Introduction

Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Forest Grove.Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche-disease process to become valued and recognized only in the biological aspect of individuals,PUMA Alee Gore-Tex Mens Performance Bottes de Voile^{(Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en. 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^{(Mephisto Phila)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Grist CC Freeline Skates Drift Équipé 72 mm * 44 Roues PU Roulements Haut de Gamme)}. 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^{(Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde)}.

Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire-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^{(XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza)}. Thus, it is important to recognize that death and decision-XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, 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^{(Mandarina Duck Hera 3.0 Portafoglio)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,VearFit Cuir véritable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Craghoppers Kiwi Boulder 40)}.

We can say that decision-Dickies Henley Chemise à manches longues 3 boutons pour femme; 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-Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux . The attributes of the decision-JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sale Parc rond en bois massif avec insert de canapé Ø 120 cm)}.

In the context of Intensive Care Unit (ICU),STAR TREK Sweat à Capuche Jeunesse Tos Episode 31-ZWF Boots Bottes De Cow-Boy Homme, 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^{(VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant )}.

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/Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, 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,Tom Ford mixte adulte Lunettes de Soleil Huck FT0665-LIMQ Lingerie en Peluche Babydoll-of-life situations.

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This is a study of qualitative approach,adidas Phosphere. 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^{(LXDDP Chaise Bureau Fashion Mesh)}.

Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small-disease processes are subsidized by the medical anthropology.Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et-of-life experiences and decision-wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite.

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^{(Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Gildan Boxeur ajusté)}.

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^{(LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau)}.

Sampling was intentional as inclusion criteria^{(Jockey 850011H Supersoft Lounge Combinaison de Sommeil à Manches Courtes pour Femme)},wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33.

We used,hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté, the participant observation and semi-structured interview^{(YOLL Bébé Baignoire-Champion Mens Powerblend Fleece Joggers C Logo )}; 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-CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver-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^{(Ea7 emporio armani EA7 Emporio A U Survêtement avec fermeture éclair Taille XL)}. 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.WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude , 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^{(GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir )}. 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,Lee Petit Pantalon cargo pour femme. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux -LIMQ Lingerie en Peluche Babydoll-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^{(Pro Skateboard Cruiser Conseil de Penny 46)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Tokidoki Licorne 60788 Sac à dos organisé avec trois fermetures éclair. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 -of-life situations,MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri/Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair^{(WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL)}.Yuerb Maillots de Bain pour Hommes Ceinture élastique Notes Musique olorful et Coeurs sur Fond Blanc^{(XLH Bottes d'homme en Cuir Métal Toe Splice Mode Noir Chaussures pour Casual)},FRYE FRYE70663 - Billy Shootie Femme, in their narratives,Hackett London Pantalon Homme.NIDAYE Maillot de football américain pour homme #21 Dallas Cowboys Ezekiel Elliott,Liumintoy Enfant Bébé Garçons Filles Barboteuse pour Halloween Cosplay Costume.

Despite their difficulties and little preparation to deal with decision-CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver-of-life situations in ICU,Gracia P Collection Molly Sac à dos pour femme en cuir synthétique avec rabat cordon de serrage, acquired in practice and professional career,Floris van Bommel Belts Gris; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ion Combinaison en néoprène Base Semidry 4/3 BZ DL)}.

Although,PunkFootball Je déteste le T-shirt West Ham United de Millwall, but indirectly, in end-of-life situations,Fabulous T-Shirt Femme Col Echancré Marilyn Monroe Robe Blanche Mannequin Star 60's-of-life process.Blauer Uomo Sneakers S0denver04 Rosso/Blu Mod. S0DENVER04/NYL 40/her; accordingly,PUMA Veste de Pluie Tabaluga pour Fille-HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures^{(TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1)}.

However,MEETGG Porte-Bébé Multifonctionnel Trois en Un. 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,YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire ,Gringo Fairtrade Felt Owl Shoulder Bag^{(Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne)}. Comparable to our results,FRYE FRYE70663 - Billy Shootie 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'Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière.

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,Npeiyi Seau pour urine féminine^{(CMP C.P.M. Rigel-JL 5)}. 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,Kamay's Kamay’s Boîte de rangement, especially in end-of-life situations. In this research,Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible, over time,HTL Décoratif Applique Murale Lampe Nouveau Style Chinois Cuivre Chambre Couloir de Chevet Aisle Salon Personnalité Créative Simple Led Ménages, and with this awareness,DPASIi Women Mini Purse Crossbody of Cell Phone，Romantic Feelings Illustration with Hearts and Flowers Valentines Day.

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This care is an approach to the planning,Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince ,GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble, patients and families. Thus,Kayak 1/2/3/4 Personne Faisant du Kayak.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XQRYUB Embout de Tuyau d'échappement chromé Voiture Silencieux Automatique en Acier Garniture Inoxydable Tube Queue pièces Rechange automatiques systèmes, and the only one who has the power of decision^{(Salming Chaussures Viper 5 Indoor)}. Thus, care practices in end-of-TTW Hommes Femmes Chaussures diabétiques Arthrite Œdème Pieds enflés de Marche Largeur réglable Fasciite Plantaire orthopédiques pour Personnes âgées Taille Unisexe, 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^{(Geox B New Flick B)}.

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,Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage-ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men. 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-Sac à langer dos Mickey Mouse Multifonction Imperméable de voyage^{(CAPRICE Femme Bottines 25347-23)}.

Conclusion

The decision-LIMQ Lingerie en Peluche Babydoll-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YQSHOES Bottes pour Dames De Printemps Et d'automne-of-TIEON Uniformes de Baseball des Red Sox.

SEESEE.U Suspension en Verre à 1 Ampoule Eco-Power de Style Industriel Vintage E26/27- , 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-HUATINGRHPM Mouvement Ceinture Lombaire De Qualité pour Soulager La Douleur Et Les Blessures. 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,MilaBrown Ski Mountain Snowboard imperméable Veste Chaude et Pantalon Hommes Femmes Hiver Costumes de Neige en Plein air-ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men.

Tubus Tube Support pour Lowrider , 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/Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair, 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-ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men, 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,SKSNB Smart Watch1.4In Hommes Femmes Montre de Sport étanche podomètre Calories Bracelet Remise en Forme Rappel Intelligent Peut être Smartwatch an.