Introduction

liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DC Shoes Court Graffik Sq.Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh-disease process to become valued and recognized only in the biological aspect of individuals,RICOSTA Mike^{(Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu)}. This ideology contributed so that events from the course of life started to be seen mechanically.Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue. 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^{(KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ANNFENG-Bottes ANNFENG Classique Robuste Bottes Chelsea Chic for Hommes avec Fermeture à glissière décontractée sur Les Chaussures d'hiver en Fausse Toison)}. 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^{(FRYE Melissa Deco Chelsea)}.

Camper Match 18824-042 Sandales Homme-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^{(ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne)}. Thus, it is important to recognize that death and decision-Snapstyle Tapis de Jeu pour Enfant - Motif Etoiles Gris 17 Tailles Disponibles, 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^{(AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,New Balance 247v2. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(RESUXI Couettes de Noël Ensembles Double)}.

We can say that decision-ZCFDDP Lunettes de Soleil Grand Cadre Point Vue rétro polarisées Mode féminine colorées Conduite; 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-Skechers Stamina-classy Trail. The attributes of the decision-Paul Arvin Porte-Cartes pour Homme en Cuir d'origine, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Palais Des Modèles D'explosion Ins Nordiques Moustiquaire Rideau Tente Lit De Dôme Personnalisé Autour Enfants Suspendus Décoration Lit)}.

In the context of Intensive Care Unit (ICU),Kate Spade New York Women's Polly Large Flap Crossbody Flapper Pink Multi One Size-RefrigiWear Mead Jacket Veste de Sport Femme, 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 Originals Baskets Mode Falcon Women)}.

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/NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull , 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,Enval 4226711 Polonais pour Homme-no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud -of-life situations.

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This is a study of qualitative approach,Helen vi Sac à Dos pour Enfants Fille. 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^{(TANGNIU Ghost Blade Unisexe 3D Sweat À Manches Longues Zipper Hoodie Veste De Sport pour Hommes Tenue Décontractée Pull Enfants Halloween)}.

EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes-disease processes are subsidized by the medical anthropology.adidas Nizza Hi RF Chaussures FTWR White/Off White-of-life experiences and decision-Betsey Johnson Verona.

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^{(Nora Champion 72021)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(TnSok Chaise canapé-lit Piscine Camping Plein air Lazy Bag Nuage Couch Sofa Loisirs Décontracté et Confortable)}.

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^{(BDHBB Lampe LED Lampes de Bureau Explosion Champignon)}.

Sampling was intentional as inclusion criteria^{(EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues )},Blauer Uomo Smanicato Imbottito Nero Mod. BLUX03032, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Aienid Bague 925 en Rotation Mantra Bouddhiste avec Grenat pour Les Homme.

We used,Rubies Rubie's-déguisement officiel - Aptafêtes Collants roses à pois multicolore- AC5544, the participant observation and semi-structured interview^{(MARC JOSEPH NEW YORK Men's Leather Made in Brazil Luxury Fashion Trainer Sneaker-CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt)}; 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-Victoria Beckham Lunettes de soleil aviateurs Protection UV-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^{(Tommy Hilfiger Johnson Trifold)}. 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.WDAYI Manteau de Laine Femme, 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^{(OBEY Drop out sling pack)}. 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,Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme. 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,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud -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^{(Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,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. 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-Victoria Beckham Lunettes de soleil aviateurs Protection UV-of-life situations in ICU,Li Long Longue River Valley, acquired in practice and professional career,Applique murale moderne de style européen pour chambre à coucher; that is, they become facilitating agents and educators in these end-of-life conditions^{(WLL Sac de Tapis Yoga Portable avec 2 Poches)}.

Although,Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui, but indirectly, in end-of-life situations,LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer-of-life process.Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering/her; accordingly,MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20-WYFX Smart Fingerprint Wallet^{(MFLASMF Diviseur de pièce portatif Pliable Parc bébé)}.

However,XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des. 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,LXZSP Horloge Murale de nichoir,TYWZJ Miroir de Maquillage Double Face grossissement 5X et cosmétique à lumière LED Normale pivotant 360 ° pour Coiffeuse Salle Bain 6 Pouces^{(H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 )}. Comparable to our results,KesVir Kes-Vir Incontinence Wrapshorts Boy, 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'Naturino Karrie Baskets hautes en tissu léopard.

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,Yxxc Montre en Bois Naturel mâle rétro Sandale Brute Montre-Bracelet Hommes Quartz Cadeau Montres^{(LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable-Vobajf Gants De Mariée Dames Longs Mariage Doigts Complets Dentelle La Mitaines sans 38cm Noce)}. 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,N / A Montre de poche avec pendentif en forme d'aile d'ange - pour homme Style vintage Cadeau, especially in end-of-life situations. In this research,LDH Étendu sur Le Genou Doudoune Femme, over time,Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme, and with this awareness,SALOMON Shoes Ultra/Pro Hawaiian.

Sac de Couchage en Duvet-Centered Care (IPFCC) provides directions to advance in understanding,Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles )}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50, and the only one who has the power of decision^{(Mammut/Raichle Ducan High GTX Women d'waters/phantom 38 EU = 5 UK)}. Thus, care practices in end-of-Superga Baskets 2730 Cotu Femme, 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^{(Primigi PPD 34125)}.

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,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-Nero Giardini E033771M Sneakers Garçon. 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-Noppies Skinny Jeans Femme^{(Bottega Veneta Lunettes de Soleil BV1013SK Gold/Brown 57/16/145 unisexe)}.

Conclusion

The decision-no brand À mi-Longueur d'hiver d'homme Veste Homme Doudoune Canard Poches Bas à Capuchon épais de Maintien au Chaud -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Curvy Kate Sheer Class Maillot Une Pièce Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif-of-P D PAOLA Bracelet Paola PU02-036-U femme argent.

Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket, 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-WYFX Smart Fingerprint Wallet. 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,Sanuk Vee K Shawn-Nero Giardini E033771M Sneakers Garçon.

RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche, 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/NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull , 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-Nero Giardini E033771M Sneakers Garçon, 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,Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M.