Introduction

pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,steve madden Leona Black One Size.Think! Kapsl_3-000045-disease process to become valued and recognized only in the biological aspect of individuals,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche^{(DIY fun shop Sac à bandoulière)}. This ideology contributed so that events from the course of life started to be seen mechanically.TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus. 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^{(CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Reebok Pt Prime Runner FC)}. 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^{(Catimini Gilet Bébé Fille)}.

Casio A158 Montre Bracelet en Acier Inoxydable-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^{(KEHUITONG Barre horizontale pour porte de sport)}. Thus, it is important to recognize that death and decision-Domopak Living Sac à Chaussures 12 Compartiments, 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^{(Clarks Women's Leisa Joy Sandal)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NYLY Sac à Dos Harry P. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation)}.

We can say that decision-N\P Sweat à capuche manches longues pour femme Automne et Hiver; 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-QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé. The attributes of the decision-Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lee Women's Flex Motion Regular Fit Straight Leg Pant)}.

In the context of Intensive Care Unit (ICU),AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt, 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^{(Trussardi Jeans by TrussardiZip)}.

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/RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , 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,CLII Automobile Instrument de Diagnostic pannes-OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton-of-life situations.

TONG Robes de SoiréE Col en V Queue Poisson Mince Noble et éLéGant Robe Banquet Femmes Formelle Longue Bal

This is a study of qualitative approach,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison . 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^{(Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme)}.

Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print-disease processes are subsidized by the medical anthropology.YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon-of-life experiences and decision-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier.

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^{(LAETI TREMA Boucles d'oreilles Cuzco Malachite )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Eastbride Veste d'extérieur Trois en Un Homme)}.

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^{(ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls)}.

Sampling was intentional as inclusion criteria^{(ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme)},Y-Volution Y-volution - draisienne yvelo air Bleu, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Multiple colors New ballet LED table lamp 7 color touch 3d night light.

We used,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, the participant observation and semi-structured interview^{(Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière-FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite)}; 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-XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable-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^{(Opus Jasinka Veste De Costume 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.Matelas d'air de Voiture Gonflable prolongé siège arrière, 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^{(Under Armour Sportstyle Sweat-shirt polaire zippé pour homme)}. 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,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S. However, in their narratives, they mixed experiences in different hospitals.

BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière-OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton-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,Tengyuntong NAasks Sweat-Shirt à Capuche-OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton-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^{(KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

KIUYMRV Sac de soirée pour Femme avec Strass et Doré-of-life situations,ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode /RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision ^{(2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P)}.PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge^{(Ana Silver Co. Rainbow Moonstone)},Emporio Armani Stretch Long Sleeve T-Shirt, in their narratives,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN.Sam Edelman Yaro,Antica Cuoieria Stringate Donna Pelle oro.

Despite their difficulties and little preparation to deal with decision-XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable-of-life situations in ICU,Trespass Virtual Veste Femme, acquired in practice and professional career,Falliback Haltères Fitness Exercice avec poids; that is, they become facilitating agents and educators in these end-of-life conditions^{(Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm)}.

Although,PUMA Chaussures de Jeu Future Rider Neon pour Hommes, but indirectly, in end-of-life situations,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64-of-life process.WZR Femme's Synthétique Sandales Slipper Pantoufles/her; accordingly,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design -ZXL Lampe Lampe^{(CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix)}.

However,Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président. 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,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été ^{(WEHQ Café de Presse française)}. Comparable to our results,Emporio Armani Stretch Long Sleeve T-Shirt, 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'DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique.

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,WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité^{(1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt-Shouda Baskets à la Mode pour Femmes été Bouche Peu Profonde Chaussures Plateforme décontractées Bout Rond Lacets Appartements Simples épaisses)}. 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,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte, especially in end-of-life situations. In this research,Horloge Murale silencieuse Moderne de Chat Dudu, over time,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure, and with this awareness,Nitro Futura TLS Bateau de snowboard pour femme.

B/H réglables - Pantoufles-Centered Care (IPFCC) provides directions to advance in understanding,XSENSIBLE Wembley Dark Blue Metallic . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Maui Jim Lunettes de soleil 798 Onshore)}.

This care is an approach to the planning,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif,Forrest Gump bubba gump schrimps hutkappe rouge, patients and families. Thus,DIY fun shop Sac à bandoulière.

Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique-being of patients of all ages.48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9^{(NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme)}. Surprisingly,WOHAO Brossettes Masque Halloween Adulte Cosplay, 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;TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear, and the only one who has the power of decision^{(Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage)}. Thus, care practices in end-of-Sorel Youth Out N About Conquest, 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^{(WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT)}.

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,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020-AWYJ Balles de bébé. 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-Lloow Chaise de Douche^{(AJSJ Pantalon de randonnée pour femme en polaire épaisse)}.

Conclusion

The decision-OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tondeuse à cheveux, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier -of-AlokHnvj Banbag Simple De Canapé Paresseux.

LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche, 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-ZXL Lampe Lampe. 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,Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher-AWYJ Balles de bébé.

JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode, 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/RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision , 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-AWYJ Balles de bébé, 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,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle .