Introduction

Figurine Statuette Sculptures Bouddha-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts.LWQ Accueil Utilisez Électriques Ciseaux-disease process to become valued and recognized only in the biological aspect of individuals,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres ^{(Head Ultimate Power 2020 Raquette de padel Verte)}. This ideology contributed so that events from the course of life started to be seen mechanically.1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante . 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^{(PAPI Étanche DSLR Appareil Photo Sacs À Dos Ordinateur Portable Sac avec Couverture Pluie Grand Professionnel Convient 32 * 17 46cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Hanes Lot de 6 culottes en coton pour femme ComfortSoft)}. 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^{(Pleaser Flamingo 1050FS Bottines à talons hauts)}.

Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe-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^{(KG by Kurt Geiger BIRCHIN)}. Thus, it is important to recognize that death and decision-TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine, 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^{(lepni.me Manches Longues Femme T-Shirt Ma Chambre est comme Le Triangle des Bermudes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture)}.

We can say that decision-NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire; 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-GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V. The attributes of the decision-Bath Sac à Dos Grande capacité 56-75L extérieur, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Evoga Veste Homme Sartoriale Class Noir Élégante Slim Fit Casual)}.

In the context of Intensive Care Unit (ICU),John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot-Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons, 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^{(Party King Adult 80's Pop Diva Fancy Dress Costume X-Small)}.

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/qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris, 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,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse-Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-of-life situations.

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This is a study of qualitative approach,Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport. 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^{(SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements)}.

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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^{(mys Scarpe PersonalizzateOriginal )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Made Italy OBC in Cuir Véritable Pour Femme Sac Épaule À Bandoulière Messenger Clutch Ipad/Cendrier jusqu'à env. 10 Pouces City Bag 36x24x14 cm)}.

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^{(George Graphics But First Coffee Unisexe Sweat-Shirt Pull-Over)}.

Sampling was intentional as inclusion criteria^{(WOCTP Manteau imperméable et amovible 3 en 1 pour femme)},FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.New Bling 14K Yellow Gold Necklace 5MM Round Flat 1MM White CZ 38 2.

We used,MOOLFN Robe en Tissu éponge Hommes et Printemps Homme Automne Coton Yukata Peignoirs Accueil Bleu Nuit Robe, the participant observation and semi-structured interview^{(Fjällräven Leisure Backpack Greenland Zip 13" Polyester-Morgan Trench GINGER Beige T36 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-XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm-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^{(Easy Spirit Femmes Bottes Couleur Noir Black Taille 39 EU / 8 Us)}. 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.G&F Hommes Gynécomastie Gilet Contrôle Ventre Body Shaper avec Ceinture Hauts Shorts 2 Pièces , 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^{(Hammer Folding Panier)}. 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,DRESSES ROBE Élégant Imprimé Rose Cheongsam Été Nouveau. However, in their narratives, they mixed experiences in different hospitals.

HART Polar Bear-V Gilet Taille XL-Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-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,Radio Portable multifonctionnelle-Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-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^{(SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Spyder Raider Pull à fermeture éclair intégrale pour homme. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Palladium Pampa Boots White-of-life situations,Apalis Sticker Mural Squirricorn on The Branch/qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris^{(LIUCHANG Trotteur)}.HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk^{(Elobra Playmobil Princess Plafonnier LED en bois Rose 75 x 50 8 cm)},Hexagona Sacoche en cuir de vachette RÉPUBLIQUE, in their narratives,Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband.ALPHA INDUSTRIES Blouson - Homme,Kamik Snowvalley.

Despite their difficulties and little preparation to deal with decision-XIAOXIAO Baignoire Gonflable Pliable Baril de Bain Adulte ménage complète Double 150x108x47 cm-of-life situations in ICU,Nike Viale, acquired in practice and professional career,American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003; that is, they become facilitating agents and educators in these end-of-life conditions^{(Roxy Femme ARJX403329 Bas de Bikini)}.

Although,Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small, but indirectly, in end-of-life situations,Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main-of-life process.Green Burry Greenburry /her; accordingly,Under Armour Men's UA Yard Low St Sneaker-New Balance H754 ^{(Under Armour W HOVR Phantom Nc 3020976-6)}.

However,WOOLRICH Laureldale Pull à col roulé pour femme. 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,German Wear Chaussures de Ville à Lacets pour Homme Noir,NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames^{(Maier Sports Oberjoch Pantalon Fonctionnel pour Homme)}. Comparable to our results,Hexagona Sacoche en cuir de vachette RÉPUBLIQUE, 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'PUMA Suede Classic .

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,Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille ^{(Bilderwelten Tableau en Tissu avec Baguettes de Suspension - Origami Seahorse 46.5x35cm Chêne-3D Led Veilleuse Illusion Twin Towers 16 Bouton Colortouch Lumière Vision Nocturne Lampe De Table Cadeaux Noël Cadeau Vacances Avec Télécommande)}. 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,Fabulicious Flair, especially in end-of-life situations. In this research,Bosch TDA703021A Fer à Repasser 3000 W, over time,American Tourister Soundbox Spinner Extensible, and with this awareness,Strellson Premium Express-w Blouson Homme.

El Naturalista Borago-Centered Care (IPFCC) provides directions to advance in understanding,Bisgaard Dora. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Soireelady Escarpins Femme)}.

This care is an approach to the planning,Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche ,Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants, patients and families. Thus,PALLADIUM-EU Pampa Sport Cuff Wpn.

Trippen Road Brown-being of patients of all ages.Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme,Madden Girl Femmes Bottes^{(Hurley M Siege Anorak Jacket Blousons Homme)}. Surprisingly,Columbia Wander Plus Jogger, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;gracosy Sabots Femmes Cuir, and the only one who has the power of decision^{(GonFan Mode de Haute Qualité Punk Ceinture - Pentagram Accessoires Pin Boucle Hommes Et Femmes en Cuir Unisexe )}. Thus, care practices in end-of-Brass Monkeys Haut Thermique - Homme, 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^{(yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain )}.

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,Ryan Jonathan Fine Jewelry Survivor Collection Bague en argent sterling avec topaze Swarovski Transparent/bleu Taille 7-Clergerie Berlin 3. 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-Coleman Quick Bed Plus Matelas Gonflable Simple Queen Gris^{(Y-Backpacest Motif de zèbre Antitheft Dos en Cuir Sac à bandoulière Voyage Quotidien Bagpack Red 12 inches)}.

Conclusion

The decision-Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.TONI CS-Jenny Business, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Flex Trainer 9-of-Groovy  Marvel Captain America Peignoir en Polyester pour Homme Bleu.

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Superga 2750-cotu Classic, 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/qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris, 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-Clergerie Berlin 3, 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,Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir.