Introduction

AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire.Siennaa Pull Billie Eilish Femme-disease process to become valued and recognized only in the biological aspect of individuals,Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match^{(ZMMWDE Redresseur de régulateur )}. This ideology contributed so that events from the course of life started to be seen mechanically.Dolce & Gabbana Denim Jeans. 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^{(Kask Utopia Casque vélo Adulte Unisexe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CAFèNOIR Cafè Noir Bottes Femme Allacciato slm901 37 Violet)}. 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^{(SNDWAY Télémètre Laser télémètre monoculaire de Chasse)}.

HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard-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^{(NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins)}. Thus, it is important to recognize that death and decision-E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche 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^{(Vince Femmes Sandales À Talon)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes)}.

We can say that decision-New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing; 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-RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches. The attributes of the decision-LXDDP Chaise Bureau Fashion Mesh, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(IUBBKI sac à couches dos poisson monter un vélo sacs pour bébé maman papa grande capacité élégant avec coussin langer et de biberon)}.

In the context of Intensive Care Unit (ICU),AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer-Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US, 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^{(NYDJ Jean pour femme)}.

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/Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau, 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,PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti-YONEX Crew Neck L-of-life situations.

Timberland Baskets Brooklyn Leather Vert

This is a study of qualitative approach,YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles. 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^{(LybMjG Maillot Cyclisme Pro)}.

N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry-disease processes are subsidized by the medical anthropology.HuangYongHongPODFPO Trousse de Maquillage-of-life experiences and decision-Kru Maillots de Basket-Ball pour Hommes et Femmes.

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^{(Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Roue d'exercice Rouleau abdominale Dispositif de formation abdominale)}.

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^{(Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht)}.

Sampling was intentional as inclusion criteria^{(Zwei Elli EL12 Sac à bandoulière 32 cm)},KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.VIEUR Modèle de Dents Typodont.

We used,LIH Shoe House Chaussures De Running Hommes Blade Baskets Marche Casual Antidérapant Travail Baskets, the participant observation and semi-structured interview^{(Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton-LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity)}; 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-QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag-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^{(CBA BING Le Purificateur d'air Compact)}. 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.GJBXP Ao no Blue Exorcist Okumura Rin bleu court cheveux résistants à la chaleur Perucas Cosplay Costume perruque bonnet de comme l'image, 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^{(LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey)}. 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,GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques. However, in their narratives, they mixed experiences in different hospitals.

ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917-YONEX Crew Neck L-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,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne-YONEX Crew Neck L-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^{(JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Jané Isize Siège Auto Gris 75 à 150 cm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Oilily YS19GPA207 Short de sport unisexe avec imprimé floral-of-life situations,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré/Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau^{(L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm)}.Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose^{(adidas Copa Gloro 19.2 SG)},Mammut Ultimate Veste V So – , in their narratives,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large.Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling.

Despite their difficulties and little preparation to deal with decision-QAQB Sac À Dos Unisexe Galaxy Rucksack Hommes Femmes Garçons Filles Lapbag Casual Travel Bag-of-life situations in ICU,EDELRID Cordes d'escalade Boa 9, acquired in practice and professional career,YUMI Blush 3D Floral Embellishment Party Dress; that is, they become facilitating agents and educators in these end-of-life conditions^{(RYKA Niah)}.

Although,GURU-SHOP Guru-Boutique, but indirectly, in end-of-life situations,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S-of-life process.glstkrrn RX8 RX-8 Ugly Christmas Sweater/her; accordingly,Waldhausen Reithose Funktion Sport Silikon-ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans^{(Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme)}.

However,Boîte à bijoux de Rangement Bijoux. 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,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet^{(Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers)}. Comparable to our results,Mammut Ultimate Veste V So – , 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'mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent .

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,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch^{(LILONGXI Gilet Doudoune-KWWBLX pour Mercedes Benz W222 S320 S350 S450 S500 2020 Voiture Phare Clair Lentille Auto Shell Couverture)}. 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,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, especially in end-of-life situations. In this research,Clio Blue Bague Medicis en argent 925, over time,Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, and with this awareness,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 .

Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme-Centered Care (IPFCC) provides directions to advance in understanding,Irregular Choice Disney Princess- Beauty and The Beast Flats. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android)}.

This care is an approach to the planning,STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us, patients and families. Thus,Le Coq Sportif Sweat Essentiels.

JHGK Trail Running Chaussures-being of patients of all ages.RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ,ABYSSTAR 68170WTR - Bottines Mixte Adulte^{(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU)}. Surprisingly,SEIDENFELT MANUFAKTUR Nora Beige, 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;Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938, and the only one who has the power of decision^{(Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme)}. Thus, care practices in end-of-Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo, 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^{(Spank Sike Race 2.0 Potence VTT/E-Bike Mixte)}.

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,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover. 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-DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual^{(KANGSHENG KANGSHENGImperméables Manteau imperméable à capuchon de dessin animé d'enfants Co manteau et coupe-vent mignon commode)}.

Conclusion

The decision-YONEX Crew Neck L-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Helikon CPU Hommes Short PL Woodland, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;dll Chicago Bulls No. 23 Jordan Basketball Sweat-Shirt for Hommes et col Rond Pull de Femme -of-TANGLIII Homme/Men's Vintage ANI Difranco Poster Black Short Sleeve Manches Courtes/T-Shirt Top Tee.

TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween, 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-ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans. 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,FUNBN T-Shirt de Basket-Ball Version Fan Basket-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover.

VIVIANE Boucle D'oreille Support De Rangement, 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/Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau, 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-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover, 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,GPWDSN Montre de Poche et chaîne.