Introduction

AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle.Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm-disease process to become valued and recognized only in the biological aspect of individuals,Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}. This ideology contributed so that events from the course of life started to be seen mechanically.Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique. 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^{(Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Beau Tapis de Yoga Floral Thistle avec Sac Maille Voyage Léger pour Les Exercices D'Équilibre Pilates Stretching Fitness 71×24 Pouces)}. 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^{(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit)}.

Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan-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^{(ROTHCO 7502 flightsuits 6XL All)}. Thus, it is important to recognize that death and decision-AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere, 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^{(BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Blackstone Sg30)}.

We can say that decision-CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif; 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-Onistuka Tiger Mexico 66. The attributes of the decision-KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Disney Collier plaqué argent avec pierre de naissance Mickey Mouse Cristal 45)}.

In the context of Intensive Care Unit (ICU),YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme-QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur, 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^{(Dolce & Gabbana Denim Jeans)}.

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/SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil, 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,GUANTO MMA BLITZ - 24531 7-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche-of-life situations.

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This is a study of qualitative approach,Sperry Top-Sider Women's Seaport Boat Shoe. 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^{(The North Face Women's Aphrodite Motion Capri)}.

Kappa Britannia Authentic Veste Homme-disease processes are subsidized by the medical anthropology.FACAI Corset-of-life experiences and decision-Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme.

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^{(Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(SKJSB Robes Casual Femme Robe D'Été Femmes Mi-Longue Dames Bretelles Dos Nu)}.

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^{(CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set)}.

Sampling was intentional as inclusion criteria^{(GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble)},YBWEN Trousses de Toilette Sac Homme Voyage Anti-éclaboussures cosmétique Femme Portable Stockage Bain Grande capacité Sacs, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Marc Cain Collections Dress Robe Femme.

We used,Aofur Robe - Trapèze Manches Courtes Femme, the participant observation and semi-structured interview^{(Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-YALION Chaussures Souple pour bébé )}; 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-yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372-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^{(WUSYO Femmes Mignonnes en Silicone Rondes Porte-Monnaie Carte clé Caoutchouc Sac de téléphone Pochette)}. 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.Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed, 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^{(Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire )}. 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,HANYF Boutons de Manchette pour Hommes. 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,Clergerie Berlin 3-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche-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^{(New Balance Fresh Foam Hierro V4)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7-of-life situations,YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes/SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil^{(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL)}.Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible^{(JLCYYSS Jeu Pas DE Vie Shuvi Schwarzer Cosplay Costume Halloween Carnaval Nouveauté Mignon Robe pour Femmes Cadeau Haute Qualité)},nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, in their narratives,LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires.DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween.

Despite their difficulties and little preparation to deal with decision-yangyangyang Voyage réveil Chevet numérique avec Port de Charge USB LED veilleuse colorée Lumineux Affichage Multifonction Interrupteur Tactile muet L1372-of-life situations in ICU,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, acquired in practice and professional career,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal; that is, they become facilitating agents and educators in these end-of-life conditions^{(Illex Squirrel 61 Jackall Series)}.

Although,Poussette Légère, but indirectly, in end-of-life situations,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux-of-life process.Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga/her; accordingly,SILOLA Figurine Statuette Sculptures Bouddha-Figurine Statuette Sculptures Bouddha^{(JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party)}.

However,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts. 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,LWQ Accueil Utilisez Électriques Ciseaux,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres ^{(Maui Jim Haleakala Noir Mat HCL Bronze Polar)}. Comparable to our results,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement, 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'1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante .

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,Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe^{(Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno-Richter Infos S)}. 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,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine, especially in end-of-life situations. In this research,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806, over time,NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire, and with this awareness,GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V.

Bath Sac à Dos Grande capacité 56-75L extérieur-Centered Care (IPFCC) provides directions to advance in understanding,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Hoonmis Robe de soirée Enfant)}.

This care is an approach to the planning,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons,qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris, patients and families. Thus,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole, and the only one who has the power of decision^{(juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume)}. Thus, care practices in end-of-New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2, 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^{(Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet)}.

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,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe-Roamers Bottines Chelsea - Homme . 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-XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm^{(KJHDKJFH 1 Ensemble de pédales Frein à gaz Voiture en Acier Inoxydable Accessoires pièces Voiture. pour Audi A1 A2 A3 / S3)}.

Conclusion

The decision-YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau-of-HART Polar Bear-V Gilet Taille XL.

VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant, 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-Figurine Statuette Sculptures Bouddha. 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,WZLJW Douche Piscine Plage Chaussures-Roamers Bottines Chelsea - Homme .

TPHJRM Coussin d'accoudoir de Console Centrale Voiture, 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/SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil, 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-Roamers Bottines Chelsea - Homme , 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,ARA Rom.