Introduction

Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tentes à Tente rétractable de lit.adidas Originals Chaussures Junior Haiwee-disease process to become valued and recognized only in the biological aspect of individuals,Ysswjzzzz Masque d'halloween^{(ZMMWDE Redresseur de régulateur )}. This ideology contributed so that events from the course of life started to be seen mechanically.Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura . 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^{(Kask Utopia Casque vélo Adulte Unisexe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Nemeziz 17.3 AG)}. 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^{(SNDWAY Télémètre Laser télémètre monoculaire de Chasse)}.

H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique-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^{(NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins)}. Thus, it is important to recognize that death and decision-Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore, 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^{(Vince Femmes Sandales À Talon)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,NanXi Moustiquaire auvent 4 Coin pour Les Lits. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes)}.

We can say that decision-ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison; 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-WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50. The attributes of the decision-Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tommy Jeans Manteau - Femme Bleu 422)}.

In the context of Intensive Care Unit (ICU),Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme-CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool, 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^{(NYDJ Jean pour femme)}.

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/Nike Court Royale Basket Femme Blanc 36 EU, 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,LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente-LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-of-life situations.

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This is a study of qualitative approach,The Bridge Lambertesca Sac porté épaule Noir. 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^{(LybMjG Maillot Cyclisme Pro)}.

GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette-disease processes are subsidized by the medical anthropology.Lit pour Animal de Compagnie Doux et Confortable Grotte Chat-of-life experiences and decision-YANGTAO Jupe En Dentelle De Danse Du Ventre.

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^{(Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HAMILTON Montres Bracelet H70455733)}.

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^{(Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht)}.

Sampling was intentional as inclusion criteria^{(Zwei Elli EL12 Sac à bandoulière 32 cm)},JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chaise de camping inclinable en plein air.

We used,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear, the participant observation and semi-structured interview^{(Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton-LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity)}; 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-BMNN Queue De Sirène Et Nageoire-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^{(QLCY-78OI Mode Sac à dos Trépied DSLR Porte étanche Photographie)}. 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.Costume de vêtements yoga Sets d'entraînement des femmes, 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^{(LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey)}. 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,Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt. 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,Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand -LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-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^{(JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Magie Professionnelle Chapeau Claque Double Fond . 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-BMNN Queue De Sirène Et Nageoire-of-life situations in ICU,Guess Short Dress, acquired in practice and professional career,LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure; that is, they become facilitating agents and educators in these end-of-life conditions^{(RYKA Niah)}.

Although,Vince Camuto Femme Robe, but indirectly, in end-of-life situations,Vans T Classic Baskets à enfiler-of-life process.Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage/her; accordingly,aden by anais gigoteuse cozy plus-steve madden Femmes Sandales À Talon^{(Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme)}.

However,Mammut Runbold Pantalon Femme Black FR : XS . 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,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,GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia^{(Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers)}. Comparable to our results,ADSE 27in Créativité Horloges Murales À Piles - Mouvement à Quartz Complètement Silencieux pour Salon Décor Cuisine Chambre Horloge Murale Moderne, 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'adidas Ultraboost 19 M.

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,modamoda de Messenger Ital Sac à bandoulière en cuir T06^{(LILONGXI Gilet Doudoune-XCLWL Chapka Homme Chapeaux De Bombardier Chapeau d'hiver Earflap Aviator Trooper Trapper Neige Bonnets Coton avec Ski GOG)}. 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,Enuff Skateboards Skully Complete Skateboard, especially in end-of-life situations. In this research,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique, over time,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation, and with this awareness,KEEN Targhee Lace High Polar Waterprooof.

adidas Stabil Bounce-Centered Care (IPFCC) provides directions to advance in understanding,adidas Tan Graphic Crewneck Sweat-Shirt Homme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android)}.

This care is an approach to the planning,Merrell Vapor Glove 4,Columbia Youth Firecamp Mid 2 WP, patients and families. Thus,Sorel Out N About Plus Conquest.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Merrell Yokota 2, and the only one who has the power of decision^{(Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme)}. Thus, care practices in end-of-Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, 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^{(Spank Sike Race 2.0 Potence VTT/E-Bike Mixte)}.

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,adidas Superstar-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. 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-Northland Kosh Veste Garçon Gitane FR: 6A ^{(WWLZ Fille Gothique Doux Lolita Robe Rétro Dentelle Noeud Papillon Manches Taille Haute Imprimé Vêtements)}.

Conclusion

The decision-LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure-of-Stonefly Season III 28 Nappa.

Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, 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-steve madden Femmes Sandales À Talon. 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,Nike Court Vision Mid-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique.

Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, 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/Nike Court Royale Basket Femme Blanc 36 EU, 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-HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, 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,Nike Flex 9.