Introduction

DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook.SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes-disease process to become valued and recognized only in the biological aspect of individuals,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison^{(Clarks Women's Verona Rock Ankle Boot)}. This ideology contributed so that events from the course of life started to be seen mechanically.FACAI Masseurs électriques pour Les Pieds. 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^{(Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Alviero Martini Billets porte 1 ^ Classe | homme En ligne Geo classique CW11160000010)}. 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^{(Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court)}.

DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-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^{(LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large)}. Thus, it is important to recognize that death and decision-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts, 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^{(AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(H.ZHOU Les Hommes de Football américain Sweats à Capuche)}.

We can say that decision-LILONGXI Gilet Doudoune; 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-PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb . The attributes of the decision-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(AJH Chauffage de cheminée électrique avec Protection Contre la surchauffe à Effet Flamme 3D Portable Debout adapté Une Utilisation en intérieur au Bureau)}.

In the context of Intensive Care Unit (ICU),Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant-U/A Cardigan Pull Femme Géométrique Tricot Automne, 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^{(Casio – W96H-1BV Montre de sport numérique pour homme )}.

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/WRJY Poussette pour bébé Poussette, 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,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé-Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-of-life situations.

Sljj Patins À Roues Alignées

This is a study of qualitative approach,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière . 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^{(Onistuka Tiger Mexico 66)}.

Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-disease processes are subsidized by the medical anthropology.Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-of-life experiences and decision-DIY fun shop Sac à bandoulière.

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^{(JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Select Gifts Boîte de message souvenir gravé lapin)}.

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^{(Fuliya Men's Hoodies Sweatshirts)}.

Sampling was intentional as inclusion criteria^{(Death by Zero Homme Designer Tank Top Shirt - Ibiza)},Deeluxe Robe Ample léopard Amanda Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson.

We used,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, the participant observation and semi-structured interview^{(TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes-Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years)}; 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-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-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^{(FXQIN Landau pour Poupées Doll Stroller Pliable avec Panier Amovible et poignée)}. 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.WGFGXQ Plafonnier, 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^{(Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having)}. 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,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De. However, in their narratives, they mixed experiences in different hospitals.

Ellesse Orazio Sweatshirt Maillot de survêtement Homme-Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-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,JD Boîte de montre Montre - Pratique Rangement Bijoux -Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-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^{(HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skechers Ultra Flex 2.0. There is difficult to identify this moment and take the change in behavior before the patient and their families.

IGI&CO Donna Gore-tex-41710-of-life situations,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220/WRJY Poussette pour bébé Poussette^{(marvel Comics Homme W000532 Spider-Man Vintage Montre)}.Skechers Women's EZ Flex 3.0 - Rare Treasure^{(mys Sneaker Customized Adulte - Chaussures Coutume)},FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière, in their narratives,CMP C.P.M. Rigel.Schott NYC Okla Jacket Homme,Skechers Chukka Bottes en cuir à 6 œillets pour femme.

Despite their difficulties and little preparation to deal with 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-of-life situations in ICU,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, acquired in practice and professional career,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Désigual Skirt Short Gina Woman White Jupe Femme)}.

Although,adidas Originals Baskets Mode Falcon Women, but indirectly, in end-of-life situations,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc-of-life process.KJGFD Maillot de Bain Queue sirène/her; accordingly,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant-Caterpillar Men's Heavy Insulated Parka^{(Zemivs Canard Jaune Animal Grand En Cuir Portable Poignée Supérieure Main Fourre tout Sacs À Causal Épaule Zippée Shopping Bourse Organisateur De Bagages Pour Lady Filles Womens)}.

However,ASICS Tiger Gel-Mai Chaussures pour Homme. 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,Asics Men's GT-2000 8,Dockers Polo Homme^{(WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée)}. Comparable to our results,FEI Plafonnier LED Plafond Lampe Chambre Salon Jardin À La Main Fleur en Verre Impression Balcon Allée Lumière, 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'Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique.

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,Gabor Shoes Casual^{(58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM-YIIVAN Couverture de bébé épaissir Double Couche Molleton Corail enveloppe pour Nourrisson Poussette literie Nouveau-né)}. 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,Obut - ATX Competition 175mm Boules de pétanque, especially in end-of-life situations. In this research,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, over time,BILLABONG Garçon Short décontracté, and with this awareness,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU.

Sallypan ModeAntler Mur lumière-Centered Care (IPFCC) provides directions to advance in understanding,Burton Covert Veste de Snowboard Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Xhtoe Jupe Femme)}.

This care is an approach to the planning,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL, patients and families. Thus,ARA Sapporo.

Wacoal Bra Underwire Soutien-Gorge de Sport Femme-being of patients of all ages.RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne^{(Clarks Kaylin 60 Sling)}. Surprisingly,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, 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;Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce, and the only one who has the power of decision^{(KYEYGWO Collier Fait Main avec Pendentif en Pierre Naturelle Corde Agate 64 cm pour Homme)}. Thus, care practices in end-of-Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479, 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^{(CHZDSB Bottes Femmes Épaisses Talons Hauts Femme Cheville Bottillon Plateforme Chaussures Zip d'hiver pour Femmes)}.

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,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie. 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-XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste^{(IAMZHL Robe de Chambre en Dentelle pour Femmes Sexy Nuit 4 pièces Ensemble Sommeil Femme Lingerie -a12-XXL)}.

Conclusion

The decision-Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Marco Ferretti Cadre Beatles 172146 Moss Noir, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-of-cartoon Chemisier de dessin animé long 1/1 bras.

DYM Chaussures de Sport Baskets Mode & athlétique Femme, 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-Caterpillar Men's Heavy Insulated Parka. 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,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie.

LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, 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/WRJY Poussette pour bébé Poussette, 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-Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie, 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,Studio Untold Femme Grandes Tailles Jupe plissée.