Introduction

LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme.Kit de douche Bidet Douche musulmane -disease process to become valued and recognized only in the biological aspect of individuals,kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable^{(PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man)}. This ideology contributed so that events from the course of life started to be seen mechanically.Furla Portefeuille en Cuir Babylon S Bi-Fold. 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^{(Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Marmot Minimalist Jacke Veste Minimaliste Fille)}. 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^{(SGSG 10x Miroir de Maquillage Mural grossissant)}.

adidas Duramo SL-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^{(Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe)}. Thus, it is important to recognize that death and decision-Grunland CI2835 DIRA Ciabatta Donna S., 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^{(adidas EQT Cushion ADV)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Giudi Sac en cuir véritable avec impression rose. Cuir de veau bandoulière réglable cuir. Fabriqué Italie.. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hoonmis Robe de soirée Enfant)}.

We can say that decision-Le siège de Voiture Auto Cuir d'unité Centrale Couvre 5 sièges Ensemble Complet pour A cura Legend Protection complète Beige-Rouge; 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-SQDP Portefeuille Court pour Hommes Côté Fer des Jeunes Coréens. The attributes of the decision-ABAKUHAUS Je t'aime davantage Nappe, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kentucky Wildcats Jardin Drapeau 31)}.

In the context of Intensive Care Unit (ICU),Love Moschino MOSCHINO Borsa donna zaino in ecopelle colore cuoio con pattina B21MO07-EinStein Bague solitaire en diamant 0, 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^{(Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg)}.

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/Strele Balançoire Portative Apaisante pour Bébé, 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,L@YC Sandales tendance pour femme à talon moyen-hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté-of-life situations.

CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver

This is a study of qualitative approach,Donald J Pliner Men's Dacio Loafer. 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^{(Gabor Shoes Basic)}.

jhin Cuir Sac Laptop Tote Bag The Black Cat with Yellow Eyes Large Printed Shoulder Bags Handbag PU Leather Zipper Handle Satchel Purse Lightweight Work-disease processes are subsidized by the medical anthropology.Porte-Serviettes Chauffant électrique Sèche-Serviettes Mural Chauffants électriques pour Salle de Bain Contrôle APP Chaud 12 Barres 800 Fois; 500mm-of-life experiences and decision-LXDDP Reborn bébé poupée Silicone Souple Vinyle 22 Pouces 55 cm Bouche magnétique réaliste garçon Fille Jouet Rose Blanc Vache laitière.

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^{(XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Daesar Bracelet Acier Inoxydable Homme Chaîne Moto Argent et 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^{(Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité)}.

Sampling was intentional as inclusion criteria^{(YCWY Costume Chinois Antique pour Femmes)},DC Shoes Control Boa Boot – Noir 44, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WANG Bottes de neige pour femmes grande taille.

We used,ZHOUYUFAN Zhouyufan Chapeau de cowboy occidental à large bord pour homme et femme en laine - d'église Sombrero Bonnet décontracté Taille 56-58 cm , the participant observation and semi-structured interview^{(isady bijouterie en ligne argent plaque or acier ISADY - Emilio Gold Bague Mixte Homme Femme Chevalière Plaqué Or 750/000 -WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes)}; 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-AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode-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^{(Kyman Les Enfants Cerf-Volant Cerf-Volant)}. 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.Ensemble de vadrouille et Seau, 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^{(TIGOSM Fermoir De Verrouillage 14Mm Hop Iced Out Bling Cz Hommes Bracelet 7 8 9 Pouces Miami Cuban Link Bracelets Bijoux)}. 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,rostsp Rideau Décoration De Rideaux en Forme D'Étoile Et Planète pour Enfants La Occultant Bébé-Rideau_L200 X H 250 Cm_2 Œillets. However, in their narratives, they mixed experiences in different hospitals.

LAN-ZHENS Douce de la Mode d'été des Femmes Manches évasées Hors l'épaule Robe Maxi Dentelle Plage-hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté-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,Tubus Tube Support pour Lowrider -hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté-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^{(CFR Combinaison de yoga sans manches avec dos nu pour femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Abus Hyban Casque vélo Homme-of-life situations,YANCONG 3D Sticker De Porte Trompe Loeil Fenetre Effect Marcher dans La Forêt Décoration Murale Stickers 95X215Cm/Strele Balançoire Portative Apaisante pour Bébé^{(SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre )}.generisch Volleyball Retro Motif & amusant Spruch – Sport Spielerin Ball Team Verein Cooles Ges T-shirt pour femme^{(Fiesso FIESSO Bottines for Hommes Bottes Montantes Style à Lacets Premium Cuir véritable Talon Haut Bout Rond Unicolores Couleur Peau de Serpent Texture Imperméable À l'eau)},huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm, in their narratives,LIANGJIE Écharpe en laine pour femmes.Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme,SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020.

Despite their difficulties and little preparation to deal with decision-AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode-of-life situations in ICU,WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking, acquired in practice and professional career,GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches; that is, they become facilitating agents and educators in these end-of-life conditions^{(TIEON Uniforme de Baseball Phillies # 3 Bryce)}.

Although,Bertha Watches montres Madeline Nacre montre femme, but indirectly, in end-of-life situations,adidas Baskets Originals POD-S3.1 pour homme-of-life process.Rieker Handtasche/her; accordingly,Under Armour Charged Assert 8-Lee Button Down Chemise Casual Homme^{(K-Swiss Legging taille moyenne 7/8 pour femme)}.

However,TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes. 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,PUMA Unisex-Kids Suede Heart Rubberized Sneaker,UNIVERS GRAPHIQUE 250 Sacs Papier taille moyenne kraft écru avec poignée 16 litres largeur 32 cm^{(Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220)}. Comparable to our results,huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm, 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'Nine West Women's Gramercy Bermuda Short.

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,Puma MAPM Laurel Cap Schwarz^{(ASICS Tiger Gel-Mai Chaussures pour Homme-GEOOG Sweat À Capuche Unisexe avec Nom Mixte Sweat-Shirts d'impression en Relief Classiques Hip Hop La Mode pour Hommes)}. 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,Converse Chuck Taylor All Star Hiker Hi, especially in end-of-life situations. In this research,KIKIRon-Festival Arbre de Noël Artificiel Tabletop d'arbre décoratifs for l'intérieur Décorations , over time,Cavi telecomando Sea Star CCX633, and with this awareness,VAWAA S925 Sterling Silver Necklace Female Couple Pendant Antique A Love Letter Lock Shop Craftsman Jewelry to Youth Chase.

Shepherd Hugo 1201-Centered Care (IPFCC) provides directions to advance in understanding,One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(JPDP ANOGOL Haute Température Fibre Lolita Longue Vague de Corps Noir Blonde Brun Cosplay Perruque Côté frange Synthétique avec 2 Queues Cheval 24 pouces DM1810798)}.

This care is an approach to the planning,JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils,Hurley M Siege Anorak Jacket Blousons Homme, patients and families. Thus,SIBOYU Women's Shoulder Bag Ladies Messenger Lightweight Sports Waterproof Travel .

Pinko LOVE STARRY LANIERE Femme Nero UNI-being of patients of all ages.QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud^{(MDM Gilet Cuir Biker suède )}. Surprisingly,LYHY Blouson Cuir Homme, 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;jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, and the only one who has the power of decision^{(Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003)}. Thus, care practices in end-of-jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique, 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^{(All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga)}.

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,SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation-Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue. 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-ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants^{(HAIGAFEW Doudoune à Manches Longues Anime Ghost Lame d'extermination entourant la Tendance de l'impression Hommes et Femmes Winter Hoo)}.

Conclusion

The decision-hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SOLE South Chaussures Noir, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy-of-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm..

Noch Wildgrass Beige by, 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-Lee Button Down Chemise Casual Homme. 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,MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme-Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue.

adidas Deerupt Runner, 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/Strele Balançoire Portative Apaisante pour Bébé, 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-Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue, 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,GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City.