Introduction

Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mares Volo Race.LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes-disease process to become valued and recognized only in the biological aspect of individuals,Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}. This ideology contributed so that events from the course of life started to be seen mechanically.YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport. 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^{(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LJMHG Shorts Taille Haute Dames Femmes Été Court Jeans Bandage Grande Noir Entraînement Denim M Bleu Foncé)}. 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^{(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles)}.

Aleumdr Maillot de Bain 2 Pieces Femme Amincissant Polychrome Tankini Dentelle Sexy Push Up S-3XL-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^{(AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe )}. Thus, it is important to recognize that death and decision-SHOULIEER Imperméable Peau Tactique armée Veste Homme Camouflage Militaire Coupe-Vent Manteau d'hiver, 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^{(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet)}.

We can say that decision-KAVU Lorenzo Chemise à Boutons pour Homme; 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-BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant. The attributes of the decision-Carhartt Henley T-Shirt de Poche pour Homme , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jardin en Acier sécateur Ciseaux Arbre fruitier Branche ménage cisaille Outils Outil)}.

In the context of Intensive Care Unit (ICU),WHATLEES Veston de Costume Marriage Slim Fit Col V à Fermeture Boutonnée Avec Ceinture Tenue Cérémonie - Homme-XHYYY Casquette de Baseball flèche Plume Arc tir à l'arc Motifs Graphiques réglable Maille Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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^{(Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte)}.

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/XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, 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,WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-EMANUELA BIFFOLI Ciabatta Infradito Con applicazione-of-life situations.

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This is a study of qualitative approach,XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes. 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^{(FB Fashion Boots 14902)}.

TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport-disease processes are subsidized by the medical anthropology.Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme-of-life experiences and decision-Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme.

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^{(JD Boîte de montre Montre - Pratique Rangement Bijoux )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LookMyKase Sweat - Manche Longue Col Rond Toutes Les Femmes Naissent Egales mais en Mars Femme)}.

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^{(S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15)}.

Sampling was intentional as inclusion criteria^{(COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper)},Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues.

We used,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes, the participant observation and semi-structured interview^{(Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata )}; 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-Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil-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^{(AQWESD Pieds de Table Meuble en métal 4X)}. 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.DPX-1 Hommes Death Row Records T-Shirt , 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^{(Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small)}. 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,Disney Femme Alice In Wonderland Retro Poster T-shirt. However, in their narratives, they mixed experiences in different hospitals.

Columbia Sportswear Veste légère pour Homme-EMANUELA BIFFOLI Ciabatta Infradito Con applicazione-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,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women-EMANUELA BIFFOLI Ciabatta Infradito Con applicazione-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^{(Clarks Women's Verona Rock Ankle Boot)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie-of-life situations,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre/XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes^{(Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme)}.DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode ^{(Chaise De Bureau Pour Fauteuil Pivotant Comfy Tissu informatique de bureau à hauteur réglable avec base Chrome rembourré pivotant)},Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires, in their narratives,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine.Illex Squirrel 61 Jackall Series,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420.

Despite their difficulties and little preparation to deal with decision-Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil-of-life situations in ICU,Ana Silver Co. Serpentine Stone, acquired in practice and professional career,DJNGN Sac à Dos pour Enfants Bowling Y; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court)}.

Although,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage, but indirectly, in end-of-life situations,Ana Silver Co. Garnet-of-life process.Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR/her; accordingly,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs^{(LongDD T-shirt de football américain uniforme la Nouvelle-Angleterre Patriots Hightower #54 Maillot Gruby Tee Shirts - X-Large)}.

However,ECCO Offroad. 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,adidas Ozweego Chaussures Homme Blanc,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume^{(AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats)}. Comparable to our results,Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires, 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'YANGTAO Ressacs Projecteur De Lumière Nuit.

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,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger^{(H.ZHOU Les Hommes de Football américain Sweats à Capuche-SXZHSM Enfants Garde-Corps Barrière De Sécurité Jeu Centre D'Activités Maison Clôture Jouet Apprendre À Marcher Protection de l'enfance)}. 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,Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la , especially in end-of-life situations. In this research,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI , over time,GJQION Femmes Brassière, and with this awareness,Free People Women's Forever Cashmere V-Neck Pullover Sweater .

ProCook - Cocotte Faitout Ronde 24cm / 4-Centered Care (IPFCC) provides directions to advance in understanding,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Casio – W96H-1BV Montre de sport numérique pour homme )}.

This care is an approach to the planning,COOLCEPT Femmes Bloc Talons Hauts Longue Bottes,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables , patients and families. Thus,Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe .

Polaroid Pld 6071/s/x-being of patients of all ages.Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse,SMITH Riot Masque de Ski^{(Qinmo Poussez Portable Up poignées for Hommes Fitness Workout Pushup poignée Stands)}. Surprisingly,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, 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;YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18, and the only one who has the power of decision^{(Onistuka Tiger Mexico 66)}. Thus, care practices in end-of-CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, 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^{(JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ )}.

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,mantraroma Pendentif argent 925 sterling labradorite -Under Armour Campus W/U Veste pour femme. 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-DSZZ Health Chaussures de Badminton pour Hommes^{(ZzheHou Reel Fishing Moulinet De Pêche Plein Calmar À Montage Double Et Enrouleur Roue Frein Avant Arrière Résistance Robuste Usure)}.

Conclusion

The decision-EMANUELA BIFFOLI Ciabatta Infradito Con applicazione-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;mantraroma Bague argent 925 sterling pierre de lune -of-3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau.

L.BRUAT L. Bruat Montre de sport pour femme, 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-TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs. 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,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless -Under Armour Campus W/U Veste pour femme.

PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur, 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/XHYYY Casquette de Baseball Belle Exotique Feuilles botaniques Tropicales Fleurs Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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