Introduction

Couverture pour bébé-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet.Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc-disease process to become valued and recognized only in the biological aspect of individuals,XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm ^{(YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche)}. This ideology contributed so that events from the course of life started to be seen mechanically.Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde. 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^{(PunkFootball Je déteste le T-shirt West Ham United de Millwall)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Under Armour Terry Jogger Pantalon 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^{(CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23)}.

LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG-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^{(Sorel Youth Out N About Conquest)}. Thus, it is important to recognize that death and decision-XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée, 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^{(adidas Ultraboost 19)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(mys Sneaker Customized Adulte - Chaussures Coutume )}.

We can say that decision-Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt; 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-Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison. The attributes of the decision-XFQ Sandales pour Dames en Plein air, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CIESSE PIUMINI Ciese Duvet 00244/P2A10D F91)}.

In the context of Intensive Care Unit (ICU),Bennigiry Dent de lion Perdant graines Le vent Athletic Trainers Chaussures légères sport pour femme-Military Online HMS Ranger Embroidered Logo - Official Royal Navy Hoodie Hooded Sweatshirt by, 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 KATE SPADE LUCYANN 2 0807 Noir)}.

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/Brand88 Wolf Mask, 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,NEWTON Distance 9 Chaussure De Course à Pied - AW20-OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-of-life situations.

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This is a study of qualitative approach,Jiger Women Small Cell Phone Purse Crossbody. 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^{(YJDDLJ Plaquettes de Frein arrière Moto/adaptées pour Hon.Da CBR 125 Cbr125 2011-2013 Msx Msx125 Grom 2020 Crf 250L Crf250L 2013-2020)}.

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 -disease processes are subsidized by the medical anthropology.JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces-of-life experiences and decision-L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-.

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^{(Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Weentop 2 Pcs Blanc Gentleman Barbot Mariage Toddler Bébé Garçon Ensemble De Tenue Smoking)}.

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^{(fshsh limeiliF Shorts de Yoga et Pilates Femme Signe la Paix Colombes pétales Femmes 'Low-Rice Stretchy Sexy Gym Workout Tight Short Pants)}.

Sampling was intentional as inclusion criteria^{(Gentle Souls Femmes Chaussures À Talons Couleur Noir Black/Blk Taille 38.5 EU /)},TROUSSELIER - DISNEY Minnie Boîte à Bijoux Musicale Idéal Cadeau Jeune Fille Musique Lullaby de Mozart Colori Rose, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KEHUITONG Barre horizontale pour porte de sport.

We used,WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25, the participant observation and semi-structured interview^{(YONGYONGCHONG Matériel de Danse Ballet Instep Shaper Pied- artefact Solide Pied du Corps Pied-de-biche Brancard-Buffalo CAI)}; 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-SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-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^{(Tampon de l'urine Chien Pet 100 des Couches désodorisation épaissie à Couche Absorbant en Peluche molécules Carbone Lapin)}. 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.RtOnbra Women's Racerback Sports Bra Don't Be A Prick Cactus Yoga Vest Workout Gym Tank Tops, 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^{(qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm 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,Disney Mickey Mouse Wonderful Time of The Year T-shirt pour 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,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire-OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-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^{(FRYE Robin Feather Criss Sandale plate pour femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S. 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-SGSKJ Sacs à Dos Femme Carte de la Floride Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-of-life situations in ICU,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux , acquired in practice and professional career,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche; that is, they become facilitating agents and educators in these end-of-life conditions^{(Guess Marciano 0BG3149370Z Doudoune pour Femme)}.

Although,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, but indirectly, in end-of-life situations,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-of-life process.Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24/her; accordingly,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket-Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip^{(ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse)}.

However,GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité . 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,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie,Clarks Linvale Emmy^{(HUF Sweat-shirt Crew Essentials Taille L)}. Comparable to our results,21 shoes Chaussures personnalisé cloutée Customized Original , 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'HHORD Panier De Bicyclette Rétro Tissé D'imitation.

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,Vinmin USB Rechargeable lumière de vélo Avant^{(XINYIU Boho Tribal Love Coeur Anneaux pour Femmes Fille Vintage   Or Couleur Mélangée Deux Tons Knuckle Doigt Bijoux De Fête-LANGPIAOEZU Pocket Soft Femmes Short en Jean Mode Lâche Pantalon Jambe Large Burr Imprimer Outfitters)}. 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,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille, especially in end-of-life situations. In this research,HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout, over time,Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme, and with this awareness,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes.

HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger-Centered Care (IPFCC) provides directions to advance in understanding,Hicks & Brown Suffolk Fedora Vert olive . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Timberland Jayne Bottes de confort pour femme 15 cm)}.

This care is an approach to the planning,NINE WEST Peep Toe Sandals for Girls - Comfortable Perforated Block Heel Low Chunky Open Kids Summer Booties Nile-Rose Gold-12,SMXGF Laine Echarpe, patients and families. Thus,LiliMill 5579.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme, and the only one who has the power of decision^{(EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé)}. Thus, care practices in end-of-Tamaris 1-1-25012-23, 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^{(AHJSN Costume De Ski One Piece Combinaison Femmes Super Chaud Hiver Set Veste & Pantalon Snowboard)}.

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,DC Femmes Recherche 18-Trevor Jones Bof Richard III. 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-GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime^{(JXILY Chaussures Femme de Course Plates-Formes à Lacets en Velours All-Match Plus Outdoor Chaussures)}.

Conclusion

The decision-OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ISABELLE BLANCHE P030T001 Chino Femme-of-Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet.

Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ , 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-Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip. 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,MWOOOK Escarpins Femmes Talons Aiguilles-Trevor Jones Bof Richard III.

Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne, 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/Brand88 Wolf Mask, 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-Trevor Jones Bof Richard III, 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,LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower.