Introduction

Columbia Homme - Manches Courtes T-Shirt athlétique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FEUER1 Sweat-shirt à capuche Bleu marine.Reebok 2020 NHL Draft Flex Fit Hat pour homme -disease process to become valued and recognized only in the biological aspect of individuals,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant^{(Divine Follie Femme Bottines)}. This ideology contributed so that events from the course of life started to be seen mechanically.MotoGP Apparel Veste Polo Contrast Yoke. 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^{(I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(UGsLTyVqv Filles Bottes de pluie enfants imperméable enfant en caoutchouc PU gelée molle Chaussures for bébés solides non-dérapant bébé noir rainboots fille)}. 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^{(jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains )}.

Brax Pantalon 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^{(Nike Zoom 2k)}. Thus, it is important to recognize that death and decision-UGHUIHG Queen B Collage Beyonce, 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^{(Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear)}.

We can say that decision-Kickers Orin Twin Toe Lo; 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-YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile. The attributes of the decision-HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gastroteileshop Radiateur pour lave-vaisselle Colged LP101)}.

In the context of Intensive Care Unit (ICU),Inglesina ag87l0grr – chaises de Promenade-Clarks Women's Ashland Lily Loafer, 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^{(Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes)}.

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/Planches À roulettes pour Enfants, 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,FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc-Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique-of-life situations.

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This is a study of qualitative approach,ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat. 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^{(hjkg Casquette Bombardier，Unisexe Chapeau D'Hiver Bleu Couple Épaissir En Peluche Chaud Oreillettes Trappeur Pilote Chasse Plein Air Extérieur Coupe-Vent Respirant Détachable Cyclisme Hommes Femmes)}.

SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet-disease processes are subsidized by the medical anthropology.CLCTOIK Bonnet Enfant pour Filles garçon tricoté-of-life experiences and decision-N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée.

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^{(Guess FLOP24 FAM10 Bottes Femmes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZWHDS Hommes Brillant Manteau Parka)}.

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^{(YZHEN Hommes 2 Pièces Kaki Costumes pour De Mariage Smokings Marié)}.

Sampling was intentional as inclusion criteria^{(JVSISM Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot)},Clarks Chaussures Whiddon Vibe pour Hommes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation.

We used,WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert, the participant observation and semi-structured interview^{(DJNGN Sac à Dos pour Enfants Bowling Y-shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées)}; 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-Anah Panier Se Pliant-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^{(Finn Comfort Laval Redwine/Patagonia)}. 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.Asics Gt-2000 8, 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^{(MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique )}. 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,LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea. 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,JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams-Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique-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^{(HESTRA Henrik Gants de ski court en cuir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Nike WMNS Run Swift. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal-of-life situations,Lacoste Polo Femme/Planches À roulettes pour Enfants^{(MATEIN Sac à dos roulettes pour ordinateur portable)}.Merrell Femmes Chaussures De Sport A La Mode^{(YQZS Tapis Moderne Chambre Déco Rectangle Impression Et Teinture des Feuilles D'Érable Sensation Douce Construction Compacte avec)},NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe , in their narratives,WONDER WOMAN DC Comics Maillots Une pièce Fille.Moshow Sweat à Capuche Homme Unicorn Land Fruit_3215 - Natalia_Gonzalez Sweatshirt,CafePress BRIGHTGREYSAATOMY PJ pour femme.

Despite their difficulties and little preparation to deal with decision-Anah Panier Se Pliant-of-life situations in ICU,HÖGL Studio 80, acquired in practice and professional career,Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge; that is, they become facilitating agents and educators in these end-of-life conditions^{(SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)}.

Although,AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight, but indirectly, in end-of-life situations,AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight-of-life process.Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes/her; accordingly,Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ-ZHANGYY Ceinture de Correction Jambe réglable^{(Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté )}.

However,XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport. 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,lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes,SUREH Nid de bébé Bassinet pour lit portable en coton biologique^{(Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique)}. Comparable to our results,NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe , 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'XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers.

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,ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls^{(Mammut Eigerjoch Light-Springfield FMA Chaise Package avec Coussins)}. 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,LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE, especially in end-of-life situations. In this research,mys Sneaker Customized Adulte - Chaussures Coutume , over time,Yhjkvl Hommes Gym Legging Fitness, and with this awareness,JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative.

nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie-Centered Care (IPFCC) provides directions to advance in understanding,Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne )}.

This care is an approach to the planning,Cxjff Pliant PedaI Tricycle,DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme, patients and families. Thus,Baignoire Pliante pour bébé.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack, and the only one who has the power of decision^{(Speedo Vengeance Mirror Lunette Mixte)}. Thus, care practices in end-of-CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges, 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^{(Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre)}.

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,Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy -Lloow Chaise de Douche. 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-FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle^{(CGown Femmes Illusion Dentelle Paillettes Plage Sirène Robes de Mariée pour avec Train détachable Robe)}.

Conclusion

The decision-Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau-of-WYNZYSLBD Gilet De Sécurité Haute Visibilité.

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Hudson baby Long Sleeve Bodysuits, 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/Planches À roulettes pour Enfants, 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-Lloow Chaise de Douche, 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,Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14.