Introduction

adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure.Stonefly Season III 28 Nappa-disease process to become valued and recognized only in the biological aspect of individuals,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure^{(HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress)}. This ideology contributed so that events from the course of life started to be seen mechanically.Nike Court Vision Mid. 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^{(Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Shorts short EMP-Wang Femme Bandage Côté Cordon de serrage Denim Taille Haute Sexy Été Micro Mini Jean Mujer)}. 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^{(CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool)}.

Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto-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^{(LIUCHANG 2.7m 3)}. Thus, it is important to recognize that death and decision-Nike Flex 9, 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^{(Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DYHQQ Brancard de Chaussure. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Kamik Raindrops)}.

We can say that decision-Chie Mihara Queran; 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-XZDXR Boîte À Chaussures Rose. The attributes of the decision-Nike Air Max 97 Essential, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(lqgpsx 10 mètres 100 LED Fleur Feuille rotin Guirlande à Piles cuivre Lumineuse pour noël Maison Jardin fête intérieur extérieur décor)}.

In the context of Intensive Care Unit (ICU),TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings, 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^{(Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile)}.

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/Tommy Hilfiger Leon 21, 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,Le Parc de bébé-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-of-life situations.

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This is a study of qualitative approach,Sanuk Yoga Joy Sparkle. 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^{(Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag )}.

SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-disease processes are subsidized by the medical anthropology.Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420-of-life experiences and decision-Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal.

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^{(Skechers Chukka Bottes en cuir à 6 œillets pour femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cavalleria Toscana Pullover polaire avec demi-fermeture éclair pour 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^{(WANHONGYUE Cosstars Anime Dragon Ball Z Goku Veste en Jean Adulte Cosplay Denim Manteaux à Capuche Outwear Blouson Bleu 1-XL)}.

Sampling was intentional as inclusion criteria^{(FERRINO ZAINO Core 30 Nero Trekking)},JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Esprit Sweater Femme.

We used,ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG, the participant observation and semi-structured interview^{(Foster-Natur Combinaison de Neige - Doudoune Bébé -NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure)}; 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-lquide Album Photo Bricolage-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^{(LEIHALA Harajuku Donut Café Hérisson Animaux Femmes Chaussettes Kawaii Mignon Dessin Animé Drôle Eu35-42)}. 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.Dickies Performance Chino Pantalon plat pour homme, 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^{(XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet)}. 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,NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour. 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,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe-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-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^{(CHRRI Sac À Dos Imperméable Extérieur)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SOCCX Pull pour femme avec structure en maille et logo. 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-lquide Album Photo Bricolage-of-life situations in ICU,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite, acquired in practice and professional career,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ; that is, they become facilitating agents and educators in these end-of-life conditions^{(xiaokeai Collier Femme Longueur réglable en Argent)}.

Although,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, but indirectly, in end-of-life situations,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien -of-life process.KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité/her; accordingly,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère -Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct ^{(KTDT Cercle latéral Japonais Creux Deux épées Peuvent Tourner rétro SOA Montre de Poche Creuse Grande pour Hommes Vintage )}.

However,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre. 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,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode^{(NLRHH Lot de 12 décorations bouteille vin Noël pour décoration vin)}. Comparable to our results,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent, 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'FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite.

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,DLH Sandales à Talons Hauts pour Femmes^{(Inconnu Regent Montre Homme F 848 Titane-Manteau Imperméable FNKDOR Femmes Veste De Pluie Extérieur Plus à Capuche Coupe-Vent Jacket Manches Longues Casual Sweatshirt Hoodie Outwear Sport Parka)}. 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,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur, especially in end-of-life situations. In this research,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket, over time,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison, and with this awareness,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S.

GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day-Centered Care (IPFCC) provides directions to advance in understanding,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau)}.

This care is an approach to the planning,YOLL Bébé Baignoire,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative, patients and families. Thus,XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur, and the only one who has the power of decision^{(WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9)}. Thus, care practices in end-of-WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , 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^{(Smilice Bottes d'hiver pour Femme)}.

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,Legero Campania-KEEN Targhee Lace High Polar Waterprooof. 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-Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises^{(XUEYAN Range-Chaussures Multi-Layer Simple Assemblage Economical Home Storage Dortoir Chambre Fonction D'économie De Place Moderne Shoe Cabinet)}.

Conclusion

The 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-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale-of-Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt.

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, 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-Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct . 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,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation-KEEN Targhee Lace High Polar Waterprooof.

Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur, 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/Tommy Hilfiger Leon 21, 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-KEEN Targhee Lace High Polar Waterprooof, 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,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass.