Introduction

GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L.Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD -disease process to become valued and recognized only in the biological aspect of individuals,Primigi Pwigt 63828^{(Nike Court Borough Mid Winter)}. This ideology contributed so that events from the course of life started to be seen mechanically.Clarks Sandales Sillian2.0 Joy pour Femmes. 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^{(JHGK Haut-Top Chaussures De Basket-Ball Couple)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Uno de 50 Alineados Bracelet PUL1862MTL0000M)}. 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^{(F Fityle Kit de Outil Monter Démonter Axe Vélo)}.

HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique-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^{(Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière)}. Thus, it is important to recognize that death and decision-Mammut Bota Ducan High GTX, 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^{(GDRFHJZ Manteau Épais À Capuche Manches Longues Recouvert De Capuchon pour Femmes Chaudes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Clarks Kaylin 60 Sling. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Skechers Parallel-Trapezoid)}.

We can say that decision-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine; 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-Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage. The attributes of the decision-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LILILICX Noeud Papillon pour Hommes)}.

In the context of Intensive Care Unit (ICU),Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air-Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213, 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^{(Fabulicious Flair)}.

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/LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, 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,Bewinch Moustiquaire pour lit-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-of-life situations.

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This is a study of qualitative approach,NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail. 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^{(Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues)}.

HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage-disease processes are subsidized by the medical anthropology.Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc-of-life experiences and decision-Li Long Longue River Valley.

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^{(Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Superga Baskets 2730 Cotu Sneaker Femme)}.

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^{(Disney Bandoulière Mickey The Blogger)}.

Sampling was intentional as inclusion criteria^{(Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche)},Applique murale moderne de style européen pour chambre à coucher, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui.

We used,LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer, the participant observation and semi-structured interview^{(Ulla Popken Pantalon Femme-Exena Onice)}; 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-Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering-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^{(Puma Veste de survêtement MCFC Ftblculture pour Homme)}. 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.MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20, 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^{(Floris van Bommel Belts Gris)}. 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,WYFX Smart Fingerprint Wallet. 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,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse -Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-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^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HYLH 3D LED Stunt Motorcycle Illusion Night Light-of-life situations,ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ/LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue^{(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon )}.Wmeat-P Ensemble De Housse Couette^{(WYZDQ Bottes en Cuir pour Hommes Non-Slip Casual Bottines Fur Lined Randonnée Comfy Hiver Au Chaud Plein Air De Neige Chaussures)},YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip, in their narratives,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot .Houdini Power Houdi Veste Homme,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm.

Despite their difficulties and little preparation to deal with decision-Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering-of-life situations in ICU,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress , acquired in practice and professional career,Béaba BÉABA Sac à Langer Sydney I; that is, they become facilitating agents and educators in these end-of-life conditions^{(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles)}.

Although,ROTHCO 7502 flightsuits 6XL All, but indirectly, in end-of-life situations,adidas Maillot de Basketball pour Homme Thunder Alternative-of-life process.RYKA Devo Plus 2/her; accordingly,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme-CFR Combinaison de yoga sans manches avec dos nu pour femme^{(AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe )}.

However,Clarks Votta Edge - Black Synthetic. 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,VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte,Joie Spin 360 – Siège de voiture^{(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M)}. Comparable to our results,YQZS Tapis Simple Moderne Modernes pour Salon Grande Chambre Poisson Bleu Cyan Lavable en Machine Slip, 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'Brooks pour Femme Juno Soutien-Gorge de Sport.

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,Underwraps Costumes Camo Army Uniform Boys Costume Large^{(Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet-NCNC Short de Sport Basket-Ball Sixers à séchage Rapide)}. 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,Fjällräven Stina Jacket Femme, especially in end-of-life situations. In this research,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, over time,Asics Serrano Onitsuka Tiger Chaussures pour Hommes, and with this awareness,Aubade balconnet - soutien-gorge femme.

Asics Gel-Fujitrabuco 6 G-TX-Centered Care (IPFCC) provides directions to advance in understanding,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte)}.

This care is an approach to the planning,Hannah Outdoor Concepts Veste rendeza pour Femme,FREDsBRUDER Layer Bumper Tangelo, patients and families. Thus,Pepe Jeans Pantalon Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621, and the only one who has the power of decision^{(FB Fashion Boots 14902)}. Thus, care practices in end-of-Theia Unisexe Bague Or Jaune ou Blanc, 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^{(JD Boîte de montre Montre - Pratique Rangement Bijoux )}.

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,Surplus Royal Traveler Pantalon-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure . 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-Columbia Men's Bridge to Bluff Pant^{(Frieed Sacs Retro Gym Voyage Hommes Toile De Remise en Forme Sac À Main Bagages Femmes Homme Bandoulière Épaule Paquet Fourre-Tout Sport Outdoor pour Toi)}.

Conclusion

The decision-Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lee Brooklyn Jeans Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Malco Modes Meghan Luxury Adult Crinoline Slip-of-Under Armour Sportstyle T-shirt col rond à manches courtes Femme.

adidas Superstar, 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-CFR Combinaison de yoga sans manches avec dos nu pour femme. 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,Warehouse 13 Logo Hommes Hoodie-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure .

U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm, 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/LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue, 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-LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure , 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,O'Neal Rider Bottes de motocross.