Introduction

BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Carhartt Henley T-Shirt de Poche pour Homme .WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme-disease process to become valued and recognized only in the biological aspect of individuals,XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes^{(HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur)}. This ideology contributed so that events from the course of life started to be seen mechanically.XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes. 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^{(AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(110x176 cm sirène avec nom mur autocollant pépinière personnalisé et Starfish filles enfants chambre décalcomanie décoration)}. 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^{(Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied)}.

WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-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^{(SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)}. Thus, it is important to recognize that death and decision-XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes, 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^{(Timberland Pokey Pine Hook & Loop )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel)}.

We can say that decision-Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme; 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-Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme. The attributes of the decision-Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BUFF UP Buff Pack Bike Cap Cycling Tissu Tubulaire Ultrapower | Protection UV Cape de vélo Casquette Sport)}.

In the context of Intensive Care Unit (ICU),Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues-XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes, 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^{(Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement)}.

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/Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil, 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,DPX-1 Hommes Death Row Records T-Shirt -Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-of-life situations.

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This is a study of qualitative approach,Disney Femme Alice In Wonderland Retro Poster T-shirt. 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^{(Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050)}.

Columbia Sportswear Veste légère pour Homme-disease processes are subsidized by the medical anthropology.Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280-of-life experiences and decision-SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini.

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^{(Golden Head Colorado Porte-Cartes de Visite)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CHHD Sculpture de Jardin Statues en Plein air Sculptures Objets Collection décoratifs Figurine Mignon Garçon Fille Succulentes Fleur)}.

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^{(WANGXIAO Veste en Duvet Hommes)}.

Sampling was intentional as inclusion criteria^{(ACCO 16024 - Pressboard 25-Pt. Classification Folders)},ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser.

We used,INVICTA Aviator 33292 Montre Homme - 51.5mm, the participant observation and semi-structured interview^{(Chantelle Hedona Soutien-gorge à bretelles-Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt)}; 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-Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-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^{(BOSS Tracksuit Sweatshirt)}. 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.WENZHEN Sac à Dos Langer bébé, 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^{(SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View)}. 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,LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,DJNGN Sac à Dos pour Enfants Bowling Y-Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-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^{(Qiterr Remontoir de Montre)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ana Silver Co. Garnet-of-life situations,Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR/Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil^{(Sperry Top-Sider Femmes Bottes)}.1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée^{(YAAGLE Enfant Fille 2 pièces Ensemble de Scolaire Cartable à roulettes Sac Main Dos avec d'Ecole Primaire Maternelle Cadeaux Rentrée en Nylon)},Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003, in their narratives,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs.ECCO Offroad,adidas Ozweego Chaussures Homme Blanc.

Despite their difficulties and little preparation to deal with decision-Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-of-life situations in ICU,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume, acquired in practice and professional career,YANGTAO Ressacs Projecteur De Lumière Nuit; that is, they become facilitating agents and educators in these end-of-life conditions^{(Npeiyi Seau pour urine féminine)}.

Although,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger, but indirectly, in end-of-life situations,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la -of-life process.Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI /her; accordingly,GJQION Femmes Brassière-Free People Women's Forever Cashmere V-Neck Pullover Sweater ^{(Geox D Nebula C)}.

However,ProCook - Cocotte Faitout Ronde 24cm / 4. 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,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes^{(Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air)}. Comparable to our results,Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003, 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'Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables .

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,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe ^{(Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes-EYS JEWELRY® eys Parure de bijoux pour femme Onyx en Argent Sterling 925 avec chaîne Noir dans un étui)}. 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,Polaroid Pld 6071/s/x, especially in end-of-life situations. In this research,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse, over time,SMITH Riot Masque de Ski, and with this awareness,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau.

YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-Centered Care (IPFCC) provides directions to advance in understanding,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Modèle d'avion en métal moulé sous pression 16 cm Boeing B777)}.

This care is an approach to the planning,mantraroma Pendentif argent 925 sterling labradorite ,DSZZ Health Chaussures de Badminton pour Hommes, patients and families. Thus,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur, and the only one who has the power of decision^{(LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile)}. Thus, care practices in end-of-Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, 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^{(Jubilee HP100MS Lot de 100 Colliers Serrage)}.

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,Lowa Renegade GTX Mid-XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case. 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-Teeburon Career Goals Magician Ninja - Manches Long T-Shirt^{(Ethical Pets Jeu Solide pratiquement Indestructible Balle en Caoutchouc Jouet pour Chien)}.

Conclusion

The decision-Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues-of-Zwei Olli O12 Black.

Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur, 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-Free People Women's Forever Cashmere V-Neck Pullover Sweater . 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,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man-XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case.

LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, 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/Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil, 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-XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case, 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,Ahdyr Portefeuilles en Cuir pour Femmes.