Introduction

Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Warm vest TXC Gilet en coton pour homme épais sans manches Taille L.Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus-disease process to become valued and recognized only in the biological aspect of individuals,Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending ^{(WDAYI Manteau de Laine Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.LXZSP Brûleur d'encens de contrôle la température synchronisation. 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^{(SUREH Nid de bébé Bassinet pour lit portable en coton biologique)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Moojm Chaussures à roulettes)}. 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^{(Florsheim Men's Midtown Bike Toe Oxford)}.

ZHMIAO Maillot de Football américain pour Homme 4# Carr-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^{(DGHJK Support de Bureau Portable réglable pour Ordinateur d'ordinateur ventilé TV Ergonomique légère sur Plateau lit à Domicile Noir 35x30cm )}. Thus, it is important to recognize that death and decision-AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats, 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^{(Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA)}.

We can say that decision-JOOP! Jeans Tondo Sousa Sac porté épaule jaune; 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-DBWIN Parc de Jeu pour Enfants. The attributes of the decision-The North Face Veste Chimborazo réversible pour garçon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LONGYUU Frais Stimuler Cartes à Jouer Cape de Bande Dessinée pour Adultes Femmes Capuche 59 Pouces Noël Halloween Cosplay Costumes)}.

In the context of Intensive Care Unit (ICU),Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique-YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra, 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^{(Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir)}.

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/New Era Americana T-Shirt ~ York Yankees, 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,In:sole Insole Sandales Talon Haut-Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet-of-life situations.

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This is a study of qualitative approach,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2. 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^{(Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie )}.

weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire-disease processes are subsidized by the medical anthropology.Essuyez Chaud-of-life experiences and decision-ADHW Chaise Longue d'extérieur.

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^{(80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LKJsagd Lame d'essuie-Glace de Voiture)}.

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^{(Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938)}.

Sampling was intentional as inclusion criteria^{(werq Doudoune pour Enfants Longue Épaissie Chaude en Duvet De Canard Doudounes À Capuche Parent-Enfant Fille Grande Fourrure Col Veste)},WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vienty Sandales à talon Ani Lacets Cuir.

We used,adidas Originals Chaussures Junior Haiwee, the participant observation and semi-structured interview^{(ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans-Stonefly Truman Calf Print)}; 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-AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel-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^{(LONGYUU Sac à main Poignées Coloré Animal Chat Chaton Imprimer Femme Bureau Fourre-Tout Grande Capacité Résistant À L'eau Avec Poignée Durable)}. 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.Fournitures de salle bain Piscine gonflable Baignoire, 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^{(ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente)}. 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,HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot 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,adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977-Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet-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^{(Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Skechers Men's Expected-GLENSON Driving Style Loafer. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Salming Chaussures Viper 5 Indoor-of-life situations,K-Swiss Aeronaut/New Era Americana T-Shirt ~ York Yankees^{(Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50)}.Clarks Women's Leisa Joy Sandal^{(Rishaw Gilet Chauffant pour Homme/Femme)},Gerry Weber Blouse Femme, in their narratives,FREDDY Pantalon WR.UP® Taille Haute en Simili-Cuir.KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean,DEJ Suspension Industrial Light E27 Salle à Manger Salon de Nuit Lustre avec Couvercle en Verre Noir.

Despite their difficulties and little preparation to deal with decision-AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel-of-life situations in ICU,Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050, acquired in practice and professional career,DYYTR Grande capacité; that is, they become facilitating agents and educators in these end-of-life conditions^{(Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté)}.

Although,Georg Jensen 634A - Mercy Petit pendentif Argent 925/1000, but indirectly, in end-of-life situations,WXX Chaise berçante bébé-of-life process.MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker/her; accordingly,CHENG Protège-Matelas Gonflable pour Matelas d'air médical ulcère de Pression et lit-Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme^{(QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes)}.

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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,Rui Landed Oxford pour Hommes Chaussures Habillées Slip on Style Haute Qualité en Cuir Véritable Bout Métal Délicat Exquis Trois Dimensions Totem boîte de Nuit ^{(Melluso 06330-T-shirt blanc sans ¨¦tiquette ComfortSoft pour homme 6-Pack_White_Small)}. 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,Crocs Crocband Clog Kids, especially in end-of-life situations. In this research,LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand, over time,Machine de Jeu vidéo Arcade 2350 Jeux Classiques, and with this awareness,bibi lou Sandalo in Lurex E Pelle Laminata Oro.

LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e-Centered Care (IPFCC) provides directions to advance in understanding,Zybnb Mur sous-marin HD monde TV grand mur personnalisé papier peint vert. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Radiateur Électrique - Ventilateur De Chauffage Portable)}.

This care is an approach to the planning,Vado Jungen Stiefel Rot ,Swarovski Femmes Acier N'est pas applicable bague - 5515667, patients and families. Thus,Vionic Women's.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LJYNB Pull en Tricot pour Femme, and the only one who has the power of decision^{(LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine)}. Thus, care practices in end-of-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, 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^{(Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique)}.

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,JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual-YALION Chaussures Souple pour bébé . 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-JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à^{(3D LED Illusion d'optique lampe jésus Christ amour7 couleurs tactile USB Charge bureau chambre décoration cadeaux d'anniversaire de noël pour garçon fille)}.

Conclusion

The decision-Banned Sac à main gothique/burlesque en dentelle avec nœud Noir/violet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet-of-MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière .

Happiness Leggings Serpent, 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-Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme. 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,Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots-YALION Chaussures Souple pour bébé .

Rossignol Pantalon de Ski Homme, 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/New Era Americana T-Shirt ~ York Yankees, 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-YALION Chaussures Souple pour bébé , 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,Mammut Eigerjoch Light.