Introduction

Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et femme.New Balance Roav V1 Fresh Foam-disease process to become valued and recognized only in the biological aspect of individuals,ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage^{(TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9)}. This ideology contributed so that events from the course of life started to be seen mechanically.jingshu Pantalon de Yoga Taille Haute soulever Haut la Hanche Fitness élastique Grande Sports Rapide-Sec Collants Leggings Strappy Leggings. L-6 Vert.. 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^{(GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CelinaTex Montana Peignoir De Bain)}. 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^{(New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing)}.

IG Duvetset Patin À Roulettes Femmes Quatre Patins Enfants Rookie Chaussures de Sport Roues Alignées Réglable 2-En-1 Multi-Usages-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^{(RYKA Devo Plus 2)}. Thus, it is important to recognize that death and decision-Tyrannosaurus Rex Dinosaur Toy pour Les Garçons, 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^{(Chicco Abito Maniche Lunghe Robe Fille)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Beginnings Sterling Silver lapis Grand anneau ovale)}.

We can say that decision-YJHH Baignoire Adulte Portable; 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-H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0556 65213 . The attributes of the decision-Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Saucony Versafoam Excursion Tr13)}.

In the context of Intensive Care Unit (ICU),WDGXZM Plaquettes de Frein Avant et arrière Moto-DKHF Le Maillot de Corps Minceur Gaine Abdomen Dames Butt Lifter Body Shaping Pants Panties Thigh Trimmer Waist Training Device and, 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^{(Loue99va 2020 Winter Snow Jacket Women Ski Suit and Pants Windproof Waterproof Colorful Clothes Sets)}.

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/Lampadaire postmoderne, 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,Mr.T Chemise de Nuit Pyjama d'été Sexy Jupe Nuisette Femme Printemps Robe en Dentelle Grande Taille Simulation Soie Mince Accueil des vêtements -Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed-of-life situations.

MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres

This is a study of qualitative approach,ZJ Bien Maillots de Bain Garçons d'enfants. 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^{(WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher )}.

Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes -disease processes are subsidized by the medical anthropology.XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard-of-life experiences and decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.

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^{(LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Essentiel Amphibier Rajah Bordeaux)}.

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^{(BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants )}.

Sampling was intentional as inclusion criteria^{(Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet)},XIUYU Boîte à Musique en Bois Bricolage Main , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Oluola Sweats à Capuche Vintage Elvis Presley pour Femme.

We used,NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme, the participant observation and semi-structured interview^{(NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc-DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens)}; 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-Craghoppers Kiwi Boulder 40-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^{(Fivefingers Vibram Furoshiki Northern Traveler Low Taille : 42-43 Couleur gris glacé)}. 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.LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku, 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^{(Piquadro Blue Square Leather Backpack Rosa Chiaro)}. 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,ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau. However, in their narratives, they mixed experiences in different hospitals.

Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main-Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed-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,Mephisto Rainbow Chestnut Mens Shoes-Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed-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^{(MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clarks Janey Mae. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087-of-life situations,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir/Lampadaire postmoderne^{(AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course )}.Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot^{(Diadora - Chaussure de Running Action 3 W pour Femme)},Gabor Casual, in their narratives,Marc Shoes London.Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif,Diamond2Deal 10 K Or jaune Diamant Cluster His & Hers assortis Trio Mariage Bague de fiançailles Band Lot 1/3 carat au total.

Despite their difficulties and little preparation to deal with decision-Craghoppers Kiwi Boulder 40-of-life situations in ICU,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde, acquired in practice and professional career,Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK; that is, they become facilitating agents and educators in these end-of-life conditions^{(WWTTE Yoga serré Snakeskin Leggings 2V )}.

Although,Lucky Brand LK-yewani, but indirectly, in end-of-life situations,SQlab 610 Ergolux Active 2.0-of-life process.Asta Fanale a LED abbattibile Easy Bianco/her; accordingly,Mark Nason Hayden-ASICS Tiger Gel-Lyte Chaussures^{(QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag)}.

However,Leg Avenue Spooky Board Beauty Adult Sized Costumes. 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,GIOSEPPO Oulu,Rocket Dog Sadea^{(Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme)}. Comparable to our results,Gabor Casual, 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'HÖGL Publicity.

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,HÖGL Finesse^{(Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt-Royal Republiq Ball)}. 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,Tommy Hilfiger Th Core Saddle Bag, especially in end-of-life situations. In this research,Puma Rebel Sweat Suit Survêtement Femme, over time,Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme, and with this awareness,Tod's Mocassino Gommino in Pelle.

QUNLIANYI Robe de Mariee Grande Taille Dames Elegant Party Dresses Style Patchwork Big Swing A-Line Femmes Longue-Centered Care (IPFCC) provides directions to advance in understanding,NORTH SAILS Homme Hoodie en Coton Biologique avec Poche Kangourou Spacieuse - Coupe Regular. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement)}.

This care is an approach to the planning,Jollys Jewellers Alliance en or jaune 22 carats Largeur 4 mm,Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian, patients and families. Thus,WYJ Télescope HD à Film Vert Haute Définition pour Jumelles D'Extérieur Durables.

yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée-being of patients of all ages.mys Sneaker Customized Adulte - Chaussures Coutume ,Marikoo Sumikoo Veste d'hiver pour femme avec capuche amovible 7 couleurs XS à XXL^{(HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger )}. Surprisingly,DEJ Suspension Triangle en Forme de 3 Douilles Bleu pour Restaurant Salle à Manger Hall Café Bar Loft Cuisine, 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;Columbia Bahama Vent PFG Veste pour homme, and the only one who has the power of decision^{(überleben Coppa leggera in Legno Con moschettone Backpacking)}. Thus, care practices in end-of-Lee Performance Series Extreme Motion Regular Fit Jean Homme, 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^{(SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole)}.

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,Bache Impermeable Exterieur Transparente-Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert. 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-MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie^{(Teva M Hurricane 4)}.

Conclusion

The decision-Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;KAPPA ORIGINALS Kappa Felpa 3031110 Bambino-of-PINKO COLLEZIONE Pinko CARDIGAN COSTA INGLESE - S.

Appareil photo Photographie Style de mode Grande Capacité Sacs à langer Momie Sac dos Multi Fonctions Nappy Nursing Bag Fourre tout main pour enfants Soins bébé Voyage Daily Women, 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-ASICS Tiger Gel-Lyte Chaussures. 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,SMX Coussin de ge Voiture d'hiver-Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert.

EU Fashions Mens Finn Balor WWE Superstar Club Red Leather Jacket, 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/Lampadaire postmoderne, 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-Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert, 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,MC Davidian Barrette matic 8cm Nœuds en dentelle Very Full .