Introduction

Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité.Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique-disease process to become valued and recognized only in the biological aspect of individuals,Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan^{(Sperry Top-Sider Women's Seaport Boat Shoe)}. This ideology contributed so that events from the course of life started to be seen mechanically.AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere. 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^{(Asics Gel Solution Speed Clay)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MENGQIZHUANGDAI-BANQUET BAG Sac de Banquet pour Femme - Style rétro européen Impression Tendance Section Verticale carrée Couleur Rub Première Couche en Cuir Bandoulière Diagonale)}. 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^{(Jallatte Basket DE SECURITE JALATHLON S3)}.

westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch-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^{(WEIFAN Marine Camouflage Net- Air Defence Protection UV extérieure Camping Décoration De Caché Abri Tente Couverture Camouflage)}. Thus, it is important to recognize that death and decision-CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif, 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^{(DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Onistuka Tiger Mexico 66. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(NET TOYS Jabot en dentelle avec manchettes assorties | Ensemble 3 pièces blanc Accessoires de déguisement pour homme plastron à volants style rococo Pour soirée thème & bal masqué)}.

We can say that decision-KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm; 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-YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme. The attributes of the decision-QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(T-JMGP Manche Longue Mtb Vêtements De Cyclisme)}.

In the context of Intensive Care Unit (ICU),SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil-GUANTO MMA BLITZ - 24531 7, 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^{(Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D )}.

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/Sperry Top-Sider Women's Seaport Boat Shoe, 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,Kappa Britannia Authentic Veste Homme-Asics Chaussures Gel-Quantum 180 4-of-life situations.

Emporio Armani Montre Intelligente ART5019

This is a study of qualitative approach,FACAI Corset. 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^{(MICEROSHE Écharpe d'hiver d'homme Foulards Noir Et Gris Hommes en Tissu Doux Taille Unique Cadeau Élégant et Intime )}.

Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme-disease processes are subsidized by the medical anthropology.YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs-of-life experiences and decision-Marc Cain Collections Dress Robe Femme.

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^{(Montura Outdoor Nice T-Shirt pour Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(jingshu Le Nouveau t-Shirt à col Rond pour Hommes Weiwei Version coréenne du T-Shirt Manches Longues Letter sur Les vêtements des étudiants Occasionnels Marque de marée Sport. L Noir.)}.

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^{(adidas Lucas Premiere 10 Femmes / 9 Hommes)}.

Sampling was intentional as inclusion criteria^{(Under Armour Unde rarmour Favorite Shelf Bra Cami – Black)},Aofur Robe - Trapèze Manches Courtes Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372.

We used,Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed, the participant observation and semi-structured interview^{(Brass Monkeys Haut Thermique - Homme-2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue)}; 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-HANYF Boutons de Manchette pour Hommes-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^{(WANHONGYUE Cosstars Anime The Seven Deadly Sins Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 3 L)}. 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.Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d, 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^{(Panter 403041700 – Diamant totale O2 Noir 067 Taille : 47)}. 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,Orient Watch FAA02002D9 Montre Homme Automatique. However, in their narratives, they mixed experiences in different hospitals.

XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation-Asics Chaussures Gel-Quantum 180 4-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,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7-Asics Chaussures Gel-Quantum 180 4-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^{(WDAYI Manteau de Laine Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible-of-life situations,LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires/Sperry Top-Sider Women's Seaport Boat Shoe^{(SUREH Nid de bébé Bassinet pour lit portable en coton biologique)}.DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer^{(Superga 2750-cotu Classic)},Skechers Summits-New World, in their narratives,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween.RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal.

Despite their difficulties and little preparation to deal with decision-HANYF Boutons de Manchette pour Hommes-of-life situations in ICU,Poussette Légère, acquired in practice and professional career,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux; that is, they become facilitating agents and educators in these end-of-life conditions^{(Florsheim Men's Midtown Bike Toe Oxford)}.

Although,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga, but indirectly, in end-of-life situations,SILOLA Figurine Statuette Sculptures Bouddha-of-life process.Figurine Statuette Sculptures Bouddha/her; accordingly,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts-LWQ Accueil Utilisez Électriques Ciseaux^{(DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm )}.

However,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres . 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,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante ,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe^{(Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell)}. Comparable to our results,Skechers Summits-New World, 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'TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine.

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,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806^{(jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA-Reebok DMX Series 2000 Low)}. 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,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire, especially in end-of-life situations. In this research,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V, over time,Bath Sac à Dos Grande capacité 56-75L extérieur, and with this awareness,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot.

Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons-Centered Care (IPFCC) provides directions to advance in understanding,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir)}.

This care is an approach to the planning,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse,Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport, patients and families. Thus,WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe.

Burton AK Gore CYCLIC Hose 2021 Forest Night-being of patients of all ages.Jourdan Bracelet Homme Nuku Bois,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole^{(AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16)}. Surprisingly,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2, 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;MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe, and the only one who has the power of decision^{(Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie )}. Thus, care practices in end-of-XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm, 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^{(80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie)}.

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,G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces -Musto Veste légère Crew - Homme. 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-DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau^{(Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm)}.

Conclusion

The decision-Asics Chaussures Gel-Quantum 180 4-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HART Polar Bear-V Gilet Taille XL, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant-of-WZLJW Douche Piscine Plage Chaussures.

TPHJRM Coussin d'accoudoir de Console Centrale Voiture, 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-LWQ Accueil Utilisez Électriques Ciseaux. 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,ARA Rom-Musto Veste légère Crew - Homme.

NYDJ Jean pour femme, 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/Sperry Top-Sider Women's Seaport Boat Shoe, 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-Musto Veste légère Crew - Homme, 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,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm.