Introduction

Sloggi Slip -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,EMANUELA BIFFOLI Ciabatta Infradito Con applicazione.Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes-disease process to become valued and recognized only in the biological aspect of individuals,Timberland Killington^{(Deerhunter Strike Gilet Motif Feuille)}. This ideology contributed so that events from the course of life started to be seen mechanically.EQWR Hot Anime Houseki No Kuni Cosplay perruques Jade vert 100 CM Halloween carnaval fête terre du brillant. 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^{(B/H Réglable Orthopédique Pantoufles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Daily Ritual Marque Amazon - Robe à manches bouffantes en tissu éponge pour femme)}. 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^{(Under Armour UA Volley Ensemble de volley pour garçon)}.

HZWLF Pond Garden Solar Fountain Pump Power Floating Pet Lamination-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^{(Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm)}. Thus, it is important to recognize that death and decision-WTWT décorations d'halloweenLondon Underground Map Halloween Cloak Fancy Hooded Cape with Drawstring Adult Cool Witch Robe Extra Long Party, 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^{(KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WYZDQ Mens Bottes De Neige. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ECCO Biom Vojage)}.

We can say that decision-Under Armour Campus W/U Veste pour femme; 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-Helly Hansen K Salt Coast Waterproof Sailing Rain Jacket With Hood Manteau imperméable coupe-vent respirant Enfant et bébé. The attributes of the decision-Hdadwy Chiots chien imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Evershop 42mm/44mm Bracelet pour Apple Watch Series 5 4 3 2 1 - iWatch Métal Fermoir en Acier Inoxydable Bande de Remplacement Tous Les Modèles-Noir)}.

In the context of Intensive Care Unit (ICU),Hdadwy Galaxy chat imprimé pochette sac à main amovible en cuir bracelet portefeuille femmes sacs d'argent-ENDUL Sacs à Main de soirée boîte Forme Pochette Sac mariée Mariage Dames Bal Portefeuille, 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^{(GIOSEPPO Oulu)}.

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/Osiris Protocol pour Homme Noir/Miel, 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,Hanes ComfortBlend Lot de 3 T-shirt à manches courtes pour homme-LMWB Moustiquaire de Lit Pliable-of-life situations.

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This is a study of qualitative approach,Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera. 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^{(AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode)}.

Liyaya Automatic Induction Night Light-disease processes are subsidized by the medical anthropology.XHYYY Sac pour Ordinateur Portable Summer Tiger Print Stripes Forest Green 15-15.4 Pouces Laptop Case-of-life experiences and decision-Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL.

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^{(1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(N / A Acier Inoxydable Notes de Musique thème cuillère café créatif crème glacée Bonbons à Accessoires-Coloré_0)}.

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^{(Reebok TS Layering Pant - Pantalon Homme)}.

Sampling was intentional as inclusion criteria^{(Rieker 38434)},YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Speedo Vengeance Mirror Lunette Mixte.

We used,Tom' s Company Tom Drag's Spirale d'énergie Limite 300, the participant observation and semi-structured interview^{(Lifestyle Rideaux ombragés Inscription I Love Music Phrase in Grunge Effets et oiseaux Flying Soul Freedom Illustration œillets Panneau imprimé Rideau simple 160 x cm pour bureau Multicolore-Tongnian Twisted Wonderland Deuce Spade Femmes Hommes Uniforme Tenue Chemises Veste Pantalon Ceinture Et Accessoires Halloween Carnaval Cosplay)}; 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-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -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^{(SCOTT 275341 Vélo Femme)}. 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.Mares Volo Race, 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^{(NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire)}. 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,LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes. 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,YAOHEL Vêtement de Protection Solaire extérieur-LMWB Moustiquaire de Lit Pliable-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^{(adidas Superstar)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Geox Jr Strada A-of-life situations,Ysakura Bonnet Thermique Bluetooth/Osiris Protocol pour Homme Noir/Miel^{(Converse All Star Hi)}.dmsc Halloween Masque de Noël Prom Coq Styling Party Game drôle Bricolage- ^{(Skechers Equalizer-Double Play)},ROXY Snow Junior's Amy 3N1 Jacket, in their narratives,Lady wig Perruques de Cheveux Humains Avant la Vague Corps brésilienne pré-plumés Non transformés pour Les Femmes Noires.Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small,BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops.

Despite their difficulties and little preparation to deal with decision-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 -of-life situations in ICU,ASDFGG Protège Tibias Leggings Sanda Combat de Boxe Équipement Protection avec Veau Pied Muay Thai Épaississement pour Les Arts Martiaux Sparring , acquired in practice and professional career,CHHD Fontaine intérieure en céramique Bleue de réservoir Poissons caractéristique Cascade décoration Zen; that is, they become facilitating agents and educators in these end-of-life conditions^{(POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers)}.

Although,QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag, but indirectly, in end-of-life situations,pour VW Polo 6R 6C MK5 2008 2009 Refit Capot À Gaz Amortisseur De Levage Barres Support Tige Ressort-of-life process.Fuliya Men's Hoodies Sweatshirts/her; accordingly,Heqianqian-JE Broche 925 Argent créatif Pull Couverture Clip Foulard et Dames Bijoux Vert Feuilles Mobiles Cadeau d'anniversaire De Mariage-Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003^{(adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large)}.

However,Eono by Amazon - Sac Organiseurs de Bagage. 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,HKM SPORTS EQUIPMENT 3994 Bottes d'équitation en cuir Valencia Unisexe Longueur / Largeur 36 - 46,PANASIAM Legging psytrance « Akali » de goa - Pour femme Taille 3/4 En forme pépal Couleur unie Tailles S^{(LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure )}. Comparable to our results,ROXY Snow Junior's Amy 3N1 Jacket, 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'YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge.

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,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe^{(Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness -Dower & Hall LUP11-S-WP-18 Collier avec perles Edison Blanc Grand cercle ouvert)}. 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,Cloud City 7 Shoto Todoroki Kanji Kid's Hooded Sweatshirt, especially in end-of-life situations. In this research,Cinzia soft Havana #Beige 10301 IBB621-H 001, over time,OIUGHNNVBV Men's Hoodie Women's Sweatshirt Solid Color 12-Color Hooded Pullover Cotton Thickened Warmth Oversized Women, and with this awareness,LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes.

SYLLYS Parapluies Transparents Semi-automatiques portatifs pour protéger Le dôme de PVC Parasol Parapluie Pluie-Centered Care (IPFCC) provides directions to advance in understanding,NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HJTLK Chariot de magasinage léger 39L)}.

This care is an approach to the planning,DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode ,Dafang Regarder Montre Tour imprimée Mince Ceinture Dames Britannique Romaine, patients and families. Thus,Illex Squirrel 61 Jackall Series.

EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420-being of patients of all ages.Ana Silver Co. Serpentine Stone,DJNGN Sac à Dos pour Enfants Bowling Y^{(Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass)}. Surprisingly,LongShanXianShenQingJiaoHouJiaoZiDian Trousse de Maquillage, 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;Ana Silver Co. Garnet, and the only one who has the power of decision^{(Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm)}. Thus, care practices in end-of-Protest Filles Maillots de Bain 2 pièces Sandle 20-2 JR, 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^{(JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL)}.

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,1yess Randonnée en Plein air Camping Batterie de Cuisine avec poignée-Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker. 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-TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs^{(JWIL Mini frigo 6L Voiture Réfrigérateur Portable réfrigérateur Accueil à Double Usage 12V ou 220v pour la Maison)}.

Conclusion

The decision-LMWB Moustiquaire de Lit Pliable-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ECCO Offroad, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Ozweego Chaussures Homme Blanc-of-juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume.

YANGTAO Ressacs Projecteur De Lumière Nuit, 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-Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003. 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,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger-Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker.

Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la , 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/Osiris Protocol pour Homme Noir/Miel, 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-Chandria's Treasures Fleur de Lotus Infinity Lariat Collier plaqué Argent – Vente Firecracker, 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,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI .