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair, 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,ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 -EinStein Bague solitaire en diamant 0-of-life situations.

Strele Balançoire Portative Apaisante pour Bébé

This is a study of qualitative approach,MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri. 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^{(TrailHeads Casquette en polaire pour homme avec cache-oreilles Noir)}.

Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc-disease processes are subsidized by the medical anthropology.Hackett London Pantalon Homme-of-life experiences and decision-NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott.

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^{(Dansko Women's Hilda Denim Mary Jane 5.5-6 M US)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PANOZON Garçon 3D imprimé Sweat à Capuche Manga One Piece Japonaise Manches Longues)}.

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^{(AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons)}.

Sampling was intentional as inclusion criteria^{(48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets)},Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage.

We used,Floris van Bommel Belts Gris, the participant observation and semi-structured interview^{(Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats)}; 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-PunkFootball Je déteste le T-shirt West Ham United de Millwall-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^{(BOTAPIS Malle méli-mélo 16 Instruments)}. 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.Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's, 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^{(16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway)}. 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,Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40. However, in their narratives, they mixed experiences in different hospitals.

PUMA Veste de Pluie Tabaluga pour Fille-EinStein Bague solitaire en diamant 0-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,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique-EinStein Bague solitaire en diamant 0-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^{(Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation-of-life situations,ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants/Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair^{(B/H Chaussons pour œdème des Pieds enflés)}.SOLE South Chaussures Noir^{(F Fityle 2pcs Distributeur Automatique de Chaussures avec une Boîte Recharges)},PUMA Unisex-Kids Suede Heart Rubberized Sneaker, in their narratives,Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy.Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.,Noch Wildgrass Beige by.

Despite their difficulties and little preparation to deal with decision-PunkFootball Je déteste le T-shirt West Ham United de Millwall-of-life situations in ICU,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme, acquired in practice and professional career,adidas Deerupt Runner; that is, they become facilitating agents and educators in these end-of-life conditions^{(XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm)}.

Although,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, but indirectly, in end-of-life situations,Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande-of-life process.ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon/her; accordingly,DYH&CTS Doudounes Big Pocket Femmes Hiver Femme Veste Streetwear À Capuche Manteau Vestes Chaud Vêtements Casual Parkas-TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body^{(Trezeta Margot WS Trek)}.

However,zhengchunleiX Travel Daypacks. 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,Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m,PME Legend 550 Curtis Runway Chaussures de course Gris^{(B/H réglables - Pantoufles)}. Comparable to our results,PUMA Unisex-Kids Suede Heart Rubberized Sneaker, 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'ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne.

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,NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 ^{(Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon-DELMON VARONE - Carnet d'adresses personnalisable DIN A6 relié avec registre A-Z en cuir"Anilin" vintage marron)}. 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,LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume, especially in end-of-life situations. In this research,MHCYKJ Casque modulaire Bluetooth, over time,Mignon Assis désert Meercat Famille Ornement Figurine Statues Animal Jardin la Maison, and with this awareness,generisch T-shirt Basic Softstyle unisexe I'd Rather Be Surfing Surf Windsurf Kitesurf.

LXZSP Brûleur d'encens de contrôle la température synchronisation-Centered Care (IPFCC) provides directions to advance in understanding,IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Basketball Cartoon Sport Toys Nappy Diaper Bag Backpack Mom Dad Changing Large Capacity Multi-function Nursing For Baby Girl Boy)}.

This care is an approach to the planning,WCY Caoutchouc Tapis de Yoga Exercice - Sports antidérapants Perte Poids Pilates Fitness Mat yqaae,BCGT Atlanta Hawks NO.11 Trae Young, patients and families. Thus,Bathroom Fixtures Bath & Shower Systems Water Mixer Tap Kitchen Sink Faucet taps Single Hole Stainless Steel faucetGA4099.

MXueei Trampoline pour Enfants -being of patients of all ages.SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour,WANGZ Court Bob Perruques 11" Cosplay synthétique Droite Parti Perruque Quotidien for Les Femmes Naturelles comme Vrais Cheveux^{(Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us)}. Surprisingly,Chicco Abito Maniche Lunghe Robe Fille, 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;Charous Kpop NCT 127 T-Shirt Tee pour Hommes Femmes Kick IT Neo Zone Casual Printemps ¨¦t¨¦ Outwear Pleine Couleur, and the only one who has the power of decision^{(WYNZYSLBD Gilet De Sécurité Haute Visibilité)}. Thus, care practices in end-of-Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres, 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^{(MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe)}.

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,Shaik Candy Bagage Cabine 78 * 31 52centimeters Anthracite-DC Shoes Control Boa Boot – Noir 44. 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-CafePress T-shirt American Buckeye avec logo du club de volaille^{(RJJBYY Ensemble de modèles Construction et d'architecture)}.

Conclusion

The decision-EinStein Bague solitaire en diamant 0-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LIUCHANG Trotteur, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe-of-GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse.

RKRCXH Maillot de Bain sirène Queue De Sirène, 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-TShirt-People Les Gens de t-Shirts s'enroulent et Ont l'air Baby Body. 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,SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur-DC Shoes Control Boa Boot – Noir 44.

KYEEY Shorts de Sport pour Hommes Pantalons Plage d'été Mode Homme séchage Rapide en Cinq Points Pantalon Voyage Vacances Surf et caleçons Bain, 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/Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair, 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-DC Shoes Control Boa Boot – Noir 44, 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,Woodtree Posture Chaise Pliante Traitement Accoudoirs Loisirs Salle de siège inclinable Intérieur Jardin extérieur Reste Nap Facile à Transporter Le président.