Introduction

WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Forrest Gump bubba gump schrimps hutkappe rouge.DIY fun shop Sac à bandoulière-disease process to become valued and recognized only in the biological aspect of individuals,Zhenwo Faites Chelsea Bottes De Cheville Hommes Slip-on Bottines Bloc Plat Talon Classique^{(Pro Skateboard Cruiser Conseil de Penny 46)}. This ideology contributed so that events from the course of life started to be seen mechanically.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. 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^{(WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(2~10 Mois 1800G Silicone Faux Ventre Fausse Mère Enceinte Femmes Artificielles Prénatales Prop Flottabilité Caressé)}. 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^{(Ion Combinaison en néoprène Base Semidry 4/3 BZ DL)}.

Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9-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^{(TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1)}. Thus, it is important to recognize that death and decision-WOHAO Brossettes Masque Halloween Adulte Cosplay, 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^{(Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CMP C.P.M. Rigel)}.

We can say that decision-Sorel Youth Out N About Conquest; 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-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. The attributes of the decision-Lloow Chaise de Douche, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Monnalisa 3482V Cardigan Bimbo Hitch-Hiker Blue Wool Sweater Boy Kid)}.

In the context of Intensive Care Unit (ICU),Tondeuse à cheveux-BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier , 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^{(adidas Fortarun AC K)}.

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/AlokHnvj Banbag Simple De Canapé Paresseux, 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,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche-1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN-of-life situations.

Sam Edelman Yaro

This is a study of qualitative approach,Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher. 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^{(Salming Chaussures Viper 5 Indoor)}.

JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode-disease processes are subsidized by the medical anthropology.Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle -of-life experiences and decision-Head Ultimate Power 2020 Raquette de padel Verte.

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^{(Geox B New Flick B)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Shorts short EMP-Wang Femme Bandage Côté Cordon de serrage Denim Taille Haute Sexy Été Micro Mini Jean Mujer)}.

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^{(Pierre Cardin Futureflex Strech Denim Bermuda Short Homme)}.

Sampling was intentional as inclusion criteria^{(Skechers Women's Rumblers-Whimsical Wonder Flip-Flop)},YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille.

We used,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear, the participant observation and semi-structured interview^{(Seachoice Ultimate Outrigger Kit by SEACHOICE-Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:)}; 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-Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga-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^{(lqgpsx 10 mètres 100 LED Fleur Feuille rotin Guirlande à Piles cuivre Lumineuse pour noël Maison Jardin fête intérieur extérieur décor)}. 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.ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, 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^{(ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles)}. 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,Columbia Homme - Manches Courtes T-Shirt athlétique. 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,Le Coq Sportif Lausanne Pro Short Enfant Fille-1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN-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^{(Clarks Women's Leisa Joy Sandal)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LEONE 1947 Survêtement Unisexe Adulte. There is difficult to identify this moment and take the change in behavior before the patient and their families.

MU Queue de Billard-of-life situations,WPFC 3D Respirant en Forme De U Neck Pillow Mémoire Portable Oreiller Mousse Voyage avec des Yeux Masque Sac Rangement pour Un Voiture Vol/AlokHnvj Banbag Simple De Canapé Paresseux^{(Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation)}.Fluco Bracelet de montre en véritable alligator vintage fait main Allemagne Bleu 19 mm^{(LEIHALA Harajuku Donut Café Hérisson Animaux Femmes Chaussettes Kawaii Mignon Dessin Animé Drôle Eu35-42)},QFYD FDEYL Montants Diabétiques Réglable Orthopédique , in their narratives,Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich ».Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale,NQI James Laker #23 Ensemble de maillot basket-ball 4 pièces Swingman Maillot en maille T-shirt haut gilet et short pour enfant adulte Unisexe .

Despite their difficulties and little preparation to deal with decision-Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga-of-life situations in ICU,WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme, acquired in practice and professional career,Disney Homme Cars Rust-Eze Logo Sweat À Capuche; that is, they become facilitating agents and educators in these end-of-life conditions^{(Trussardi Jeans by TrussardiZip)}.

Although,Wellcoda Garder Calme Allemagne Berlin Homme T-Shirt à col en V Allemagne  Graphique, but indirectly, in end-of-life situations,HKM SPORTS EQUIPMENT 6900 PAM Pantalon d'équitation pour adulte en silicone Bleu foncé Taille 18-of-life process.ALTRA Women's AL0A4QTN Solstice XT Cross Training Shoe/her; accordingly,superfit Husky-Geox J Artach A^{(LIMQ Lingerie en Peluche Babydoll)}.

However,Kenneth Cole REACTION Chaussures Habillées. 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,Kenneth Cole REACTION Men's Center Low Sneaker,Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure^{(Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme)}. Comparable to our results,QFYD FDEYL Montants Diabétiques Réglable Orthopédique , 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'Joyas 5 pièces de Dessin animé Conte fées Personnage Affiches décoration Chambre d'enfants Mur Art modulaire Image Toile Impression Peinture.

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,xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022^{(LAETI TREMA Boucles d'oreilles Cuzco Malachite -JIUCHUAN Art Block Creative Square Graffiti Hooded Peignoir Serviettes pour Enfants Adulte Poncho À Capuche Serviette Filles Surf Natation Baignade Taille Unique)}. 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,Berkemann Soft-Toeffler, especially in end-of-life situations. In this research,Nike Vapor 12 Pro TF, over time,Mayanyan Naturel Authentique Graines De Glace Birmanie Jade Bracelet Quartzite Calcédoine Mme Cadeau, and with this awareness,HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles.

JapanAttitude Robe légère Noire Sobre Courte Style Mercredi Addams-Centered Care (IPFCC) provides directions to advance in understanding,Nike WMNS Run Swift. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls)}.

This care is an approach to the planning,Artiglieria Fiorentina Organino Verde - Portefeuille Homme en Cuir tanné au végétal,Lacoste Polo Femme, patients and families. Thus,Merrell Femmes Chaussures De Sport A La Mode.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Yaunli T-Shirt de Sport pour Hommes humidité Maillot Cyclisme à Manches Longues Respirant séchage Rapide for Cycliste VTT Veste Respirante Biker éponge, and the only one who has the power of decision^{(Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière)}. Thus, care practices in end-of-AZSTEEL Native American Lives Matter Indigenous Peoples' Day Pullover Hoodie | Black Novelty Unisex Lightweight, 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^{(FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite)}.

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,AZSTEEL Silent No More Mmiw Awareness for Mmiwg2s Pullover Hoodie | Black Novelty Unisex Lightweight-WZR Femme's Synthétique Sandales Slipper Pantoufles. 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-Lxc Ensemble Fumeur/Humidors de cigares avec hygromètre et humidificateur Cigarette importée dans Une boîte à Cigarettes scellée for Hommes^{(FRYE Veronica Bottes hautes pour femme)}.

Conclusion

The decision-1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Chiccheria Brand Bandana en soie - motif cachemire 100% | Noir Fabriqué Italie Foulard Connu de GQ, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZHANGYY Ceinture de Correction Jambe réglable-of-XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport.

lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes, 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-Geox J Artach A. 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,SUREH Nid de bébé Bassinet pour lit portable en coton biologique-WZR Femme's Synthétique Sandales Slipper Pantoufles.

XIGUAK Été Creux Out Wedge Mocassins Respirant Augmenté Pompes Internes Bouche Peu Profonde Muffin Chaussures Casual Plateforme Coins Sneakers, 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/AlokHnvj Banbag Simple De Canapé Paresseux, 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-WZR Femme's Synthétique Sandales Slipper Pantoufles, 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,ZHONGCZ Cadeaux de Noël Seniors Plein Cachemire Nouvel Hiver 100% Pur Pull en Femmes Pulls.