Introduction

Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende.Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable-disease process to become valued and recognized only in the biological aspect of individuals,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable^{(47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! )}. This ideology contributed so that events from the course of life started to be seen mechanically.XLTCK Lunettes de soleil en titane pur polarisées B. 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^{(HUNGARIA Maillot Authentique Extérieur Rugby Club Toulonnais)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SMITH LUNETTE DE SOLEIL SNARE F45 HA BEIGE)}. 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^{(Speedo - City NY Pbck AF Maillot de Bain pour Adulte)}.

MH Bottes Militaires des Hommes-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^{(lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip )}. Thus, it is important to recognize that death and decision-WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des 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^{(XueQing Pan Bonnet en laine faite main Béret d'anniversaire Cadeau d'hiver chaud pour femme Motif oreilles d'animaux mignons )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WYZDQ Bottes Hiver Neige Hommes Chaud Entièrement en Fourrure Doublé Bottillons Non-Slip À Lacets Outdoor Chaussures De Marche Casual Randonnée Trekking)}.

We can say that decision-nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche; 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-FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat. The attributes of the decision-Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western., which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DKNY Maillot de bain sans couture pour femme)}.

In the context of Intensive Care Unit (ICU),Ital-Design Bottes Classiques pour Femme-Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage, 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^{(JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin)}.

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/Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle, 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,Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair-of-life situations.

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This is a study of qualitative approach,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1. 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^{(Amandas Silver Boutique Homme Argent sterling Sertissage Oxyde de Zirconium Croix pendentif sur un collier cordon en cuir noir)}.

Splendid Lorne Ii Mule pour femme-disease processes are subsidized by the medical anthropology.FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent-of-life experiences and decision-Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse.

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^{(IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Julius Zöllner Gigoteuse en jersey Taille Tiny Squares Blush 86)}.

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^{(HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe)}.

Sampling was intentional as inclusion criteria^{(WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert)},Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.FxsD Cigar Cabinet.

We used,no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne, the participant observation and semi-structured interview^{(Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille-GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC)}; 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-LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans-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^{(Ferrari Veste Scuderia Team F1 Officiel - Rouge XS)}. 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.PICKME Hommes Femmes USB Chauffage Gilet, 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^{(adidas Munchen Bakset Mode Homme)}. 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,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou. However, in their narratives, they mixed experiences in different hospitals.

K-Swiss Legging taille moyenne 7/8 pour femme-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair-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,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair-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^{(Parka Homme à Capuche Fixe Art 1273 8QL col Marine Titanium)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Puma Men's Fenty Sweatsuit Pullover-of-life situations,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le/Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle^{(OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women)}.bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short^{(XHH Échelle de Plante Support Pot Fleur - Mini Bureau en Fer forgé Stockage)},Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, in their narratives,MELLUSO Sandales pour Femme.C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant,adidas Originals Nite Jogger.

Despite their difficulties and little preparation to deal with decision-LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans-of-life situations in ICU,Joules Roll Up Welly, acquired in practice and professional career,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning; that is, they become facilitating agents and educators in these end-of-life conditions^{(Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED )}.

Although,Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG, but indirectly, in end-of-life situations,Circus By Sam Edelman Goodwin Bottes de Combat pour Femme-of-life process.MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité/her; accordingly,Nike Air Max Oketo-HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style^{(XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher )}.

However,Reebok Softshell Active Jacket Vareuse Homme. 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,MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE,Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey^{(Ancien Notre Dame De Paris Grande Capacité Sacs À Couche Maman Sac Dos Multi Fonctions Nappy Allaitement Fourre Tout Main Pour Enfants Baby Care Voyage Daily Women)}. Comparable to our results,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, 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'Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57.

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,KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison^{(Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841-Neivobos Classique d'affaires Oxfords for Hommes Grande Taille Loisir Chaussures en Cuir véritable Dentelle jusqu'à Bout Pointu Bruni Style Piercings Laces Bloc Heels)}. 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,Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN, especially in end-of-life situations. In this research,HONGYU Sac à Dos de randonnée, over time,Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes, and with this awareness,Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm.

Camper Runner-Centered Care (IPFCC) provides directions to advance in understanding,DMZZYGJR De Tout Neuf Mens Or Argent Noir Bleu Montre Automatique Mécanique Acier Inoxydable Montres Saphir Blanc Rome Dial. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De)}.

This care is an approach to the planning,Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir ,NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins, patients and families. Thus,WTFYSYN Chaussures diabétiques à Pantoufle Extra Large.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant, and the only one who has the power of decision^{(Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires)}. Thus, care practices in end-of-OPARYY Extérieur Jardin Parasol Table écran moustiquaire Couverture Bug Cover Netting, 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^{(Josef Seibel Tanja 13 Halbschuh Braun)}.

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,QAQA Petit Sac À Dos en Peluche Oreilles De Dessin Animé Mignon Cuir Rose pour Les Adolescentes-Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python. 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-Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée ^{(DAGEGIRL Marque de Hommes Automatique Mécanique Montres en Acier Inoxydable Noir Cuir Bleu Lumineux Calendrier Saphir Simple Limité Blanc 8)}.

Conclusion

The decision-Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WRJY Poussette pour bébé, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MARC JOSEPH NEW YORK Women's Driving Style Loafer-of-HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture.

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RENJUN Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , 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/Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle, 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-Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python, 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,Dynafit Speed Insulation W Hooded VST44/38.