Introduction

Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479.DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove-disease process to become valued and recognized only in the biological aspect of individuals,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste^{(Lacoste Polo Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Marco Ferretti Cadre Beatles 172146 Moss Noir. 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^{(Clarks Sharon Dolly)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Tente De Camp Extérieure Portable extérieure 3-4 Personnes Plage 2 Gros antipluie Camping Automatique Double)}. 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^{(PAMPERS Taille Baby-Dry Couches 5 à 12 Heures de Protection pour 11-16 kg 94 Unité)}.

WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-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^{(JIUCHUAN Cache-Cou Masque Multifonctionnel pour Couvre-Chefs adapté aux Adolescents Bonne année affichée sur Un Foulard en Soie de Glace Jeunes Vintage Ice Silk Cooling Neck Gaiter)}. Thus, it is important to recognize that death and decision-cartoon Chemisier de dessin animé long 1/1 bras, 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^{(Ducati Femmes Polo D-Attitude Gris - M)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DYM Chaussures de Sport Baskets Mode & athlétique Femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fossil Portefeuille à Trois Volets Jesse Cognac)}.

We can say that decision-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey; 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-LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque. The attributes of the decision-Studio Untold Femme Grandes Tailles Jupe plissée, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YONGYONG Poncho Imperméable Camouflage Auvent De Sol Multifonctionnel Lâche À Capuchon Adapté Aux Activités Plein Air)}.

In the context of Intensive Care Unit (ICU),Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap-DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge, 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^{(Gabor Casual)}.

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/FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, 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,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres-KJGFD Maillot de Bain Queue sirène-of-life situations.

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This is a study of qualitative approach,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto. 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^{(WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif)}.

Carter's Baby Ensemble de body et pantalon pour bébé garçon-disease processes are subsidized by the medical anthropology.WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-of-life experiences and decision-ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures.

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^{(QYYdress Robe de Mode V-Cou imprimée Motifs )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LangfengEU Hommes Chaussures de Jogging Couleur Mixte Baskets à Lacets Mode Peinture Vintage Basket-Ball Maille Respirant)}.

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^{(Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt)}.

Sampling was intentional as inclusion criteria^{(Loungefly X Disney Mini sac à dos Motif portrait)},lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237.

We used,Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, the participant observation and semi-structured interview^{(TK Total Three 3.1 Accelerate Crosse de hockey 2020/20-RefrigiWear Mead Jacket Veste de Sport Femme)}; 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-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI-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^{(Copa Maillot de Football rétro pour Homme Portugal 1972 M Blanc)}. 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.adidas Response It Hommes Synthétique Chaussure de Course, 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^{(FREDsBRUDER WXD Easy Peasy Caramel)}. 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,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni. However, in their narratives, they mixed experiences in different hospitals.

Applique murale rustique moderne pour chambre à coucher-KJGFD Maillot de Bain Queue sirène-of-life situations and that will be presented below.

Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets -KJGFD Maillot de Bain Queue sirène-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^{("N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pliable Barrière De Le Lit. 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-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI-of-life situations in ICU,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime, acquired in practice and professional career,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L; that is, they become facilitating agents and educators in these end-of-life conditions^{(Dynafit Speed Insulation W Hooded VST44/38)}.

Although,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite, but indirectly, in end-of-life situations,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-of-life process.IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes/her; accordingly,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité-Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine^{(Benavente Chika10 Kurazo 12 Bottines en cuir)}.

However,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable . 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,LDH Mi-Longueur Doudoune Femme Hiver,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme^{(J Brand Jeans Men's Kane Straight Fit 34 Inch Inseam)}. Comparable to our results,JEWEL BEADS Gemstone Beads Opal - Boulder Beads, 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'ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale.

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,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton ^{(YXZQ Lanterne Murale extérieure Traditionnelle-Lpinvin BA Hobos Sacs à Bandoulière bandoulière en toile décontractés pour femmes Daily Crossbody Tote Purse avec amovible pouvant contenir des dossiers A4 En Toile De 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,Etnies Barge XL, especially in end-of-life situations. In this research,Kipling Citypack XS Bretelles de sac à dos ajustables, over time,adidas EQT Cushion ADV, and with this awareness,Aubade Haut de Maillot Bain Noir Taille100D.

Bisgaard 63102218-Centered Care (IPFCC) provides directions to advance in understanding,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans)}.

This care is an approach to the planning,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady , patients and families. Thus,DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme, and the only one who has the power of decision^{(Sorel Bottes d'hiver hautes imperméables pour femme Tivoli IV avec col en fausse fourrure)}. Thus, care practices in end-of-Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, 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^{(CANDYANA Masseur De Jambe Compression d'air pour La Thérapie Massage D'enveloppe Bras Mollet Pied Circulation Musculaire avec Le Contrôleur Portatif 3 Modes 2 Intensités)}.

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,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-Gabor Shoes Casual. 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-KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère^{(LZJDS Ensemble De Pyjamas pour Hommes Manches Longues Costume Ample Section Mince Imitation Soie D'intérieur Grande Taille Peut Être Porté L'extérieur)}.

Conclusion

The decision-KJGFD Maillot de Bain Queue sirène-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LIULINUIJ Boutonnière Au Dos, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864-of-RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S.

FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby, 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-Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine. 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,Skechers Uno-Night Shades-Gabor Shoes Casual.

CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15, 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/FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, 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-Gabor Shoes Casual, 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,A.OAQRFA Sac à main pour femme.