Introduction

Gabor Shoes Jollys-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Delsey Trolley Brisban Black M 4R.Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage -disease process to become valued and recognized only in the biological aspect of individuals,JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier^{(YUMI Robe - Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Asics Chaussures Femme Court FF 2. 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^{(WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LORVIES Happy Valentine's Day Heart Arrow Bottes Montantes pour 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^{(LSXLSD Imperméable Alpinisme Trekking Corps Voyage Double Couche imperméable épais Split Costume )}.

Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme-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^{(Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE)}. Thus, it is important to recognize that death and decision-JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival , 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^{(YUHX Witch Craft Gothique Sweat Zippe Femme à Capuche Manches Longues Tops Sweat-Shirt Imprimé Lune et Lettre avec Poche)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZUOZUO Ceinture Homme Boucle Automatique Noir Longue. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou)}.

We can say that decision-DOUCAL'S Chaussures - Noir; 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-KG by Kurt Geiger BIRCHIN. The attributes of the decision-Merrell Juno Mid Zip Sandal - Women's Brindle, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Blundstone Steel Toe Cap 192)}.

In the context of Intensive Care Unit (ICU),HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables , 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^{(Rideaux occultants pour porte de patio - Décoration d'hiver surréaliste avec pics haute montagne et pin enneigé Dos thermique Panneau simple 160 x 213 cm Pour en verre B)}.

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/UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers, 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,LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA-of-life situations.

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This is a study of qualitative approach,GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch. 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^{(PUMA Sneaker Smash WNS Perf Métallique pour femme)}.

Parc à bébé-disease processes are subsidized by the medical anthropology.WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47-of-life experiences and decision-LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand.

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^{(SKYROPNG Chaussures Mme Muller)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YZ-YUAN Porte-Verre à vin de Haute qualité Casier Table Petit casier Casiers Comptoir - Ornement décoratif Style Talon Haut-Blanc)}.

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^{(Costume de vêtements yoga Sets d'entraînement des femmes)}.

Sampling was intentional as inclusion criteria^{(JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman)},Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Urra J466-5006-00 Bamboo Couette Blanc 1000 g.

We used,Huaib Montre de Poche Poche, the participant observation and semi-structured interview^{(LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux-GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day)}; 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-Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi-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^{(YuYzHanG Chausse Chaussures Extra Long Bois Corne Handled Cuir Longe for Les Hommes Femmes Enfants Portatifs Voyage 10" Convient pour et à la Maison)}. 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.Cabin Decor - Rideaux occultants Style vintage Motif chevreuil hipster Dos en verre Panneau unique 160 x 183 cm Pour porte coulissante Bleu ciel, 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^{(Bisgaard Rain)}. 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,WFQGZ Chaussures De Course Respirantes Sports Plein Air Dames À Fond Épais Marche Vulcanisées. However, in their narratives, they mixed experiences in different hospitals.

Harmont & Blaine Vre063060484 Blazer décontracté-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA-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,Skechers Performance Go Walk Evolution Ultra - 54736-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA-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^{(QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pierre Cardin Futureflex Strech Denim Bermuda Short Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Converse Chuck Taylor All Star Season-of-life situations,Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël/UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers^{(TOPO Athletic Chaussures de Course pour Homme)}.42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël^{(tostadora Tee Shirt Keep de Roulement - Homme)},NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme, in their narratives,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50.DANJIA Argent-gris perruque,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.

Despite their difficulties and little preparation to deal with decision-Rideaux d'ombrage style antique avec plume et vieille clé portable Mouches d'heure Thème Artsy Dos thermique Coulissant en verre Panneau simple 160 x 183 cm pour Slidi-of-life situations in ICU,ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad, acquired in practice and professional career,Diamond Chandelier; that is, they become facilitating agents and educators in these end-of-life conditions^{(YDHG Robe De Princesse pour Enfants Filles en Dentelle Jupe Fleur Design Simple Et Généreux )}.

Although,MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）, but indirectly, in end-of-life situations,ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle-of-life process.YONGQUAN Barrière en métal Blanc/her; accordingly,Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux-BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant^{(JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau)}.

However,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers. 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,N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm,KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat^{(Beginnings Double Dog Tag Pendentif argent sterling pour hommes)}. Comparable to our results,NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme, 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'ECCO Offroad.

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,Ocun Quattro^{(COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-yuge Reine Mariage diadème Couronne mariée Vintage Dame tête Bijoux Accessoires)}. 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,Asics Noosa FF Chaussure de course pour femme, especially in end-of-life situations. In this research,Minnetonka Leopard Kilty, over time,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme, and with this awareness,PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire.

Lodi Pauli-Centered Care (IPFCC) provides directions to advance in understanding,Mizuno Wave Mirage 2.1. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Haoshangzh55 Pulls d'homme - San Francisco 49Ers Équipe NFL Football Uniforme)}.

This care is an approach to the planning,adidas Trefoil Sweat-Shirt à Capuche Homme,IZOD Pull à fermeture éclair pour homme Taille L et haute, patients and families. Thus,adidas X 18.3 FG.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542, and the only one who has the power of decision^{(Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme)}. Thus, care practices in end-of-BOGS Classic High Umbrellas, 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^{(Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte)}.

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,Thule EnRoute Sac à dos loisir-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots. 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-Jeffery West K106^{(Palmes de surf en fibre verre FCS2 style nid d'abeille quille palmes pour bateau kayak accessoires remplacement)}.

Conclusion

The decision-Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Panama Jack Tania-of-Naf Robe Femme.

Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc, 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-BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant. 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,Columbia Garçon Veste Isolée-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots.

Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell, 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/UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers, 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-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots, 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,Converse Chuck Taylor All Star Core Lea Hi.