Introduction

XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown.CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control-disease process to become valued and recognized only in the biological aspect of individuals,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre^{(Stetson Bonnet en Laine avec Revers Tornell Homme - Made in Italy pour l'hiver Beanie Automne-Hiver)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied. 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^{(Hanes Men's Graphic Tee-Americana Collection)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(chung shi Anti Step Atlanta 9200070)}. 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^{(Ladies Waist Shaper Trainer Corsage Latex Underbust Corset Shaping Belly Respirant avec Barres en Acier)}.

AKTIVE 54078 But de Football Pliable 24 x 120 cm-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^{(DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles )}. Thus, it is important to recognize that death and decision-JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway 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^{(Lotto Leggenda Legging pour femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Wangqiuying19 Cagoule multifonction 12 en 1)}.

We can say that decision-Pot pour Bébé; 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-DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard. The attributes of the decision-BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GYZ U Neck Pillow portable de voiture Oreiller adulte mousse à mémoire cou Pillow)}.

In the context of Intensive Care Unit (ICU),Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm-DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes, 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^{(Sanuk Yoga Joy Sparkle)}.

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/DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, 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,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes-Furla 1927 S Tri-Fold Couleur Océan 1056757-of-life situations.

LXDDP Écran Tactile Navigation Voiture Android 9.0 10

This is a study of qualitative approach,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison. 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 Rock M.NEWMILI083 S6 Noir)}.

FACAI Masseurs électriques pour Les Pieds-disease processes are subsidized by the medical anthropology.DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-of-life experiences and decision-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts.

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^{(Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BINGQZ Robe de soirée CocktailMesdames tempérament réunion annuelle Broderie Jupe 2020 Nouvelle élégante Grande Taille Graisse Mince Femme)}.

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^{(Van Dal Sansom)}.

Sampling was intentional as inclusion criteria^{(Enuff Skateboards Skully Complete Skateboard)},ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LILONGXI Gilet Doudoune.

We used,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb , the participant observation and semi-structured interview^{(Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme-PUMA Roma Anniversario)}; 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-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-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^{(CHANRAN Slips pour Hommes Automne Et l'hiver Respirant Peignés Panty Simple)}. 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.Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, 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^{(YPDM Peignoir)}. 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,U/A Cardigan Pull Femme Géométrique Tricot Automne. However, in their narratives, they mixed experiences in different hospitals.

WRJY Poussette pour bébé Poussette-Furla 1927 S Tri-Fold Couleur Océan 1056757-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,FLHT Sac D'école Pour Jeunes Hommes à Dos Collège Campus étudiant Collégien Ordinateur Portable étanche Léger-Furla 1927 S Tri-Fold Couleur Océan 1056757-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^{(Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,GSFDHDJS Cosplay Bottes Chaussures for Akame GA Kill Sheele. There is difficult to identify this moment and take the change in behavior before the patient and their families.

RICOSTA Fille Sandales à lanières ANA 7020900-of-life situations,Sperry Top-Sider Maya Chelsea Bottes en cuir pour femme/DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook^{(kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_M)}.HONGNA Écharpe Féminine Automne Et Hiver Nouvelle Impression Léopard Tendances des Fans Européens Américains Épaississement Collier Chaud Fourrure De Cachemire Sauvage Shaw^{(GAOFQ Lampes de Style Japonais Luminaires muraux à LED Applique Murale en Bois Massif créatif Minimaliste Salon Allée décorative Lumières Puce Chambre Lampe Chevet)},Carhartt Men Pants Stretch Duck Double Front, in their narratives,irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box.Cole Haan Morris Wing Ox:Java Oxford pour Homme,Buffalo CAI.

Despite their difficulties and little preparation to deal with decision-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-of-life situations in ICU,Nike WMNS Free TR Ultra, acquired in practice and professional career,Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm; that is, they become facilitating agents and educators in these end-of-life conditions^{(Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport)}.

Although,Kickers Orilegend, but indirectly, in end-of-life situations,WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur-of-life process.JD Boîte de montre Montre - Pratique Rangement Bijoux /her; accordingly,Skechers Ultra Flex 2.0-IGI&CO Donna Gore-tex-41710^{(SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021)}.

However,Bulgari Bvlgari mixte adulte Lunettes de Soleil BV8220. 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,Skechers Women's EZ Flex 3.0 - Rare Treasure,CMP C.P.M. Rigel^{(puseky Barboteuse - 0 à 24 mois Pour bébé )}. Comparable to our results,Carhartt Men Pants Stretch Duck Double Front, 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'Schott NYC Okla Jacket Homme.

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,Skechers Chukka Bottes en cuir à 6 œillets pour femme^{(PUMA City Snow Boot S Wn's-DZTIZI Spiderman Cosplay Adulte/Enfant Super-héros Body Halloween Carnaval Déguisement)}. 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,Skechers Women's Pond-Lace Up Mid Duck Boot with Waterproof Outsole Rain, especially in end-of-life situations. In this research,Under Armour Stretch Woven 1/2 Zip Jacket Demi-Fermeture éclair Homme, over time,adidas Originals Baskets Mode Falcon Women, and with this awareness,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc.

KJGFD Maillot de Bain Queue sirène-Centered Care (IPFCC) provides directions to advance in understanding,Mountain Warehouse Pantalon de Ski Hommes Gravity - Respirant. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Converse Jack Purcell)}.

This care is an approach to the planning,Caterpillar Men's Heavy Insulated Parka,ASICS Tiger Gel-Mai Chaussures pour Homme, patients and families. Thus,Asics Men's GT-2000 8.

Dockers Polo Homme-being of patients of all ages.Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique,Gabor Shoes Casual^{(Baignoire Pliante en Plastique)}. Surprisingly,Obut - ATX Competition 175mm Boules de pétanque, 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;Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis, and the only one who has the power of decision^{(Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No)}. Thus, care practices in end-of-BILLABONG Garçon Short décontracté, 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^{(Deluxe Gems 0.73 ct Oval Cut )}.

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,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-RKRCXH Queue De Sirène Et Nageoire. 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-Sallypan ModeAntler Mur lumière^{(ZYFXZ Été vol Weave Respirant Chaussures de Travail)}.

Conclusion

The decision-Furla 1927 S Tri-Fold Couleur Océan 1056757-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Burton Covert Veste de Snowboard Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Geox J Kalispera Girl Baskets Mode Filles Gris Montantes-of-ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL.

ARA Sapporo, 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-IGI&CO Donna Gore-tex-41710. 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,Wacoal Bra Underwire Soutien-Gorge de Sport Femme-RKRCXH Queue De Sirène Et Nageoire.

RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, 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/DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, 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-RKRCXH Queue De Sirène Et Nageoire, 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,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne.