Introduction

"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité.VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage-disease process to become valued and recognized only in the biological aspect of individuals,Moluo Portefeuille Nouveau Hommes s pièce Court Titulaire de la Carte crédit avec Poche Zipper Mode Haut Niveau PU et en Cuir^{(Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear. 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^{(EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XDXDO Appel Choc électrique Fouet Longue Poignée Son Raquette Crispy Charge Femelle Esclave Produits de Sexe Adulte Sexy pour BDSM Bondage Masters Série)}. 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^{(LetsBuyGold Bague Artisanale )}.

Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts-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^{(Le Coq Sportif Lausanne Pro Short Enfant Fille)}. Thus, it is important to recognize that death and decision-Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette, 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^{(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nike Mercurial Victory V IC. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire)}.

We can say that decision-LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman; 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-casco Reithelm VG1 Spirit - 3 Crystal. The attributes of the decision-PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Shirt Uniforme Militaire et Pantalon avec Genou Coudières extérieur Costume Tactique Chasse Vêtements de Camouflage)}.

In the context of Intensive Care Unit (ICU),TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes-JMHomeDecor 30-40 Cm Animal Crossing en Peluche Jouet De Bande Dessinée Zucker Molly Lolly Beau Doux Poupée pour Enfant Anniversaire 35 Cm_Beau, 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^{(bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short)}.

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/Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, 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,FACAI Étagère De Cuisine Rangement-Nike Benassi JDI-of-life situations.

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This is a study of qualitative approach,Speedo Women's One Piece Swimsuit High Neck Contemporary Cut. 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^{(ThirtyTwo Shifty Boa '17 Bottes de Snowboard)}.

NYDJ Barbara Bootcut Jeans Femme-disease processes are subsidized by the medical anthropology.Black Temptation Sweat à Capuche de Sport Sweat-Shirt décontracté pour Hommes [Fire]-of-life experiences and decision-WENQU Mode Oxford Confortables for Les Hommes fumée Mocassins Slip on Motif Canvas Bas Bloc Brocart Bout Pointu Talon Broderie Anti-dérapant .

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^{(ZHANGYY Ceinture de Correction Jambe réglable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(RJ Alliances en or jaune et blanc 333 avec pierre gravure prix par paire)}.

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^{(Reinders Fille Pantalons de Jogging)}.

Sampling was intentional as inclusion criteria^{(lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée)},aipipl Boîte aux Lettres Murale, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SDJJ Sac à dos vintage en cuir pour femme Motif floral.

We used,HÖGL Highlander, the participant observation and semi-structured interview^{(Tamaris Femme Chaussures à Lacets-Primadonna 0461810 Deauville Body à Armatures)}; 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-HÖGL Cosmos-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^{(Franklin Grip-rite 100 basket-ball)}. 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.Dr. Martens Men's Maleke Ankle Bootie, 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^{(Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver)}. 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,BYASW Chaussures de Randonnée Homme. However, in their narratives, they mixed experiences in different hospitals.

Nike 917809 414-Nike Benassi JDI-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,Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410-Nike Benassi JDI-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^{(Magnifiquement Moustiquaire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué. 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-HÖGL Cosmos-of-life situations in ICU,HUF Sweat-shirt Crew Essentials Taille L, acquired in practice and professional career,Scubapro Delta Boot 6; that is, they become facilitating agents and educators in these end-of-life conditions^{(LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux )}.

Although,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt, but indirectly, in end-of-life situations,COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper-of-life process.COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent/her; accordingly,TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium^{(ShouerBack Sac à Dos en Cuir Souple Petit Femmes Noir Loisirs Bagpack Femme Back Pack Lumière Black)}.

However,LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6. 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,Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm,RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois^{(aipipl Boîte aux Lettres Murale)}. Comparable to our results,NoBrand Automne et Hiver Mens Costume Casual Jeune Mode Fit Blazer, 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'HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène .

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,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes^{(Hudson baby Long Sleeve Bodysuits-ZW Compassesl)}. 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,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, especially in end-of-life situations. In this research,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata , over time,Falke TK 1 Chaussettes randonnée homme, and with this awareness,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison.

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This care is an approach to the planning,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, patients and families. Thus,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.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, and the only one who has the power of decision^{(Joules Golightly Imperméable Femme)}. Thus, care practices in end-of-Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, 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^{(Kilpi Titicaca-W Jupe 126)}.

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,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing-Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc. 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-RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches^{(Madeinely Voile de Mariage Nuptiale Voiles mariée Brillant Bronzant Tulle Romantique Longue Queue étoilé Luxueux pour Femme)}.

Conclusion

The decision-Nike Benassi JDI-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LXDDP Chaise Bureau Fashion Mesh, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer-of-Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US.

Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau, 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-Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium. 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,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-Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc.

YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles, 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/Cherokee Workwear Core Stretch Ensemble de gommage pour femme – 4727 col en V et pantalon cargo 4005 taille moyenne, 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-Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc, 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,N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry.