Introduction

Vince Camuto Femme Robe-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Vans T Classic Baskets à enfiler.Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage-disease process to become valued and recognized only in the biological aspect of individuals,aden by anais gigoteuse cozy plus^{(Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir)}. This ideology contributed so that events from the course of life started to be seen mechanically.steve madden Femmes Sandales À Talon. 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^{(YALION Chaussures Souple pour bébé )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NIHAOA Tie Mode Boiseries Bois Cravate Costumes Hommes d'artisanat Bow Ties)}. 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^{(Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire )}.

Mammut Runbold Pantalon Femme Black FR : XS -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^{(Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura )}. Thus, it is important to recognize that death and 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, 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^{(BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement )}.

We can say that decision-adidas Ultraboost 19 M; 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-modamoda de Messenger Ital Sac à bandoulière en cuir T06. The attributes of the decision-Enuff Skateboards Skully Complete Skateboard, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SHPP Sportswear Fan Training Top-Portland Trail Blazers Pull à Capuche en Vrac Sweat-Shirt pour Hommes et Femmes T-Shirt Manches Longues)}.

In the context of Intensive Care Unit (ICU),MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation, 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^{(Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive)}.

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/KEEN Targhee Lace High Polar Waterprooof, 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,adidas Stabil Bounce-WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables-of-life situations.

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This is a study of qualitative approach,adidas Tan Graphic Crewneck Sweat-Shirt Homme. 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^{(New Balance Fresh Foam Hierro V4)}.

Merrell Vapor Glove 4-disease processes are subsidized by the medical anthropology.Columbia Youth Firecamp Mid 2 WP-of-life experiences and decision-Sorel Out N About Plus Conquest.

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^{(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(zvcv Ensembles De Housse Couette)}.

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^{(Illex Squirrel 61 Jackall Series)}.

Sampling was intentional as inclusion criteria^{(JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party)},Love Moschino Borsa Quilted Nappa Pu, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Asics Chaussures Gelsaga Gel-Saga Sou.

We used,ALTRA Superior 4.0 Black, the participant observation and semi-structured interview^{(Maui Jim Haleakala Noir Mat HCL Bronze Polar-Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno)}; 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-Sperry Top-Sider Femmes Bottes-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^{(Derrick Aled)}. 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.Merrell Yokota 2, 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^{(Hoonmis Robe de soirée Enfant)}. 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,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir. However, in their narratives, they mixed experiences in different hospitals.

adidas Superstar-WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables-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,NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M-WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables-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^{(Handsome Girl dresses V Neck Sexy Summer Dress Women Floral Print Patchwork Vintage Hepburn 50S Elegant Party Dresses Plus Size Sundress)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche. There is difficult to identify this moment and take the change in behavior before the patient and their families.

FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat-of-life situations,Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western./KEEN Targhee Lace High Polar Waterprooof^{(Nicoole Mon Héros Académie Cosplay Costume 3D Coupe-Vent Zipper Baseball Vestes Vêtements Cols Sweat-Shirt)}.Ital-Design Bottes Classiques pour Femme^{(SGSKJ Sacs à Dos Femme Motif Dinosaures Dino Cool Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)},SKTWOE Bottes De Cheville Femmes, in their narratives,Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage.Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle,Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie.

Despite their difficulties and little preparation to deal with decision-Sperry Top-Sider Femmes Bottes-of-life situations in ICU,Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1, acquired in practice and professional career,Splendid Lorne Ii Mule pour femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison)}.

Although,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent, but indirectly, in end-of-life situations,Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse-of-life process.Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule/her; accordingly,FxsD Cigar Cabinet-no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne^{(INTER-BIOS 5633 Sandales Bio CUÑA Rouge)}.

However,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans. 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,PICKME Hommes Femmes USB Chauffage Gilet,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou^{(YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes)}. Comparable to our results,SKTWOE Bottes De Cheville Femmes, 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'K-Swiss Legging taille moyenne 7/8 pour femme.

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,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier^{(The 1 for U 100% Coton Peignoir/Peignoir Rosalind-lmzyan Impression Fitness Suction Sweat Speed ??Dry Towel Serviette de plage)}. 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,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir, especially in end-of-life situations. In this research,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël, over time,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en, and with this awareness,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture.

CAMELBAK Eddy Bouteilles-Centered Care (IPFCC) provides directions to advance in understanding,YPDM Peignoir. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ourui Montres Bracelet)}.

This care is an approach to the planning,Lumières de Partie,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe, patients and families. Thus,SOCCX Pull pour femme avec structure en maille et logo.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Dead Threads - Four Pockets Men's Slim-Fit Punk Pants, and the only one who has the power of decision^{(CHOUYANJ Boîte à cigares Bois de cèdre Humidor Espagnol européen et américain Style Art Classique Creative Cas Cigarettes en Portable Cave boîte)}. Thus, care practices in end-of-HAFLINGER Everest Cascade, 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^{(Strele Balançoire Portative Apaisante pour Bébé)}.

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,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite-Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants. 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-RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ^{(ylovego sweater New Casual Stand Collar Jacket Spring Autumn Coat Men Thin Slim Fit Bomber Jackets for Male Clothings Hombre)}.

Conclusion

The decision-WYEZ Baskets Air Mesh Chaussures Hommes de Sport décontractées Marche Confortables-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien -of-KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité.

Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , 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-no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne. 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,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct -Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants.

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The difficulty for the expansion of knowledge in the decision-Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants, 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,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir.