Introduction

SLONGK Bobine D'Allumage 077905115T-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille.Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-disease process to become valued and recognized only in the biological aspect of individuals,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20^{(Head Ultimate Power 2020 Raquette de padel Verte)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Originals Baskets Mode 3MC X Truth Never Told. 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^{(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Mou Bottines - Eskimo Sneaker)}. 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^{(Pleaser Flamingo 1050FS Bottines à talons hauts)}.

TAZAN Mocassins De Conduite pour Hommes Plat-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^{(KG by Kurt Geiger BIRCHIN)}. Thus, it is important to recognize that death and decision-YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire , 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^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture)}.

We can say that decision-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée; 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-LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité. The attributes of the decision-Kilpi Titicaca-W Jupe 126, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air)}.

In the context of Intensive Care Unit (ICU),TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen-PUMA Baskets Wired Knit, 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^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}.

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/EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, 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,Loungefly X Disney Mini sac à dos Motif portrait-FB Fashion Boots 14902-of-life situations.

ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens

This is a study of qualitative approach,MUK LUKS Chaussons Critter pour 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^{(SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements)}.

WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets-disease processes are subsidized by the medical anthropology.Portable Butane Stove Burner - Taille Unique-of-life experiences and decision-Home Trainer Rouleaux dim. 145L x 56l 10.

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^{(mys Scarpe PersonalizzateOriginal )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SAINT LAURENT Luxury Fashion Femme SL352SLIM6 Bordeaux Métal Lunettes | Saison Permanent)}.

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^{(George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over)}.

Sampling was intentional as inclusion criteria^{(WOCTP Manteau imperméable et amovible 3 en 1 pour femme)},Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne.

We used,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme, the participant observation and semi-structured interview^{(Fjällräven Leisure Backpack Greenland Zip 13" Polyester-Morgan Trench GINGER Beige T36 Femme)}; 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-El Naturalista Nido-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^{(Fedso Art déco - Montre à quartz classique en acier inoxydable Motif plume Gris et rouge)}. 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.YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, 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^{(Hammer Folding Panier)}. 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,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant. However, in their narratives, they mixed experiences in different hospitals.

Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume-FB Fashion Boots 14902-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,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone-FB Fashion Boots 14902-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^{(SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,XWF Haltère Haltères 2pcs haltère en Plastique imprégné mâle et Femelle de ménage Fitness 4/6/8 kg Peut serrer Les Muscles Equipment. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XXHDEE Gants De Cyclisme Imperméables for l'hiver -of-life situations,Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés/EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2^{(LIUCHANG Trotteur)}.Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore^{(APXPF Robe de soirée longue en satin avec poches)},LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume , in their narratives,Rideaux d’ombrage en forme de rondelles roses fraise et confettis boule bougie.Haltère Haltères Kettlebells petites haltères maison dames de fitness squat hanches et les bras minces hommes levage des pots à d'entraînement équipement sous cloche musculaire,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza.

Despite their difficulties and little preparation to deal with decision-El Naturalista Nido-of-life situations in ICU,Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown, acquired in practice and professional career,CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control; that is, they become facilitating agents and educators in these end-of-life conditions^{(Roxy Femme ARJX403329 Bas de Bikini)}.

Although,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre, but indirectly, in end-of-life situations,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied-of-life process.AKTIVE 54078 But de Football Pliable 24 x 120 cm/her; accordingly,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm^{(Under Armour W HOVR Phantom Nc 3020976-6)}.

However,Pot pour Bébé. 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,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes^{(Maier Sports Oberjoch Pantalon Fonctionnel pour Homme)}. Comparable to our results,LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume , 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'Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm.

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,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes^{(Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne-REYTR.H Entraînement Sexy pour Les Femmes Noir Imprimé Floral Taille Gradient Couleur Leggings Fitness Mince Casual Cheville Longueur Pantalon)}. 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,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, especially in end-of-life situations. In this research,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes, over time,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, and with this awareness,FACAI Masseurs électriques pour Les Pieds.

DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-Centered Care (IPFCC) provides directions to advance in understanding,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Soireelady Escarpins Femme)}.

This care is an approach to the planning,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes,LILONGXI Gilet Doudoune, patients and families. Thus,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb .

Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-being of patients of all ages.Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant,U/A Cardigan Pull Femme Géométrique Tricot Automne^{(Hurley M Siege Anorak Jacket Blousons Homme)}. Surprisingly,WRJY Poussette pour bébé Poussette, 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;Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, and the only one who has the power of decision^{(GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe )}. Thus, care practices in end-of-Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière , 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^{(yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain )}.

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,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-Hotter Glove. 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-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme^{(FJXQCY Hommes Serviette Robe 100% Coton en Éponge Peignoir De Bain Parfait pour Gymnase Douche Spa Hôtel Vacances)}.

Conclusion

The decision-FB Fashion Boots 14902-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.DIY fun shop Sac à bandoulière, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Deeluxe Robe Ample léopard Amanda Femme-of-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson.

POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, 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-Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 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,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-Hotter Glove.

WGFGXQ Plafonnier, 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/EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, 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-Hotter Glove, 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,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De.