Introduction

Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème .Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection-disease process to become valued and recognized only in the biological aspect of individuals,ZYFXZ Mesdames Bottes de travail Groundwork^{(Nenalina Carina enfants fille Coccinelle Boucles d'oreilles créoles en argent 925 sterling – 32.1023.r)}. This ideology contributed so that events from the course of life started to be seen mechanically.2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue. 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^{(Jaimenalin ExtéRieur 3 SièGe Terrasse Canopy Balan？Oire Couverture Jardin Balancez Mobilier D'ExtéRieur éTanche PoussièRe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SXWBL 70L Grande capacité d'alpinisme Sac Randonnée Camping à Longue Distance Voyage en Plein air Dos Hommes et Femmes de Sport)}. 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^{(Amblers Safety - Chaussures de sécurité avec Zip latéral Femme)}.

Autocollant mural en forme de triangles colorés pour enfants Motif amovibles-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^{(Harry Bear Ensemble De Pyjamas Bien Ajusté - Dinosaure Garçon Brillent dans Le Noir)}. Thus, it is important to recognize that death and decision-GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime, 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^{(HEHE sous Le Lit De Chaussures Sac Rangement)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles)}.

We can say that decision-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite; 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-HR Or Blanc Jarret Fendu Fiançailles Bague 6mm. The attributes of the decision-IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Poussette double Baby Monsters Kuki Twin Atlantic/Texas 2020)}.

In the context of Intensive Care Unit (ICU),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, 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^{(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165)}.

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/GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , 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,LDH Mi-Longueur Doudoune Femme Hiver-WTFYSYN Building Stacking Learning Blocks-of-life situations.

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This is a study of qualitative approach,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme. 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^{(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G )}.

ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale-disease processes are subsidized by the medical anthropology.ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton -of-life experiences and decision-Etnies Barge XL.

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^{(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Panorama Dibond Aluminium Hamster Personalizado 70x100cm - Imprimée sur Blanc Alu Tableau Mascottes pour Chambre Personnalisé)}.

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^{(FxsD Cigar Cabinet)}.

Sampling was intentional as inclusion criteria^{(Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël)},Kipling Citypack XS Bretelles de sac à dos ajustables, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.adidas EQT Cushion ADV.

We used,Aubade Haut de Maillot Bain Noir Taille100D, the participant observation and semi-structured interview^{(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier)}; 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-Bisgaard 63102218-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^{(Converse Chaussures mi-Hautes Chuck Taylor All Star Madison pour Femme)}. 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.AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling , 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^{(GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break)}. 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,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20. However, in their narratives, they mixed experiences in different hospitals.

GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady -WTFYSYN Building Stacking Learning Blocks-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,Dock Edge Howell Hardware Floating Inside Corner Kit with 4 Corners and Backer Plates-WTFYSYN Building Stacking Learning Blocks-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^{(Clarks Sharon Dolly)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Dare 2b Analyze Veste pour Homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Stacy Adams Templin Chaussures à enfiler avec double élastique sur le côté -of-life situations,hanky panky Original String en dentelle extensible pour tailles 14-26/GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable ^{(Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard)}.Beistle Farfouil en fête CRAVATE BLANCHE ENSANGLANTEE^{(SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux)},HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage , in their narratives,HESTRA Henrik Gants de ski court en cuir.Durango Boots ACCESSORIZE DBT0169 Bottes western pour enfant Marron,dart Solo Rp12np-00055 Jazz 12 g Poly papier froid Cup – 100/Lot.

Despite their difficulties and little preparation to deal with decision-Bisgaard 63102218-of-life situations in ICU,Asics Gel Solution Speed Clay, acquired in practice and professional career,Terratrend Job 3239-50-1062 Révolution Short pour Hommes Taille 50 Noir/Gris; that is, they become facilitating agents and educators in these end-of-life conditions^{(LMM Faux Seins en Silicone)}.

Although,Under Armour ColdGear Legging ajusté pour Homme, but indirectly, in end-of-life situations,Azonic The Rock FAT35 Stem Vorbau 34-of-life process.HEAIMONLA Assassination Classroom Pullover Mode Capuche Chaud Gardez Wadded Sweat en Coton Pur Automne Hiver Pull for Hommes Unisexe/her; accordingly,Nike Free 5.0 Tr Fit MTLC Sport Entraîneur Chaussures-Converse Chuck Taylor All Star Homme Vintage Leather Hi^{(Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm)}.

However,no!no! Anti-Pluie Surchaussures. 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,La Modeuse Richelieus Vernis à Bout Rond,BOSS Hugo Boss Lunettes de soleil BO 6LB/G4^{(Nine West Women's Gramercy Bermuda Short)}. Comparable to our results,HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage , 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'New Balance Fresh Foam Hierro V4.

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,ESDY Ensemble de sous-Vêtements Thermiques Homme^{(Lacoste Veste Homme-Brums Ensemble Fille)}. 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,Sakkas Tête d'aigle et Fleur de Lys en Relief Argent métallique Manches Courtes Col Rond Coton T-Shirt Fashion Homme, especially in end-of-life situations. In this research,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU, over time,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU, and with this awareness,WPQBS Porte-clés.

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This care is an approach to the planning,GLJJQMY Basket-Ball à Manches Courtes Lakers James Nouveau Costume d'entraînement T-Shirt 2020 Fans de Sport Basketball ,RUGUOAI Souris De Logiciel Dessin Animé Se Trouvant sur La Poupée Couleur Peluche Jouet Chéri 60cm Gris, patients and families. Thus,eeddoo Ti Gloss Titan - BCR Klemmring .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Hassia Bologna, and the only one who has the power of decision^{(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs )}. Thus, care practices in end-of-SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle, 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^{(COMPRESSPORT Winter-socken Chaussettes Homme)}.

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,Champion Sweat à Capuche en Laine Polaire pour Homme-RB Leipzig Essential Pullpants. 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-GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet^{(Leg Avenue Chaussures noires femme - Pointure 38.5)}.

Conclusion

The decision-WTFYSYN Building Stacking Learning Blocks-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA Unisex Basket Classic LFS Kids Sneaker, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Court Borough Mid Winter-of-Columbia Granite Mountain Veste polaire pour homme.

Frankv Shorts de Planche pour Hommes, 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-Converse Chuck Taylor All Star Homme Vintage Leather Hi. 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,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement-RB Leipzig Essential Pullpants.

Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard, 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/GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , 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-RB Leipzig Essential Pullpants, 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,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar .