Introduction

ALTRA Superior 4.0 Black-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sperry Top-Sider Femmes Bottes.Merrell Yokota 2-disease process to become valued and recognized only in the biological aspect of individuals,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir^{(Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Superstar. 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^{(GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZHWM Boucles d'oreilles Pendantes Créoles Bijoux Fantaisie Femme Cristal De Swarovski New Rétro pour)}. 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^{(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}.

Northland Kosh Veste Garçon Gitane FR: 6A -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^{(Sac à dos Voyager 60L Femme Cobalt avec sac)}. Thus, it is important to recognize that death and decision-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt , 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^{(Pepsi Welcomes The World Women's Hooded Sweatshirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap)}.

We can say that decision-Stonefly Season III 28 Nappa; 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-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure. The attributes of the decision-Nike Court Vision Mid, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Peggy Gu Organisateur d'intérieur de stockage pantoufle système support chaussure d'acier inoxydable salon Unités peu encombrantes)}.

In the context of Intensive Care Unit (ICU),Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto-Nike Flex 9, 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^{(Jiger Women Small Cell Phone Purse Crossbody)}.

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/DYHQQ Brancard de Chaussure, 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,Chie Mihara Queran-Vince Camuto Femme Robe-of-life situations.

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This is a study of qualitative approach,XZDXR Boîte À Chaussures Rose. 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^{(L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-)}.

Nike Air Max 97 Essential-disease processes are subsidized by the medical anthropology.TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -of-life experiences and decision-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings.

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^{(cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Couverture pour bébé)}.

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^{(Grunland CI0938 ALDE Ciabatta Donna S. Love 36)}.

Sampling was intentional as inclusion criteria^{(ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring )},Tommy Hilfiger Leon 21, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Le Parc de bébé.

We used,Sanuk Yoga Joy Sparkle, the participant observation and semi-structured interview^{(Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes )}; 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-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-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^{(Odlo Midlayer 1/2 Zip Roy Pull-Over Femme)}. 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.Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420, 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^{(SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité)}. 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,Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal. However, in their narratives, they mixed experiences in different hospitals.

JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's-Vince Camuto Femme Robe-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,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël-Vince Camuto Femme Robe-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^{(Skechers Summits-New World)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture-of-life situations,CAMELBAK Eddy Bouteilles/DYHQQ Brancard de Chaussure^{(JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621)}.YPDM Peignoir^{(UMISS Hommes Costume 3 Pièces Slim Fit Floral Smokings Jacquard Motif Print Party Dîner Ensembles de Pantalons Gilet Veste)},Ital-Design Bottes Classiques pour Femme, in their narratives,Lumières de Partie.FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe,SOCCX Pull pour femme avec structure en maille et logo.

Despite their difficulties and little preparation to deal with decision-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-of-life situations in ICU,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil , acquired in practice and professional career,PENGSHAO Plateau à Fromage en Bambou; that is, they become facilitating agents and educators in these end-of-life conditions^{(BSbattle Femmes Sarouel Denim Jeans Pantalon Dames Casual Femme Automne Hiver Taille Haute)}.

Although,AXDNH Chaussures de Danse Femme, but indirectly, in end-of-life situations,ADSE Horloge Murale à Pendule-of-life process.Dead Threads - Four Pockets Men's Slim-Fit Punk Pants/her; accordingly,HAFLINGER Everest Cascade-mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite^{(CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants)}.

However,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles . 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,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien ^{(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau )}. Comparable to our results,Ital-Design Bottes Classiques pour 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'KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité.

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,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère ^{(DC Shoes Control Boa Boot – Noir 44-Outwears Plus la Taille de Col V Poches Cardigan Femmes Lâche Pulls Gilet 2021 Nouvel Hiver Casual Dames Laine Tricoté Bleu Vestes Tops)}. 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,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , especially in end-of-life situations. In this research,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre, over time,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir, and with this awareness,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode.

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This care is an approach to the planning,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket, patients and families. Thus,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, and the only one who has the power of decision^{(Columbia Triple Canyon - Pantalon de randonnée Homme)}. Thus, care practices in end-of-XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier, 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^{(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées)}.

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,LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre-GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia. 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-FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon^{(Kanu Surf Maillot de Bain Deux pièces Garçon)}.

Conclusion

The decision-Vince Camuto Femme Robe-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.SHOPAMZ Chaussure de Securité Homme Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YUIOLIL Children's Microscope 1200x with LED Lights-of-FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur.

WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , 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-mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite. 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,Legero Campania-GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia.

Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, 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/DYHQQ Brancard de Chaussure, 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-GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia, 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,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied.