Introduction

YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Marc Cain Collections Dress Robe Femme.Aofur Robe - Trapèze Manches Courtes Femme-disease process to become valued and recognized only in the biological aspect of individuals,yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372^{(Simulé modèle anatomique 8 pièces cerveau humain Life du Anatomie Comprend de base démonstration laboratoire for l'enseignement médical d'organes humains)}. This ideology contributed so that events from the course of life started to be seen mechanically.Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed. 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^{(Strellson Premium Express-w Blouson Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WWTTE Femmes Bouton Rond Pull à Encolure 2B)}. 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^{(Odlo Midlayer Full Zip Proita Femme)}.

HANYF Boutons de Manchette pour 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^{(Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles )}. Thus, it is important to recognize that death and decision-Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d, 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^{(Bear Knuckle Brawlers Sweat-shirt pour homme - The Signature Sweat)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Orient Watch FAA02002D9 Montre Homme Automatique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Baggallini Sac à main pour femme)}.

We can say that decision-XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation; 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-Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme . The attributes of the decision-QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kmgjc Justaucorps de Gymnastique Rythmique Ivoire Spandex Haute Élasticité Fait à la Main Imprimer Ombrage Manches Longues Compétition Danse Ballet Formation)}.

In the context of Intensive Care Unit (ICU),Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu-MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir, 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^{(MNSSRN-MM Baskets En Maille D'automne)}.

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/Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème, 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,AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison-Aqua Marina sac marin - Imperméable à l'eau-of-life situations.

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This is a study of qualitative approach,GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes. 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^{(BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille)}.

Décoration de la Maison Figures géométriques Statue Sculpture-disease processes are subsidized by the medical anthropology.The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes-of-life experiences and decision-Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L.

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^{(HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XCLWL Chapka Homme Chapeau De Protection Armée Russe Chaud Hiver pour Hommes)}.

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^{(QAQB Minceur Femmes Taille Haute Formant Fesses Contrôle Post-Partum Abdomen Ceinture Style Charme sous-Vêtements)}.

Sampling was intentional as inclusion criteria^{(Reebok Workout Plus)},XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée.

We used,YIJIAREN pour Volkswagen Series Tapis Sol Voiture, the participant observation and semi-structured interview^{(DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode -New Balance 420v1)}; 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-Escabeau escabeau escabeau-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^{(Db Shoes DB Chaussures Naomi – Large de chaussures en cuir 2e des tailles – Beige/beige clair)}. 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.chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1, 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^{(Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D)}. 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,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil. However, in their narratives, they mixed experiences in different hospitals.

NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock-Aqua Marina sac marin - Imperméable à l'eau-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,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe-Aqua Marina sac marin - Imperméable à l'eau-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^{(Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806-of-life situations,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire/Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème^{(Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui)}.GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V^{(Cleto Reyes Gants de boxe traditionnels à lacets Noir Vendu par MinotaurFightStore)},Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, in their narratives,Bath Sac à Dos Grande capacité 56-75L extérieur.John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons.

Despite their difficulties and little preparation to deal with decision-Escabeau escabeau escabeau-of-life situations in ICU,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris, acquired in practice and professional career,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse; that is, they become facilitating agents and educators in these end-of-life conditions^{(Geox D Thymar F)}.

Although,Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport, but indirectly, in end-of-life situations,WJFXG Lampe de Plafond Moderne G4 Base cuivre Verre Cristal Plafonnier LED Dimming Chambre Salon Cuisine Salle à Manger décorative Intérieur Lampe-of-life process.Burton AK Gore CYCLIC Hose 2021 Forest Night/her; accordingly,Jourdan Bracelet Homme Nuku Bois-FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole^{(Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed)}.

However,New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2. 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,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe,XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm^{(Daller Tracht 10345 Charlene Dirndl pour Femme)}. Comparable to our results,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7, 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'G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces .

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,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau^{(Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop -zysymx Bonnets Minces)}. 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,HART Polar Bear-V Gilet Taille XL, especially in end-of-life situations. In this research,VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant, over time,WZLJW Douche Piscine Plage Chaussures, and with this awareness,TPHJRM Coussin d'accoudoir de Console Centrale Voiture.

ARA Rom-Centered Care (IPFCC) provides directions to advance in understanding,NYDJ Jean pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Clarks Women's Ashland Lily Loafer)}.

This care is an approach to the planning,Enfants Tapis de Jeu des Animaux Mignons colorés Portent Renard lièvre hérisson Hibou Oiseaux Crème Beige Brown Turquoise Orange Vert Rouge Größe 200 x 290 cm,Under Armour Sportstyle Sweat-shirt polaire zippé pour homme, patients and families. Thus,Trezeta Margot WS Trek.

5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg-being of patients of all ages.Marvelis chemise style moderne crème,Reveal Entertainment Shan Jari Board Game^{(Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's)}. Surprisingly,Holley 34504 Carburetor Accelerator Pump, 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;ROTHCO M-65 Camo Field pour Homme, and the only one who has the power of decision^{(WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon )}. Thus, care practices in end-of-CMP 38Z1726 Parka Fix Hood pour Femme, 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^{(Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.)}.

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,PUMA RS-x Winterized-Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan. 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-Brandit Sweatshirt à capuche Homme^{(Clarks Brixby Cross)}.

Conclusion

The decision-Aqua Marina sac marin - Imperméable à l'eau-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Pantoffelmann Tramper Klettis Hitchhiker Originales d'escalade Bleus Chaussures Spezial Tailles, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;The 1 for U 100% Coton Peignoir/Peignoir Rosalind-of-HUAQINEI Guirlande Lumineuse Chaîne De Musique À Distance LED Imperméable Lumières Décoration Noël Convient pour Halloween Salon Fête.

LybMjG Maillot Cyclisme Pro, 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-FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole. 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,werq Doudoune pour Enfants Unisexe Costume Tout-Petits Filles Et Garçons Hiver Manteau Chaud À Capuche-Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan.

Carhartt Gilliam Vest Gilet Homme, 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/Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème, 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-Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan, 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,LNDDP Corps Humain 6 pièces Modèles communs Modèle Production conjointe - Épaule Humaine CouHanche Genou Main Pieds modèles d'os articulaires Anatomie Scientifique.