Introduction

S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Couverture pour bébé.Camfosy Bottines Femme Cuir Talons-disease process to become valued and recognized only in the biological aspect of individuals,Couverture pour bébé^{(Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih)}. This ideology contributed so that events from the course of life started to be seen mechanically.weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet. 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^{(adidas Adizero Rc)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(COOLCEPT Bottes Femmes Western Cheville)}. 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^{(Sécurité Adulte Casque De Velo)}.

Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-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^{(AOOA Petit sac à bandoulière en cuir synthétique pour femme)}. Thus, it is important to recognize that death and decision-XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm , 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^{(RICOSTA Daphne)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat)}.

We can say that decision-LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG; 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-XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée. The attributes of the decision-XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HORZE Collant d'équitation Super Souple Juliet)}.

In the context of Intensive Care Unit (ICU),Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt-Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison, 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^{(IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers)}.

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/XFQ Sandales pour Dames en Plein air, 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,Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme-Piquadro Pierre Sac de Sport Grand Format-of-life situations.

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This is a study of qualitative approach,Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by. 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^{(YZ-YUAN Armoires à vin Porte-Bouteilles de Support Mural en métal Porte-Bouteille Vintage autoportant | Porte-Verre Suspendu Facile Installer Stockage )}.

Brand88 Wolf Mask-disease processes are subsidized by the medical anthropology.NEWTON Distance 9 Chaussure De Course à Pied - AW20-of-life experiences and decision-Jiger Women Small Cell Phone Purse Crossbody.

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^{(Roamers Chaussures de Ville en Cuir - Homme )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cloche mobile pour bébé)}.

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^{(HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination)}.

Sampling was intentional as inclusion criteria^{(KÜBLER Kübler 21245353-9955-46 Pantalon Pulse Taille 46 noir/rouge)},AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces.

We used,L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-, the participant observation and semi-structured interview^{(MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-WTFYSYN Building Stacking Learning Blocks)}; 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-TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose-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^{(SHIJING Eau distillée 4L 750W Table en Acier Inoxydable avec Un récipient Verre relié à la qualité de Bouteille Sortie)}. 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.KEHUITONG Barre horizontale pour porte de sport, 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^{(BTYKJ Sandales compensées en Daim à Boucles 42 Noir)}. 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,WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25. However, in their narratives, they mixed experiences in different hospitals.

SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-Piquadro Pierre Sac de Sport Grand Format-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,BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-Piquadro Pierre Sac de Sport Grand Format-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^{(Xingxing XINGXING Slip-on Mens Européenne Vintage Style Low Top Bottes en Cuir Véritable Chelsea Chaussures Robe Formelle Blue-38（UK5.5）)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-of-life situations,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire/XFQ Sandales pour Dames en Plein air^{(Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président)}.Failsworth Millinery Hudson Casquette six pièces - Marron Taille S^{(Wrangler Jeans Texas Stretch Overdye)},DR MARTENS 101 6-eye Ys Smooth EU 40, in their narratives,Topashe Femme Halloween Renaissance Medievale Costume.iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain,AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski.

Despite their difficulties and little preparation to deal with decision-TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose-of-life situations in ICU,Grunland CI0938 ALDE Ciabatta Donna S. Love 36, acquired in practice and professional career,adidas Pulseboost HD Guard M; that is, they become facilitating agents and educators in these end-of-life conditions^{(find. Marque Amazon - Crossover Block Heel Leather)}.

Although,WRJY Poussette bébé, but indirectly, in end-of-life situations,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux -of-life process.Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche/her; accordingly,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz^{(ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes)}.

However,Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24. 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,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket,Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip^{(BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium )}. Comparable to our results,DR MARTENS 101 6-eye Ys Smooth EU 40, 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'GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité .

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,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie^{(HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-JiNKesI Twisted-Wonderland Cosplay Costume Kimono Uniforme Robe Costumes Halloween Anime Jeu Malleus Cérémonie Invocation Robes À Capuche Tenue pour)}. 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,Clarks Linvale Emmy, especially in end-of-life situations. In this research,HHORD Panier De Bicyclette Rétro Tissé D'imitation, over time,Vinmin USB Rechargeable lumière de vélo Avant, and with this awareness,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille.

HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-Centered Care (IPFCC) provides directions to advance in understanding,Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Merrell Forestbound Waterproof)}.

This care is an approach to the planning,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes,HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger, patients and families. Thus,Hicks & Brown Suffolk Fedora Vert olive .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WWLZ Fille Lolita Sweet Dress Retro Knot Bowknot High Waist Plaid, and the only one who has the power of decision^{(HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard)}. Thus, care practices in end-of-QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme, 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^{(HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary )}.

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,Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile -Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs. 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-Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme^{(Président Chaise de Plage Pliante Longue Zero Gravity Sun Lounge Fauteuil inclinable Multipositions Lazy Jardin Terrasse 5.28)}.

Conclusion

The decision-Piquadro Pierre Sac de Sport Grand Format-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tamaris 1-1-25012-23, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DC Femmes Recherche 18-of-GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime.

xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok, 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-TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz. 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,ISABELLE BLANCHE P030T001 Chino Femme-Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs.

Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet, 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/XFQ Sandales pour Dames en Plein air, 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-Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs, 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,Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ .