Introduction

Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MotoGP Apparel Veste Polo Contrast Yoke.Brax Pantalon Femme-disease process to become valued and recognized only in the biological aspect of individuals,UGHUIHG Queen B Collage Beyonce^{(Roxy Snow Junior's Surface Zip Through Top)}. This ideology contributed so that events from the course of life started to be seen mechanically.GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet. 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^{(Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Ultraboost 19m Pride Chaussures)}. 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^{(Circus By Sam Edelman Goodwin Bottes de Combat pour Femme)}.

Kickers Orin Twin Toe Lo-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^{(Firefox - Skywalker FFS220-101 Homme Argent)}. Thus, it is important to recognize that death and decision-YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile, 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^{(Bache Impermeable Exterieur Transparente)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hatley Swimsuits Maillot Une pièce Garçon)}.

We can say that decision-Inglesina ag87l0grr – chaises de Promenade; 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-Clarks Women's Ashland Lily Loafer. The attributes of the decision-Planches À roulettes pour Enfants, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(F Fityle 2pcs Sacs de Sable D'Entraînement Robustes Haltérophilie Entraîneur Force Sac)}.

In the context of Intensive Care Unit (ICU),FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc-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, 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^{(WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité)}.

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/SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet, 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,CLCTOIK Bonnet Enfant pour Filles garçon tricoté-WOHAO Brossettes Masque Halloween Adulte Cosplay-of-life situations.

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This is a study of qualitative approach,N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée. 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^{(Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux)}.

Clarks Chaussures Whiddon Vibe pour Hommes-disease processes are subsidized by the medical anthropology.Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation-of-life experiences and decision-WMZQW Chaussures Chelsea pour Hommes Automne et Hiver Bottes Martin du Désert.

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^{(NYDJ Jeans Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Not Applicable Dreamcatcher And Flèche Femmes Mode Sac à dos en cuir véritable Filles Voyage École Mini bandoulière)}.

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^{(CUzzhtzy Réchaufferont Hommes Martin Bottes)}.

Sampling was intentional as inclusion criteria^{(FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized)},Anah Panier Se Pliant, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Asics Gt-2000 8.

We used,LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea, the participant observation and semi-structured interview^{(AILIBOTE Squad T-shirt pour homme-Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09)}; 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-Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail-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^{(FITFIRST Tente de Plage Imperméable Anti-UV Camping avec Fil Net)}. 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.Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles, 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^{(HYLH 3D LED Stunt Motorcycle Illusion Night Light)}. 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,SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary. 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,Lacoste Polo Femme-WOHAO Brossettes Masque Halloween Adulte Cosplay-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^{(BCGT Atlanta Hawks NO.11 Trae Young)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Merrell Femmes Chaussures De Sport A La Mode. 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-Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail-of-life situations in ICU,AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight, acquired in practice and professional career,Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes; that is, they become facilitating agents and educators in these end-of-life conditions^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan)}.

Although,Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ, but indirectly, in end-of-life situations,ZHANGYY Ceinture de Correction Jambe réglable-of-life process.XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport/her; accordingly,lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes-SUREH Nid de bébé Bassinet pour lit portable en coton biologique^{(SYue Miroir de Maquillage Mural)}.

However,XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers. 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,ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls,LVYE1 LAMP Dessin Animé Créatif Animaux LED Lustre Garçons Et Filles Chambre Enfants Lumières Moderne Simple Personnalité Tissu Lustre-CE^{(Pliable Barrière De Le Lit)}. Comparable to our results,Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique, 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'mys Sneaker Customized Adulte - Chaussures Coutume .

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,Yhjkvl Hommes Gym Legging Fitness^{(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures-PUMA Viz Runner)}. 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,JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative, especially in end-of-life situations. In this research,nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie, over time,Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie, and with this awareness,Cxjff Pliant PedaI Tricycle.

DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme-Centered Care (IPFCC) provides directions to advance in understanding,Baignoire Pliante pour bébé. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture)}.

This care is an approach to the planning,Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long,RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser , patients and families. Thus,AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle, and the only one who has the power of decision^{(YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18)}. Thus, care practices in end-of-ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche , 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^{(GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité )}.

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,HS-Zak Miller LAL Bryant # 24 Vêtements De Basket-Ball Sport Jersey Hommes Entraînement Sportif pour Les Fans Adulte Unisexe Pur Coton Loose Col Rond Gilet Manche Courte T-Shirt Manteau-AlokHnvj Banbag Simple De Canapé Paresseux. 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-WYNZYSLBD Gilet De Sécurité Haute Visibilité^{(Hexagona Sac de voyage en cuir vachette premium grainé DANDY)}.

Conclusion

The decision-WOHAO Brossettes Masque Halloween Adulte Cosplay-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MYMAO Pluie épaisse Ponchos ~ Qualité Premium, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette-of-Hudson baby Long Sleeve Bodysuits.

Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14, 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-SUREH Nid de bébé Bassinet pour lit portable en coton biologique. 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,Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose-AlokHnvj Banbag Simple De Canapé Paresseux.

Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc, 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/SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet, 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-AlokHnvj Banbag Simple De Canapé Paresseux, 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,SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt.