Introduction

Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6.Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm-disease process to become valued and recognized only in the biological aspect of individuals,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois^{(LJYNB Pull en Tricot pour Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène . 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^{(Funny Baby 1 Carton Soin Total a l'huile d'amande)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DTNSYRF Joker épaississement des Cheveux épais)}. 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^{(adidas Deerupt Runner)}.

New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes-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^{(Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures)}. Thus, it is important to recognize that death and decision-Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women'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^{(Forrest Gump bubba gump schrimps hutkappe rouge)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker)}.

We can say that decision-Falke TK 1 Chaussettes randonnée 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-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison. The attributes of the decision-RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Atlantic Stars F6130 Sneaker Donna Powder Pink/Black ALHENA Scarpe Shoe Woman)}.

In the context of Intensive Care Unit (ICU),Traducteur Instantané-Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés, 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^{(Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été )}.

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/AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, 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,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-of-life situations.

Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween

This is a study of qualitative approach,Siennaa Pull Billie Eilish Femme. 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^{(AlokHnvj Banbag Simple De Canapé Paresseux)}.

Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-disease processes are subsidized by the medical anthropology.Dolce & Gabbana Denim Jeans-of-life experiences and decision-HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard.

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^{(KLIM K Corp Sweat à capuche SM Noir - Jaune)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Housses de Couette Ensemble Housse Monument Valley Utah USA literie décoratif 3 pièces avec 2 Couvre-oreillers Double)}.

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^{(Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large)}.

Sampling was intentional as inclusion criteria^{(G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces )},E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou.

We used,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing, the participant observation and semi-structured interview^{(Square Enix Figurine 'Super Street Fighter IV - Sakura-Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage )}; 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-RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches-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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Bojack Horseman)}. 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.LXDDP Chaise Bureau Fashion Mesh, 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^{(Hexagona Sacoche en cuir de vachette RÉPUBLIQUE)}. 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,AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer. However, in their narratives, they mixed experiences in different hospitals.

Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-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,Close Parent Caboo Porte-bébé Coton bleu clair-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-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^{(Jiger Women Small Cell Phone Purse Crossbody)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable-of-life situations,POSEIDON Bobbin KNOTTER Gold Black/AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie^{(YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école)}.Multifanshop Rétro sac à bandoulière modern love wiebke noir^{(Salewa Ms Wildfire)},HURRISE Masque de sommeil en jade naturel, in their narratives,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille.Geox B Todo Boy A,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets.

Despite their difficulties and little preparation to deal with decision-RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches-of-life situations in ICU,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, acquired in practice and professional career,Haedr Coussin résistant à la Casse pour bébé; that is, they become facilitating agents and educators in these end-of-life conditions^{(WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral)}.

Although,camel active Ethnic 12, but indirectly, in end-of-life situations,PICTO Montre à Quartz Unisexe-of-life process.MARCO TOZZI 23712 Femme Chaussures Noir/her; accordingly,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne-Jané Isize Siège Auto Gris 75 à 150 cm^{(STAR TREK Sweat à Capuche Jeunesse Tos Episode 31)}.

However,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral. 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,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose^{(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime)}. Comparable to our results,HURRISE Masque de sommeil en jade naturel, 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'adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large.

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,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski^{(NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche -MAGO Gants de Gymnastique - d'entraînement)}. 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,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, especially in end-of-life situations. In this research,EDELRID Cordes d'escalade Boa 9, over time,YUMI Blush 3D Floral Embellishment Party Dress, and with this awareness,GURU-SHOP Guru-Boutique.

luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S-Centered Care (IPFCC) provides directions to advance in understanding,glstkrrn RX8 RX-8 Ugly Christmas Sweater. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle)}.

This care is an approach to the planning,Waldhausen Reithose Funktion Sport Silikon,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, patients and families. Thus,Boîte à bijoux de Rangement Bijoux.

W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage-being of patients of all ages.MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent ^{(Rocket Dog Sadea)}. Surprisingly,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, 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;YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, and the only one who has the power of decision^{(CNAJOI-TDFY Lampe Frontale de vélo LED)}. Thus, care practices in end-of-Clio Blue Bague Medicis en argent 925, 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^{(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)}.

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,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy-Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410. 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-L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 ^{(MIORE MH9043N - Collier Femme Bicolore 9 Cts 375/1000 2.3 Gr Topaze Bleue)}.

Conclusion

The decision-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Irregular Choice Disney Princess- Beauty and The Beast Flats-of-STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver.

Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us, 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-Jané Isize Siège Auto Gris 75 à 150 cm. 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,Le Coq Sportif Sweat Essentiels-Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410.

JHGK Trail Running Chaussures, 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/AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, 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-Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410, 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,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles .