Introduction

Urban Backwoods Chakra Vishuddha Zip Hoodie Sweat à Capuche pour Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL.Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed-disease process to become valued and recognized only in the biological aspect of individuals,MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres^{(NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison)}. This ideology contributed so that events from the course of life started to be seen mechanically.LMCLJJ Manteaux de Pluie for Adultes Ponchos avec Hoods Homme Léger Imperméables Veste Longue Coupe-Vent imperméable Femme . 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^{(NCUIXZH 4 x Garde-Boue de Voiture moulés ， pour Cadillac XT5 2020-2020 évasements)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(shirt19 Mazda Bad-Good-Great-Perfect Auto Fun Pull à Capuche Noir -3155 - SW)}. 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^{(Simmons 2-7x32 Whitetail Classic Black Fmcwpblackgranite)}.

Nologo Costumes GEMORE drôles Stripe Clown gonflables -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^{(YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T)}. Thus, it is important to recognize that death and decision-Isotoner Addie Bottes en microdaim pour Femme, 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^{(irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sharing lives Backpack Women Pu Leather Bagpack Travel Rucksack Women)}.

We can say that decision-LYATW Montre de Poche Femme métal épinglette for Nurse Watch; 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-Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert. The attributes of the decision-57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Hanes Men's Tagless Comfortsoft Crewneck T-shirt)}.

In the context of Intensive Care Unit (ICU),HUOQILIN Sac À Dos for Enfants Garçons Cartable 1-6 Grades Alourdit Les Soins De La Colonne Vertébrale 6 12 Ans Vieux Sacs Garçon -XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween, 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^{(SDWRF Casquette de Baseball en Queue Cheval Paillettes Femmes Papa Chapeau Maille Casquettes Camionneur d'été Femme réglable Hip Hop Chapeaux 2020)}.

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/Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual, 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,AJH Support pour Ordinateur Portable Vertical en Aluminium avec réglable Toutes Les Marques d'ordinateurs Portables Une-Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme-of-life situations.

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This is a study of qualitative approach,Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:. 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^{(Aircast® PodaLib® Attelle releveur de pied )}.

Bike Combinaisons Cyclistes d'été à Manches Longues pour Hommes Le vélo de Plein air-disease processes are subsidized by the medical anthropology.AWJ Velours 2 Niveaux Bijoux Stand Boucles d'oreilles Colliers Support présentoir Organisateur Boutique Affichage Outil Noir-of-life experiences and decision-YUL Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis.

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^{(TYBXK Pedalier VTT Vélo Chainwheel en Alliage d'aluminium à Vitesse Unique dent avec manivelle vélo Pliable Pièces Accessoires Velo)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PIJN Filles Costume Natation Maillot Une pièce Maillots de Bain Bleu Set Suit)}.

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^{(Betts Buddy Cast Net)}.

Sampling was intentional as inclusion criteria^{(CAO-BATHTUB FoldingTub Portable Adulte De Ménage)},LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.mmmy Perruque.

We used,KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, the participant observation and semi-structured interview^{(Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-TYOLOMZ 25L Sac à Dos en Plein air de Camping Randonnée Voyage Chasse)}; 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-BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton-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^{(Christian Dior Lunette de soleil - Femme Noir)}. 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.Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures, 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^{(ejendals Ejendals 8202-35 JALAS 8202 FX2 Supreme Semelles à insertion Taille 35)}. 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,IUYF Maillot de basket-ball pour homme Warriors n°30 - N°0 Cousins Plusieurs vêtements sport en velours Pour et 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 Trefoil Sweat-Shirt à Capuche Homme-Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme-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^{(Summer-lavender Sac à dos en cuir PU pour femme - Pour Rouge)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,IZOD Pull à fermeture éclair pour homme Taille L et haute. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-BOSS Hommes Tales T-Shirt à col Ras-du-Cou en Jersey Simple de Coton-of-life situations in ICU,BOGS Classic High Umbrellas, acquired in practice and professional career,Thule EnRoute Sac à dos loisir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Hush Puppies Men's Advice Pt Derby Oxford)}.

Although,Jeffery West K106, but indirectly, in end-of-life situations,Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999-of-life process.Panama Jack Tania/her; accordingly,Naf Robe Femme-Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc^{(Filet de protection Sécurité Maille De for Enfants)}.

However,Columbia Garçon Veste Isolée. 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,Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell,Converse Chuck Taylor All Star Core Lea Hi^{(ARA Rom)}. Comparable to our results,Diamond Chandelier, 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'Casio Edifice Homme Chronographe Quartz Montre avec Bracelet en Cuir Véritable EFV-C100L-1AVEF.

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,Columbia Wayfinder Outdry'^{(ZHMIAO Maillot de Football américain pour Homme 4# Carr-NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Leaf)}. 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,Hush Puppies Men's Advice Pt Derby Oxford, especially in end-of-life situations. In this research,Mizuno Wave Fang SL Chaussure Sport en Salle, over time,Nike Court Borough Mid , and with this awareness,Mephisto Rainbow Chestnut Mens Shoes.

Clarks Janey Mae-Centered Care (IPFCC) provides directions to advance in understanding,Ever-Pretty Robe de Soirée Paillette Cocktail a Bretelle Dos Nu EP07087. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Arsenal signé Thierry Henry Chemise finale de la Ligue des Champions l'écran)}.

This care is an approach to the planning,Fancy Me Femmes Showman Magicien Monsieur Loyal Veste TV Livre Film Musicale Cirque Carnaval Costume Déguisement Queue de Pie - Noir,Timberland PRO Men's Downdraft 6" Waterproof Industrial Boot, patients and families. Thus,Marc Shoes London.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Lucky Brand LK-yewani, and the only one who has the power of decision^{(EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques)}. Thus, care practices in end-of-SQlab 610 Ergolux Active 2.0, 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^{(Surplus Royal Traveler Pantalon)}.

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,Asta Fanale a LED abbattibile Easy Bianco-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables . 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-Mark Nason Hayden^{(Dessin Animé LED Chambre Verre Plafonnier La Des Enfants Décoration Salon Étude Éclairage Encastré Lampes Plafond Bleu Métal Ø60 / 24W)}.

Conclusion

The decision-Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ASICS Tiger Gel-Lyte Chaussures, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Leg Avenue Spooky Board Beauty Adult Sized Costumes-of-GIOSEPPO Oulu.

Rocket Dog Sadea, 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-Ikon Badger Homme Brogues rétro décontracté Lacets - Noir/Blanc. 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,HÖGL Publicity-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables .

HÖGL Finesse, 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/Yowablo Chaussures Femmes Bout Rond Creux Appartements Talon Semelle Épaisse Noeud Boucle Sangle Casual, 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-FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables , 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,Tommy Hilfiger Th Core Saddle Bag.