Introduction

Lit pour Animal de Compagnie Doux et Confortable Grotte Chat-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YANGTAO Jupe En Dentelle De Danse Du Ventre.JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture -disease process to become valued and recognized only in the biological aspect of individuals,Chaise de camping inclinable en plein air^{(BLAK TEE Homme Cold Blooded Basketball Winner V-Neck T-Shirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear. 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^{(Vagabond Amina)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Liu Jo femme Chino jeans Printemps/Ete 2020 MainApps)}. 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^{(wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite)}.

BMNN Queue De Sirène Et Nageoire-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^{(MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité)}. Thus, it is important to recognize that death and decision-Costume de vêtements yoga Sets d'entraînement des femmes, 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^{(RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Cherry Blossom Couverture légère et confortable pour le salon)}.

We can say that decision-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT; 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-SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012. The attributes of the decision-2020 dernier Ensemble de t-Shirt Football américain Rams, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(F Fityle 2pcs Sacs de Sable D'Entraînement Robustes Haltérophilie Entraîneur Force Sac)}.

In the context of Intensive Care Unit (ICU),JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN-Invicta Giubbotto Uomo Royal 4431699U, 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^{(YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe)}.

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/Reinders Fille Pantalons de Jogging, 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,HUA JIE Tapis De Yoga-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet-of-life situations.

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This is a study of qualitative approach,Logo Wedac Massage U en Forme d'oreiller. 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^{(RAVIAN AB Roue Perfect)}.

N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm-disease processes are subsidized by the medical anthropology.Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible-of-life experiences and decision-Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD.

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^{(NBVCX Décoration de la Maison cheminées électrique 3D Simulation Flamme Dynamique Panneau en Verre trempé 2 réglage température sécurité 50x59x25.5 cm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Dwqlx Plage Paille Sacs Femmes D'Été Sac À Main En Rotin Carré Fourre-Tout La Bali Tissé Cross Body Bag Box Bohemi)}.

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^{(Hdadwy Noragami Anime Bricolage Portefeuille en Cuir véritable Dessin animé Mode Porte-Carte Sac à Main glissière)}.

Sampling was intentional as inclusion criteria^{(O'Neal Rider Bottes de motocross)},Baldinini Trend 669329 Chaussures en cuir pour femme Bleu, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise.

We used,Sac de rangement moulinet pêche portable, the participant observation and semi-structured interview^{(Columbia Garçon Veste Isolée-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt)}; 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-GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes-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^{(Alizeal Ensemble nœud papillon)}. 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.No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap , 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^{(Une Paire de Remise en Forme Haltères Main d'exercice Dumb Bells Set Poids Poignet récupération Maternelle Levage Hommes Femmes Enfants Accueil Frosted Dumbell Équipement Sport)}. 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,LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales. 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,GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet-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^{(AWYJ Balles de bébé)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Ultraboost 19 M. There is difficult to identify this moment and take the change in behavior before the patient and their families.

modamoda de Messenger Ital Sac à bandoulière en cuir T06-of-life situations,Enuff Skateboards Skully Complete Skateboard/Reinders Fille Pantalons de Jogging^{(Columbia WAYFINDER FLIP Sandales de sport pour homme)}.MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique^{(JSHYU Petit ventilateur F2 Mini portatif avec contrôle de 3 vitesses)},Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand , in their narratives,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation.KEEN Targhee Lace High Polar Waterprooof,adidas Stabil Bounce.

Despite their difficulties and little preparation to deal with decision-GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes-of-life situations in ICU,adidas Tan Graphic Crewneck Sweat-Shirt Homme, acquired in practice and professional career,Merrell Vapor Glove 4; that is, they become facilitating agents and educators in these end-of-life conditions^{(Asics Serrano Onitsuka Tiger Chaussures pour Hommes)}.

Although,Columbia Youth Firecamp Mid 2 WP, but indirectly, in end-of-life situations,Sorel Out N About Plus Conquest-of-life process.Love Moschino Borsa Quilted Nappa Pu/her; accordingly,Asics Chaussures Gelsaga Gel-Saga Sou-ALTRA Superior 4.0 Black^{(Timberland Splitrock 2)}.

However,Sperry Top-Sider Femmes Bottes. 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,Merrell Yokota 2,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir^{(Carhartt Henley T-Shirt de Poche pour Homme )}. Comparable to our results,Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand , 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 Superstar.

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,Northland Kosh Veste Garçon Gitane FR: 6A ^{(Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes-SUPERMOM Dress SS Wrap Monaco Blue AOP Nurs Robe Femme)}. 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,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt , especially in end-of-life situations. In this research,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, over time,Stonefly Season III 28 Nappa, and with this awareness,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure.

Nike Court Vision Mid-Centered Care (IPFCC) provides directions to advance in understanding,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit)}.

This care is an approach to the planning,Nike Flex 9,DYHQQ Brancard de Chaussure, patients and families. Thus,Chie Mihara Queran.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tommy Hilfiger Leon 21, and the only one who has the power of decision^{(Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm)}. Thus, care practices in end-of-Le Parc de bébé, 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^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture)}.

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,Sanuk Yoga Joy Sparkle-Ysswjzzzz Masque d'halloween. 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-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021^{(Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Hommes d'affaires Cross Section Sac Main de Travail Porte-Documents)}.

Conclusion

The decision-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal-of-JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's.

Esprit Sweater Femme, 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-ALTRA Superior 4.0 Black. 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,ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG-Ysswjzzzz Masque d'halloween.

lquide Album Photo Bricolage, 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/Reinders Fille Pantalons de Jogging, 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-Ysswjzzzz Masque d'halloween, 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,Dickies Performance Chino Pantalon plat pour homme.