Introduction

WENZHEN Sac à Dos The North Face-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ALPE 32201134 Bottines en Daim pour Femme Gris.L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens-disease process to become valued and recognized only in the biological aspect of individuals,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille^{(Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8)}. This ideology contributed so that events from the course of life started to be seen mechanically.CP CALMA PROJECT Sac à bandoulière pour femme. 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^{(Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Shirt sidez MF Doom Inspired By Disobey Mens Hoodie)}. 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^{(LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891)}.

Macron Home Jersey White/Red 19/20 Red Star Belgrade-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^{(Marc New York by Andrew Men's Bergen Ultra Stretch Packable Jacket)}. Thus, it is important to recognize that death and decision-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant, 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^{(CHRRI Sac À Dos Imperméable Extérieur)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Korntex KXRJGS Veste imperméable Jaune Taille S. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Julbo Tamang Lunettes de Soleil Homme)}.

We can say that decision-Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme; 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-Eastern Counties Leather Bottes Jodie en peau de mouton - Femme. The attributes of the decision-lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Ocean Decor Rideau de porte coulissante avec motif étoile mer et Bleu turquoise)}.

In the context of Intensive Care Unit (ICU),BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel-FXQ Amovible Pet Chauffage Mat, 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^{(xiaokeai Collier Femme Longueur réglable en Argent)}.

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/adidas 9 pair Performance Sneaker Socks Unisex short sock, 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,Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans-YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -of-life situations.

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This is a study of qualitative approach,Y NOT? Ladies bag Ynot? Caroline 003 Black. 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^{(NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin)}.

Invicta 4432348/D Doudoune Femmes-disease processes are subsidized by the medical anthropology.MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -of-life experiences and decision-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude.

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^{(Inconnu Regent Montre Homme F 848 Titane)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues)}.

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^{(MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau)}.

Sampling was intentional as inclusion criteria^{(RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris)},Qiterr Remontoir de Montre, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur.

We used,SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité, the participant observation and semi-structured interview^{(WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9-Smilice Bottes d'hiver pour Femme)}; 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-Panier Panier-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^{(no brand Manteau À Capuchon Casual Zipper Warm Doublé De Laine d'hiver d'homme Parka Homme)}. 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.Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes, 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^{(Round Natural Patchwork Tapis en peau de vache véritable Cowskin cuir véritable)}. 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,WANGXIAO Veste en Duvet Hommes. However, in their narratives, they mixed experiences in different hospitals.

Plafonnier carré simple à LED-YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -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,LILONGXI Gilet Doudoune-YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -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^{(Sebago Men's Black Winhall Slip on 8 D)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb . There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Panier Panier-of-life situations in ICU,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., acquired in practice and professional career,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock)}.

Although,DIY fun shop Sac à bandoulière, but indirectly, in end-of-life situations,Deeluxe Robe Ample léopard Amanda Femme-of-life process.Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson/her; accordingly,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival-QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes^{(TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose)}.

However,WGFGXQ Plafonnier. 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,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De,Ellesse Orazio Sweatshirt Maillot de survêtement Homme^{(YunNR Robe de Patinage Artistique Professionnelle pour Femmes Élastique Respirant Costume Compétition à roulettes La Glace Vêtements Gymnastique Performance avec Strass)}. Comparable to our results,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre, 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'Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket.

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,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8^{(Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-Skechers TWI-Lites-Unicorn Vibes Baskets pour enfant)}. 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,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, especially in end-of-life situations. In this research,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, over time,Sac à Dos Pliable Léger, and with this awareness,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe.

RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -Centered Care (IPFCC) provides directions to advance in understanding,Ducati Femmes Polo D-Attitude Gris - M. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(FRYE Women's Natalie Mid Engineer Boot)}.

This care is an approach to the planning,Kappa Doudoune Stade Français Paris Adulte 2020/2021,Shaker à Cocktail Boston Standard Professionnel, patients and families. Thus,AQWESD Pied de Table canapé en Bois 4 pièces.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Cavallo Ladies Functional Parka RAMINA - Winter 2020, and the only one who has the power of decision^{(FACAI Étagère De Cuisine Rangement)}. Thus, care practices in end-of-WEHQ Barre de Son sans Fil, 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^{(Marc Cain Collections Dress Robe Femme)}.

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,Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay-EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2. 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-Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme^{(Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm)}.

Conclusion

The decision-YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Divine Follie Femme Bottines, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nine West Capri en jean pour femme-of-Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672.

Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, 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-QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes. 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,Josef Seibel Tanja 13 Halbschuh Braun-EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2.

Columbia Outdry Ex Reversible II Jacket Imperméables 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/adidas 9 pair Performance Sneaker Socks Unisex short sock, 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-EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, 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,Canne Pliante bâton de Marche pour Les béquilles âgées.