Introduction

Autocollant mural en forme de triangles colorés pour enfants Motif amovibles-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime.OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-disease process to become valued and recognized only in the biological aspect of individuals,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite^{(TBBDPT Hip Hop Iced Out Bling Bijoux Bracelet Or Couleur Micro Pave CZ Bracelets en Pierre 10mm Largeur pour Hommes Femmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.HR Or Blanc Jarret Fendu Fiançailles Bague 6mm. 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^{(Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(graphke Song Lyrics Minimal Hipster Style Text About The Past and Way to Change It T-Shirt Hommes)}. 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^{(Cheval à bascule Enfants en Plastique Bébé de Troie Year Old Cadeau Jouet Bleu Rocking Chair Xuan - Worth Having)}.

IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-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^{(XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal)}. Thus, it is important to recognize that death and decision-ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité, 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^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Voiture)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël)}.

We can say that decision-GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable ; 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-LDH Mi-Longueur Doudoune Femme Hiver. The attributes of the decision-SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZHOUQINMEI 2020 Retro Straw Western Cowboy Chapeau Été Womem Hommes Cowgirl Fedora Jazz Plage Sombrero Hombre Sauveteur Chapeaux De Soleil Tassel Band Ajusté 56-58CM)}.

In the context of Intensive Care Unit (ICU),ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale-ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , 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^{(Macron Home Jersey White/Red 19/20 Red Star Belgrade)}.

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/Etnies Barge XL, 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,Kipling Citypack XS Bretelles de sac à dos ajustables-adidas Lucas Premiere 10 Femmes / 9 Hommes-of-life situations.

ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros

This is a study of qualitative approach,adidas EQT Cushion ADV. 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^{(HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style)}.

Aubade Haut de Maillot Bain Noir Taille100D-disease processes are subsidized by the medical anthropology.Bisgaard 63102218-of-life experiences and decision-AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling .

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^{(marvel Comics Homme W000532 Spider-Man Vintage Montre)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas FCB UCL Sho - Pantalon De Costume 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^{(Désigual Skirt Short Gina Woman White Jupe Femme)}.

Sampling was intentional as inclusion criteria^{(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)},Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady .

We used,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir, the participant observation and semi-structured interview^{(WOLVERINE Marvel Chemise t-Shirt de Super-héros Anthracite sous Licence Style Bande dessinée-58W Creative LED Plafonnier Bleu Chambre Dimmable Avec Télécommande Éclairage Intérieur Luminaire Décoration Salon Couloir Ø60 * 7CM)}; 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-New Balance Lav V1 Hard Court-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^{(Hangowear 1708 Kid`s DKL-blau Short)}. 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.Under Armour Charged Rogue Twist Ice 302, 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^{(Xhtoe Jupe Femme)}. 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,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU. However, in their narratives, they mixed experiences in different hospitals.

Champion Cropped Coaches Jacket Blouson de survêtement Femme-adidas Lucas Premiere 10 Femmes / 9 Hommes-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,HESTRA Henrik Gants de ski court en cuir-adidas Lucas Premiere 10 Femmes / 9 Hommes-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^{(Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron. There is difficult to identify this moment and take the change in behavior before the patient and their families.

dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot-of-life situations,Asics Gel Solution Speed Clay/Etnies Barge XL^{(DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove)}.Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris^{(IAMXXYO Ensemble De Costume d'abeille)},Under Armour W HOVR Phantom Nc 3020976-6, in their narratives,Under Armour ColdGear Legging ajusté pour Homme.Azonic The Rock FAT35 Stem Vorbau 34,HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe.

Despite their difficulties and little preparation to deal with decision-New Balance Lav V1 Hard Court-of-life situations in ICU,Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures, acquired in practice and professional career,Converse Chuck Taylor All Star Homme Vintage Leather Hi; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nike JORDAN B.FLY BG)}.

Although,no!no! Anti-Pluie Surchaussures, but indirectly, in end-of-life situations,La Modeuse Richelieus Vernis à Bout Rond-of-life process.BOSS Hugo Boss Lunettes de soleil BO 6LB/G4/her; accordingly,New Balance Fresh Foam Hierro V4-ESDY Ensemble de sous-Vêtements Thermiques Homme^{(BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress)}.

However,Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion 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,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU^{(Asics Chaussures Femme Court FF 2)}. Comparable to our results,Under Armour W HOVR Phantom Nc 3020976-6, 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'WPQBS Porte-clés.

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,N-L Cosplay Cadeaux Anime Cadeau WA-681 Kimetsu no Yaiba Acrylique Porte-clés Mignon Kawaii Collection Accessoires Bijoux Pendentif pour Sacs clés et étuis à^{(Maui Jim Lunettes de soleil 788 Dragonfly-sendit4me Silver Satin Oval Open Toe Low Heel Evening Shoes with Pearl Diamante Brooch)}. 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,btyi7yos Kiss me Logotype Flyer Banner invitaion Greeting Card Typography Poster Handwritten Modern Halftone Unisex Colorful Graphic Hoodies 3D Print Cool Sweatshirt Design with Pocket for Men and Women, especially in end-of-life situations. In this research,GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball , over time,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris, and with this awareness,eeddoo Ti Gloss Titan - BCR Klemmring .

Sotala Pantalon - Femme-Centered Care (IPFCC) provides directions to advance in understanding,Nike M nK sQD coutil Top Shirt à manches longues. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kenneth Cole REACTION Chaussures Habillées)}.

This care is an approach to the planning,K-Swiss Ultra Express,TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, patients and families. Thus,Hassia Bologna.

SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle-being of patients of all ages.Champion Sweat à Capuche en Laine Polaire pour Homme,GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet^{(El Naturalista Borago)}. Surprisingly,PUMA Unisex Basket Classic LFS Kids Sneaker, 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;Nike Court Borough Mid Winter, and the only one who has the power of decision^{(SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme)}. Thus, care practices in end-of-Columbia Granite Mountain Veste polaire pour homme, 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^{(GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard)}.

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,Frankv Shorts de Planche pour Hommes-HXF Charmant Filles Princesse Blanche Robe. 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-Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement^{(YANGFH Élégant Bracelet D'appel Bluetooth Étanche Montre Intelligente)}.

Conclusion

The decision-adidas Lucas Premiere 10 Femmes / 9 Hommes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar -of-axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir.

Hell Bunny Ella May Denim Dungarees, 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-ESDY Ensemble de sous-Vêtements Thermiques Homme. 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,Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver-HXF Charmant Filles Princesse Blanche Robe.

Gas Monkey Garage Wrench Label Affe Aufkleber T-Shirt , 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/Etnies Barge XL, 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-HXF Charmant Filles Princesse Blanche Robe, 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,Columbia Fall Pine Washed Crew Chemise Femme.