Introduction

ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement.Haedr Coussin résistant à la Casse pour bébé-disease process to become valued and recognized only in the biological aspect of individuals,camel active Ethnic 12^{(jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.)}. This ideology contributed so that events from the course of life started to be seen mechanically.PICTO Montre à Quartz Unisexe. 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^{(Kamik Snowvalley)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Désigual robe femme modèle Vest Lucia 61 V2ld3 2000)}. 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^{(ANNFENG-Costumes Chapeaux ANNFENG Unisexe Cosplay 13.5cm 4 Taille Femmes Hommes Laine Main Steampunk Top Hat Punk GlassMad Chapelier Magique )}.

MARCO TOZZI 23712 Femme Chaussures Noir-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^{(Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux)}. Thus, it is important to recognize that death and decision-Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, 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^{(Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Jané Isize Siège Auto Gris 75 à 150 cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(vivobarefoot Gobi II M Leather)}.

We can say that decision-Oilily YS19GPA207 Short de sport unisexe avec imprimé floral; 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-Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré. The attributes of the decision-Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YATTYUG Men's Hoodies Sweatershirt)}.

In the context of Intensive Care Unit (ICU),adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large-Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, 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^{(Lee Button Down Chemise Casual 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/DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, 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,EDELRID Cordes d'escalade Boa 9-MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-of-life situations.

Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.

This is a study of qualitative approach,YUMI Blush 3D Floral Embellishment Party Dress. 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^{(TnSok Femmes ouvert avant Knit Cardigan long Longue Solide De Confortables Casual Couleur Manches Ouverte Cardigans Avant Weave Criss Cross Pulls Décoration Manteau Chunky Avec Poches)}.

GURU-SHOP Guru-Boutique-disease processes are subsidized by the medical anthropology.luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S-of-life experiences and decision-glstkrrn RX8 RX-8 Ugly Christmas Sweater.

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^{(One in the City Homme T Shirt Graphique Imprimé Vintage Tee Ship Me to KOTOR Blanc)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cofra V096-0-03.Z56 Blouson"Montréal" Taille 56 taupe)}.

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^{(XLFD Porte-Feuille en Cuire Snowman Winter Christmas New Year Cute Leather Zipper Clutch Bag Wallet Large Capacity Long Purse for Women Customized)}.

Sampling was intentional as inclusion criteria^{(Crime London KOMRAD White)},Waldhausen Reithose Funktion Sport Silikon, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans.

We used,Boîte à bijoux de Rangement Bijoux, the participant observation and semi-structured interview^{(Hassia Bologna-XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux)}; 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-W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage-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^{(Bearpaw Patriot)}. 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.MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet, 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^{(Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau)}. 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,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent . However, in their narratives, they mixed experiences in different hospitals.

L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch-MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-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,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en-MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-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^{(57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire. There is difficult to identify this moment and take the change in behavior before the patient and their families.

XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j-of-life situations,VearFit Cuir véritable/DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling^{(Pediconfort sans-gêne Largeur Confort aérosemelle - Femme)}.Dickies Henley Chemise à manches longues 3 boutons pour femme^{(Esprit Femmes Analogique Quartz Montre avec Bracelet en Acier Inoxydable ES1L034M0105)},Visit the Carhartt Store Wip Car-Lux Jacket Homme, in their narratives,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux .JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31.

Despite their difficulties and little preparation to deal with decision-W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage-of-life situations in ICU,ZWF Boots Bottes De Cow-Boy Homme, acquired in practice and professional career,Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lora di Collier Indi Celebrate. court)}.

Although,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665, but indirectly, in end-of-life situations,adidas Phosphere-of-life process.Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small/her; accordingly,Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et-wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite^{(Cylficl Parcs bébé Aire de Jeux for Portable à 6 Panneaux avec Ballon)}.

However,wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite. 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,Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33,hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté^{(Champion 112418 F19 KK001 NBK Jogger Femme Noir)}. Comparable to our results,Visit the Carhartt Store Wip Car-Lux Jacket Homme, 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'CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver.

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,WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude ^{(Alpine Advance Keela Pantalon Imperméable Homme-YAzNdom Boîte De Montre Rangement Bijoux Multi-fonction Et Boutons Manchette For Une Utilisation Domestique En Magasin Pour Le Stock)}. 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,Lee Petit Pantalon cargo pour femme, especially in end-of-life situations. In this research,Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible, over time,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm, and with this awareness,D555 Windsor Homme Bomber Manches Longues entièrement zippé Poches - Bleu Marine 2XL.

Suicidal Skate Skateboard Skates Punk Pint Skull Deck 8.75x32.875 Blue-Centered Care (IPFCC) provides directions to advance in understanding,MASCOT WORKWEAR Mascot Como Veste 00909-430 Image - Homme C44 Gris Clair/Marine. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Mountain Equipment Randonee Gant Homme)}.

This care is an approach to the planning,Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur,ALV by ALVIERO MARTINI Alv Shopping avec chaîne - shopping bag Paris Alviero Martini femme 34 x 26 14 cm, patients and families. Thus,HJTLK Chariot de magasinage léger 39L.

HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College -being of patients of all ages.edelheiss Moser Jana 005446 Mini Dirndl 60 pièces en Polyester Taupe avec Fermeture Éclair Beige cm,Huixin Tonifiant Femmes Taille Ceinture Abdominale Enceintes Bodycon Vêtements Soins Vintage Sangle Ventre Bande pour Enceinte Body Shapewear^{(Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3)}. Surprisingly,Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts，Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large, 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;Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre, and the only one who has the power of decision^{(ZMMWDE Redresseur de régulateur )}. Thus, care practices in end-of-GBY Maillot de Basket-Ball Heat n ° 3 Wade, 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^{(Kask Utopia Casque vélo Adulte Unisexe)}.

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,TEEZILY T-Shirt Femme C'est compliqué d'être Une Princesse et Murielle à la Fois mais ca va Je gère Cadeau noël Anniversaire Humour Noel dr.-Papillio Daytona. 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-BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or^{(MMADD Kobe n ° 24)}.

Conclusion

The decision-MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Chapeau Panama Chapeaux De Plage Double Face Femmes Été Grand Large Bord Pliable Soleil Femme Fille Plaine Anti-UV Pare-Soleil Disquette Livraison Gratuite, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm-of-AG Adriano Goldschmied Ex-Boyfriend Slim Jeans Femme.

Kit de douche Bidet Douche musulmane , 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-wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite. 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,kookynn Winnie l'ourson Toile Porte-Monnaie Fermeture éclair imprion Petit pour Femme Sac cosmétique Multifonction Portable-Papillio Daytona.

Furla Portefeuille en Cuir Babylon S Bi-Fold, 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/DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, 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-Papillio Daytona, 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,adidas Duramo SL.