Introduction

HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,überleben Coppa leggera in Legno Con moschettone Backpacking.Kipling 100 Pens Organiseur de Sac à Main-disease process to become valued and recognized only in the biological aspect of individuals,Lacrosse Women's Aero Timber 10^{(AILIBOTE Squad T-shirt pour homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.YQ QY Chaussons Description du produitpointureTableau des Tailles . 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^{(Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YZT QUEEN Chaussures en Cuir des Hommes d'affaires Robe Casual de Mariage Angleterre marié avec Costume Petites Blanches)}. 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^{(HYLH 3D LED Stunt Motorcycle Illusion Night Light)}.

SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet-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^{(Guess lea03 femme guess flazl2)}. Thus, it is important to recognize that death and decision-EXTON 246 Sneakers Man, 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^{(Hdadwy Sac à Dos imprimé en 3D)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LLNB Zip Veste À Capuche. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi)}.

We can say that decision-CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir ; 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-Lora di Collier Indi Celebrate. court. The attributes of the decision-Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BD.Y Sac à Dos n/a L Sport de détente/Voyage/Course Extérieur/Utilisation Etanche/Multifonctionnel Autres Nylon N/A)}.

In the context of Intensive Care Unit (ICU),Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper-GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches , 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^{(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)}.

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/Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, 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,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -of-life situations.

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This is a study of qualitative approach,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux. 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^{(BCGT Atlanta Hawks NO.11 Trae Young)}.

HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage -disease processes are subsidized by the medical anthropology.Tamaris Femme Chaussures à Lacets-of-life experiences and decision-HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre.

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^{(LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Feyachi 223 Mag Assist Magzine Lot de 6 Protections)}.

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^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan)}.

Sampling was intentional as inclusion criteria^{(SYue Miroir de Maquillage Mural)},Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Joules Golightly Imperméable Femme.

We used,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, the participant observation and semi-structured interview^{(Pliable Barrière De Le Lit-Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}; 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-MZSG LED Loft Vintage Applique-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^{(EZEZWSNBB Unisexe 3D Sweat à Capuche Père Noël étoilé Hiver avec Poche Kangourou Pull Hoodie Fantaisie Sweat-Shirts pour Homme Femme)}. 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.SXHNNYJ Garniture de poignée Porte extérieure Voiture, 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^{(Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture)}. 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,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23. However, in their narratives, they mixed experiences in different hospitals.

PUMA Roma Anniversario-Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -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,Guess Marciano 0BG3149370Z Doudoune pour Femme-Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -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^{(Charmance Pull à Torsades - Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,G.H.Y Cravate florale imprimée pour hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SXHHH Tails de sirène avec maillot bain monopalme Queue De Sirène Pas Cher For Natation Princesse Bikini Maillot Bain Ensemble Enfant Filles Queues Produits Personnalisés Doux et c-of-life situations,LXDDP Dragon Statue Figurine Ornement Feng Shui résine avec Ball Sculpture Richesse prospérité décoration pour Bureau à Domicile/Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes^{(ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants)}.Shouda Femmes Oxford Chaussures Couleur mélangée à Lacets en Cuir Appartements Intage Style Britannique Brogues Mode Bout Pointu Bureau carrière Derby^{(LXJ-CQ Oreiller de Cou Liquify Blue Orange Design Voyage en Forme U Housse Lavable au Ergonomique)},Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD, in their narratives,Oreiller Shiatsu Portable de Massage du Cou et Dos avec Masseur pétrissage des Tissus Profonds Chaleur pour Cervical.Tables d'extrémité Pratiques en Bois durables pour Chambre d'enfants Table Murale Pliante Bureau Ordinateur Portable Cuisine Salle à Manger ,H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid.

Despite their difficulties and little preparation to deal with decision-MZSG LED Loft Vintage Applique-of-life situations in ICU,LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche, acquired in practice and professional career,YaGFeng Chronomètre Horloge Multifonctionnel Count Down 1 Pouce Haut 4 Intervalle Digits Réunion minuterie par télécommande LED Murale ; that is, they become facilitating agents and educators in these end-of-life conditions^{(YUHT Album Photo Hybride interstitiel)}.

Although,Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant, but indirectly, in end-of-life situations,47-B Simulation Flamingo Jouets en Peluche Blanc Rose Cadeaux Cadeau Recommandé! -of-life process.Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans/her; accordingly,ADGAI Couvre-lit Modern Vintage matelassée Vert réversible Imprimer Coverlet Consolateur-Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux^{(Bosch TDA703021A Fer à Repasser 3000 W)}.

However,AOWU Vintage Style Trunk Coffre au trésor en Bois Boîtes Keepsake Bijoux Rétro Boîte de Rangement Décoration Accessoires décoratifs . 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,WYZQ Montre de Poche Vintage à Quartz Couleur Bronze Montres chaîne fraîche Drapeau Britannique,Penelope Veste Step - Black M^{(Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}. Comparable to our results,Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD, 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'ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne.

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,Jouet interactif pour Enfant Activité d'apprentissage Cube bébé Table Infantile éducation précoce éducatif Jouets d'activités de développement^{(Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne-Industrielle Métal Pentagram Lampe De Plafond)}. 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,Vintage pour Chambre Garçons Hommes Shabby Chic Filles Figurines Ornements Bibliothèque, especially in end-of-life situations. In this research,ZHTY Casiers à vin de Plafond, over time,YOYVV Veste d'hiver pour Hommes Ultra légère 90% Doudounes de Canard Blanc décontracté Manteau Portable Grande Taille 4XL 5XL 6XL, and with this awareness,Statue Sculpture Figurine Statuette.

WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables-Centered Care (IPFCC) provides directions to advance in understanding,LED Moderne Plafonnier Créativité Rond Eclairage De Plafond D'or Conception Spots Romantique Salon Chambre Luminaires Intérieur Dimmable. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Skechers Women's Persmimmon Chai Combat Boot)}.

This care is an approach to the planning,IUBBKI Sacs de soirée Aliments sains Imprimé avocat Avocat Poignée personnalisée à main en cuir PU Rivet Portable Impression mode,Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental, patients and families. Thus,Zhuowei Mesdames Stretch Cuissardes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YXZQ Accueil Deco Suspension Creative Lustre Globe Métal Creux Rétro Plafonnier, and the only one who has the power of decision^{(N\P Sweat à capuche manches longues pour femme Automne et Hiver)}. Thus, care practices in end-of-CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping, 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^{(ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL )}.

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,Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand -Brooks Mazama 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-Magie Professionnelle Chapeau Claque Double Fond ^{(JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet Life XXS-3XL)}.

Conclusion

The decision-Emballage Pour Bébé Enveloppé bébé enfant en bas âge Peignoir Serviette de bain à capuchon Bain Douche cadeau Blanket Enfants Pratique Et -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Little Boys' Tricot Pant-of-Hermes Cadre Photo en argent cm 13 x 18.

Jack Wolfskin Cloudburst Veste pour Hommes, 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-Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux. 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,Sports Thriller Rider Sports® Uomo Rock Music Sport e Tempo Libero Abbigliamento Ciclismo Magliette Manica Corta-Brooks Mazama 2.

Meindl Asti Mid GTX Wanderschuh TEX Braun, 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/Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes, 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-Brooks Mazama 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,Guess Short Dress.