Introduction

steve madden Femmes Sandales À Talon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mammut Runbold Pantalon Femme Black FR : XS .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-disease process to become valued and recognized only in the biological aspect of individuals,GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia^{(Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.adidas Ultraboost 19 M. 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^{(Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Nemeziz Messi 19.3 in)}. 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^{(Helga Kreft Kreft90012 Police Mobil Puzzle )}.

modamoda de Messenger Ital Sac à bandoulière en cuir T06-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^{(Aden Anais Sac de Couchage Mousseline 100% Coton)}. Thus, it is important to recognize that death and decision-Enuff Skateboards Skully Complete Skateboard, 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^{(Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JHGK Trail Running Chaussures)}.

We can say that decision-TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation; 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-KEEN Targhee Lace High Polar Waterprooof. The attributes of the decision-adidas Stabil Bounce, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tente De Camp Extérieure Portable extérieure 3-4 Personnes Plage 2 Gros antipluie Camping Automatique Double)}.

In the context of Intensive Care Unit (ICU),adidas Tan Graphic Crewneck Sweat-Shirt Homme-Merrell Vapor Glove 4, 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^{(HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D)}.

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/Columbia Youth Firecamp Mid 2 WP, 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,Sorel Out N About Plus Conquest-Zhuowei Mesdames Stretch Cuissardes-of-life situations.

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This is a study of qualitative approach,Love Moschino Borsa Quilted Nappa Pu. 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^{(D555 Hommes - Pantalon Max Xtenda grande taille )}.

Asics Chaussures Gelsaga Gel-Saga Sou-disease processes are subsidized by the medical anthropology.ALTRA Superior 4.0 Black-of-life experiences and decision-Sperry Top-Sider Femmes Bottes.

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^{(adidas Pro Adversary Low 2020)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YONGYONG Poncho Imperméable Camouflage Auvent De Sol Multifonctionnel Lâche À Capuchon Adapté Aux Activités Plein Air)}.

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^{(Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39)}.

Sampling was intentional as inclusion criteria^{(Joules Roll Up Welly)},Merrell Yokota 2, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir.

We used,adidas Superstar, the participant observation and semi-structured interview^{(ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet-Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main)}; 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-Northland Kosh Veste Garçon Gitane FR: 6A -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^{(LangfengEU Hommes Chaussures de Jogging Couleur Mixte Baskets à Lacets Mode Peinture Vintage Basket-Ball Maille Respirant)}. 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 Oklahoma City Thunder Heather Black Climalite Performance Shirt , 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^{(Tappers & Pointers Chaussures de danse fille)}. 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,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure. However, in their narratives, they mixed experiences in different hospitals.

Stonefly Season III 28 Nappa-Zhuowei Mesdames Stretch Cuissardes-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,Ital-Design Bottes Classiques pour Femme-Zhuowei Mesdames Stretch Cuissardes-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^{(NYDJ Barbara Bootcut Jeans Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle-of-life situations,Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie/Columbia Youth Firecamp Mid 2 WP^{(RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser )}.Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1^{(NANDAN Dispositif De Traducteur Langue en Ligne Intelligent)},CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques, in their narratives,Splendid Lorne Ii Mule pour femme.FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent,Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse.

Despite their difficulties and little preparation to deal with decision-Northland Kosh Veste Garçon Gitane FR: 6A -of-life situations in ICU,Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule, acquired in practice and professional career,FxsD Cigar Cabinet; that is, they become facilitating agents and educators in these end-of-life conditions^{(2020 dernier Ensemble de t-Shirt Football américain Rams)}.

Although,no brand Code européen Bottes d'homme d'hiver Vlevet Retro Hommes Prospère Zipper Superficial Chaussures de neige en cuir for hommes hiver ou à l'automne, but indirectly, in end-of-life situations,LIPETLI Rose Jouet Enfant Bascule Haute Qualité PE Santé Résine Enfants Bébé Animaux d'enfant Peluche Bébés Cheval Bois Cadeau d'anniversaire Créatif Convient aux 1-10 Ans-of-life process.PICKME Hommes Femmes USB Chauffage Gilet/her; accordingly,JKLJKL Chauffage Électrique À Froid Gilet Pare Chaud du Cou-K-Swiss Legging taille moyenne 7/8 pour femme^{(JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN)}.

However,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier. 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,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir,PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël^{(RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm )}. Comparable to our results,CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques, 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'Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en.

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,Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture^{(SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany-ZYFXZ Steel Toe Cap Chaussures de sécurité for les hommes)}. 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,CAMELBAK Eddy Bouteilles, especially in end-of-life situations. In this research,YPDM Peignoir, over time,Lumières de Partie, and with this awareness,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe.

SOCCX Pull pour femme avec structure en maille et logo-Centered Care (IPFCC) provides directions to advance in understanding,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m)}.

This care is an approach to the planning,PENGSHAO Plateau à Fromage en Bambou,AXDNH Chaussures de Danse Femme, patients and families. Thus,ADSE Horloge Murale à Pendule.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams, and the only one who has the power of decision^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée)}. Thus, care practices in end-of-HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , 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^{(Copytec 31605 First Responder Pologne de secours sanitaire)}.

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,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité-Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand . 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-Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère ^{(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)}.

Conclusion

The decision-Zhuowei Mesdames Stretch Cuissardes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre-of-Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir.

THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode, 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-K-Swiss Legging taille moyenne 7/8 pour femme. 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,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-Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand .

DLH Sandales à Talons Hauts pour Femmes, 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/Columbia Youth Firecamp Mid 2 WP, 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-Yingm Écharpe Mode Femme Gris Châle d'hiver Long et épais Idéal for Garder Foulard Chaud Dames Cadeaux Et Douillet Quand , 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,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur.