Introduction

Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté.Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou-disease process to become valued and recognized only in the biological aspect of individuals,L.Z.HHZL Chaussures d'affaires pour Hommes^{(57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard)}. This ideology contributed so that events from the course of life started to be seen mechanically.Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez. 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^{(Pediconfort sans-gêne Largeur Confort aérosemelle - Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Barrière De Sécurité Pour Bébé Walk Thru D'escalier Extra Large Clôture Animaux Compagnie Garde En Métal à Pression Avec Fermeture Automatique La)}. 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^{(Lora di Collier Indi Celebrate. court)}.

Générique Randonnée Essentielle équipage Moyen-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^{(Cylficl Parcs bébé Aire de Jeux for Portable à 6 Panneaux avec Ballon)}. Thus, it is important to recognize that death and decision-LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces, 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^{(Champion 112418 F19 KK001 NBK Jogger Femme Noir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Clarks Men's Weaver Moccasin. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Alpine Advance Keela Pantalon Imperméable Homme)}.

We can say that decision-ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange; 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-Vince Camuto Femmes Sandales À Talon. The attributes of the decision-Love Moschino BORSA QUILTED NAPPA PU, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tosca Blu Sneaker Slip-on Andrea)}.

In the context of Intensive Care Unit (ICU),Craghoppers Pantalon Anti-Moustique Clair - Femme-adidas pour Homme Athletics Team problème Bomber, 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^{(Mountain Equipment Randonee Gant Homme)}.

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/Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT, 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,Catimini Gilet Bébé Fille-QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-of-life situations.

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This is a study of qualitative approach,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir. 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^{(ZMMWDE Redresseur de régulateur )}.

Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark-disease processes are subsidized by the medical anthropology.Guess FLOP24 FAM10 Bottes Femmes-of-life experiences and decision-Timberland Bradstreet Chukka Molded.

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^{(Kask Utopia Casque vélo Adulte Unisexe)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Surf Fishing Combos Canne à pêche en carbone longue section Main Mer Double usage Rétractable Ultra Léger Super Mince Simple Plus 13 Axes Pêche sur Glace)}.

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^{(SNDWAY Télémètre Laser télémètre monoculaire de Chasse)}.

Sampling was intentional as inclusion criteria^{(NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins)},Morgan Trench GINGER Beige T36 Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté.

We used,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière, the participant observation and semi-structured interview^{(Vince Femmes Sandales À Talon-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes)}; 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-Callaghan 14804 Enfiler Femme-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^{(NYDJ Chemisier pour 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.Mizuno Wave Paradox 5, 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^{(NYDJ Jean pour femme)}. 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,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag. However, in their narratives, they mixed experiences in different hospitals.

Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme-QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-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,48 CM Bebe Doll Reborn Sweet Girl Poupée en Robe Rose Complet du Corps Silicone Souple Réaliste Bébé Jouet De Bain Correct pour Enfant Âge 3 Jouets-QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-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^{(Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9. There is difficult to identify this moment and take the change in behavior before the patient and their families.

WOHAO Brossettes Masque Halloween Adulte Cosplay-of-life situations,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear/Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT^{(LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity)}.Sorel Youth Out N About Conquest^{(KUDALL Ensemble De Sous-Vêtements Thermiques)},Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , in their narratives,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020.Lloow Chaise de Douche,Tondeuse à cheveux.

Despite their difficulties and little preparation to deal with decision-Callaghan 14804 Enfiler Femme-of-life situations in ICU,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier , acquired in practice and professional career,AlokHnvj Banbag Simple De Canapé Paresseux; that is, they become facilitating agents and educators in these end-of-life conditions^{(LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey)}.

Although,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche, but indirectly, in end-of-life situations,Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher-of-life process.JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode/her; accordingly,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle -Head Ultimate Power 2020 Raquette de padel Verte^{(IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé)}.

However,YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école. 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,GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear^{(XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain)}. Comparable to our results,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design , 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'Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga.

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,ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble^{(Kit de douche Bidet Douche musulmane -MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs153_M)}. 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,Columbia Homme - Manches Courtes T-Shirt athlétique, especially in end-of-life situations. In this research,FEUER1 Sweat-shirt à capuche Bleu marine, over time,Reebok 2020 NHL Draft Flex Fit Hat pour homme , and with this awareness,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant.

MotoGP Apparel Veste Polo Contrast Yoke-Centered Care (IPFCC) provides directions to advance in understanding,Brax Pantalon Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Vibram FiveFingers KSO Evo)}.

This care is an approach to the planning,UGHUIHG Queen B Collage Beyonce,GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet, patients and families. Thus,Kickers Orin Twin Toe Lo.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Planches À roulettes pour Enfants, and the only one who has the power of decision^{(JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail )}. Thus, care practices in end-of-FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc, 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^{(L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm)}.

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,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-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print. 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-SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet^{(Skechers I conik Black/WHT g - Chaussures Fitness)}.

Conclusion

The decision-QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.CLCTOIK Bonnet Enfant pour Filles garçon tricoté, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée-of-Clarks Chaussures Whiddon Vibe pour Hommes.

Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation, 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-Head Ultimate Power 2020 Raquette de padel Verte. 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,WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print.

Anah Panier Se Pliant, 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/Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT, 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-Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print, 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,Asics Gt-2000 8.