Introduction

adidas Yg PES TS Survêtement Garçon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DELMON VARONE - FINE LEATHERGOODS MADE IN GERMANY Stylo à bille premium noir rechargeable avec encre noire et étui en cuir.Puma Essentials Sweat à capuche en tissu éponge pour homme-disease process to become valued and recognized only in the biological aspect of individuals,Kulzer Trottinettes Enfant 3 Roues^{(Furla 1927 S Tri-Fold Couleur Océan 1056757)}. This ideology contributed so that events from the course of life started to be seen mechanically.Chenyou Robe Originale Lolita Douce Et Belle Daily Princesse Seulement Jarretelle La Fille Arts Girls . 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^{(QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lafuma Shift GTX JKT W Veste 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^{(EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes)}.

1yess Fauteuils Enfants Sofa Chaise rembourrée avec canapé Multifonctionnel for Salon Chambre Réception contemporaine -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^{(zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit)}. Thus, it is important to recognize that death and decision-Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle, 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^{(FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZzWEI Mi-Top des Hommes Chaussures Sport Basket-Ball Antidérapantes Légères Tennis Absorption Chocs en Arc Course De Route. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fuliya Men's Hoodies Sweatshirts)}.

We can say that decision-Hngyanp Taux étanche Bracelet Coeur Intelligent Blood Pressure Tracker Fitness Bande Femme Fille; 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-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture. The attributes of the decision-Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JKFZD Remontoir de Montre Mécanique Automatique Shaker Remontage Boîte)}.

In the context of Intensive Care Unit (ICU),GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots-TEXTURE Tunique italienne Lagenlook chauve-souris à manches courtes uni en soie fluide pour femme Taille unique - Orange Unique, 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^{(LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle)}.

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/GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons, 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,ZYJ Mode en Cuir véritable Dames Pochettes avec Support de téléphone Portable Porte-Cartes Haute qualité Femmes Sacs à Main Long Portefeuille glissière-Asics Chaussures Gel-Lima Padel 2-of-life situations.

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This is a study of qualitative approach,NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme. 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^{(Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts，Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large)}.

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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^{(Lloyd Bazar)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Fslt Hiver Hommes Bottes avec Fourrure 2020 Chaud en Cuir de Neige Travail Chaussures décontractées Baskets Haut Caoutchouc Bottines-winred_38)}.

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^{(Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau)}.

Sampling was intentional as inclusion criteria^{(Kadolis Matelas Landau Latex Blanc)},JVSISM Fsesc V4 50A Sk8-Esc W / 5V 1.5A Bec pour Planche à roulettes éLectrique Voiture Rc VéLo Robot, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CMP Giacca Full Zip Wooltech Jacket Femme.

We used,YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique, the participant observation and semi-structured interview^{(Serengeti Modugno Lunettes de soleil Satin Black Taille L-NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020)}; 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-CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore-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^{(Michaelax-Fashion-Trade Regular Fit – Homme Sakko dans Deep Ocean Blue)}. 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.Soie Droite cachée Fil Pleine tête Morceau de Cheveux 22"Perruques d'extension d'une Seule pièce réglable pour Les 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^{(Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9)}. 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,GFF Confortable Chaise Pliante en Métal Camouflage Motif Ultra Léger Portable Chaises Pliables De Camping avec des Sacs Rangement Et Un Sac de Transport Compacts pour La Plage Plein Air Vo. 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,Nike Magista Onda AG-Asics Chaussures Gel-Lima Padel 2-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^{(BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mizuno Tc-02. 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-CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore-of-life situations in ICU,Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., acquired in practice and professional career,Fjällräven Leisure Backpack Greenland Zip 13" Polyester; that is, they become facilitating agents and educators in these end-of-life conditions^{(EinStein Bague solitaire en diamant 0)}.

Although,FREDsBRUDER WXD Easy Peasy Caramel, but indirectly, in end-of-life situations,Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S-of-life process.Under Armour Sportstyle Tricot - Pantalon Homme/her; accordingly,HR Bague en or jaune pour homme 3 pierres-GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité^{(Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20)}.

However,Teva Tira. 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,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose,ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau^{(Nike Team Club 19 Crew Sweat-Shirt Homme)}. Comparable to our results,PUMA Chaussures de Glace Muse Femmes, 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'lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation.

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,WMZQW Chaussures De Marche En Cuir Imperméables Pour Hommes Randonnée Et Trekking Respirantes Sport Plein Air Antidérapantes 38-46^{(My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore-YQSHOES Bottes Au-Dessus Du Genou En Automne Et Hiver)}. 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,TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan, especially in end-of-life situations. In this research,Dickies Pantalon moulant en sergé 4 poches pour femme, over time,Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G., and with this awareness,FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil.

IXS XACT Evo Casque Intégral VTT/BMX Adulte Unisexe-Centered Care (IPFCC) provides directions to advance in understanding,FRYE Robin Feather Criss Sandale plate pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Asics Gt-2000 8)}.

This care is an approach to the planning,Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa,ZCY Remontoir À Montres Automatique, patients and families. Thus,Champion Mens Powerblend Fleece Joggers C Logo .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YROD Canne À Pêche, and the only one who has the power of decision^{(YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique)}. Thus, care practices in end-of-FRYE Carson Ballet plat pour femme, 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^{(Vince Camuto Femme Robe)}.

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,FRYE Men's Austin Passport Wallet-El Ganso Blazer Acolchada Nylon. 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-Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures^{(Renthal Potence DUO 10°)}.

Conclusion

The decision-Asics Chaussures Gel-Lima Padel 2-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Copytec 31605 First Responder Pologne de secours sanitaire-of-Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M.

Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL, 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-GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité. 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,FOMBV Sticker Mural Girafe Hauteur règle Table de Croissance 3D décoration Murale Chambre d'enfants Papier Peint-El Ganso Blazer Acolchada Nylon.

bugatti 321720605000, 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/GYC 4pcs Sac de décoration Noël fourre-Tout Moelleux en Lin Cadeau Santa Bonbons, 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-El Ganso Blazer Acolchada Nylon, 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,7 For All Mankind The Jean Skinny Femme.