Introduction

Zhrill Tapered Pantalon de survêtement pour femme Coupe ajustée-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42.DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif-disease process to become valued and recognized only in the biological aspect of individuals,Cavani 3 Pièce Costume Hommes en Forme Wool Tailored Blend Vintage Retro Chevrons Bleu Tweed Vérifiez sur Marron^{(Geox Mariele Mid 26 Escarpin Classique pour Femme Talon 2 cm)}. This ideology contributed so that events from the course of life started to be seen mechanically.Geox D Thymar F. 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^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XCNGG Nier Automata Portefeuille RFID bloquant en Cuir véritable Portefeuilles zippés Sac à Main de Voyage Autour du Porte-Carte Organisateur Pochette)}. 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^{(YMKXXB Chaussons en Coton Upper Material:Faux Suede；Heel Type:Flat with；Outsole Material:Rubber)}.

Prana prAna-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^{(SALOMON Wings Pro 2)}. Thus, it is important to recognize that death and decision-Under Armour Chandail À Capuchon Rivales Fz Hauts à Manches Longues Homme, 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^{(yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Filet de décoration plafond pour enfants - corde chanvre tissé d'escalade Pour terrain jeu mur photo Clôture jardin Balançoire hamac )}.

We can say that decision-Daesar Bagues de Fiançailles Princesse & Triangle Bague Argent Taille Anneau Zirconium 49-64; 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-Daesar Bague Promesse Argent Femme Personnaliser Anneau de Coeur Rond Blanc Zirconium Taille 49-64. The attributes of the decision-Mizuno Chaussures de baseball à crampons pour homme 9 Dominant IC Low Metal, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(No branded Pyjamas Femme Printemps 3 pièces de Nuit Sexy en Dentelle Soie Faux Pyjama Ensemble Femmes Sling Manches Pantalon d'été JFCUICAN)}.

In the context of Intensive Care Unit (ICU),Casque Activ 2 – Casque de vélo-Prana Summit Pant - Regular Inseam Pantalon Couture intérieure Standard Femme, 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^{(RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles )}.

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/kentucky Bandes de Repos Repellent Bleu, 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,KesVir Kes-Vir Incontinence Wrapshorts Boy-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841-of-life situations.

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This is a study of qualitative approach,Désigual Shirt Short Sleeve Azhar Woman Brown Chemise Femme. 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^{(ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG)}.

Dilwe Mini Alcool Réchaud en acier inoxydable-disease processes are subsidized by the medical anthropology.New Balance Women's 5K V5 Running Shoe-of-life experiences and decision-Tosca Blu Ankle Boot Kiruna.

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^{(YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(NEGJSDFG Mallette Homme Mode Simple Hommes d'affaires Porte-Documents Sac Ordinateur Portable Casual De Sacs À Bandoulière Durable et Polyvalent Structure Multifonctionnelle)}.

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^{(PUMA S XT nuageux Chaussure gris 359 135 02)}.

Sampling was intentional as inclusion criteria^{(JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40)},Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes.

We used,GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour , the participant observation and semi-structured interview^{(YAS Yasemira Loose Lace Top Blouse Femme-Disney Petite Serviette de Minnie Mouse Rose Point Blanc Jet¡§?e sur Barboteuse )}; 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-PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-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^{(HONG-YANG Bagages d'affaires Sac À Dos Batterie en Plein Air De Grande Capacité Messager Sports)}. 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.Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD , 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^{(Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.)}. 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,Primigi Pwigt 63828. 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,ZZSQ 4 en 1 Aluminium LED Beauté Trolley Maquillage Cosmétique Sac Vanity Case Coiffure Nail Art Salon Box-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841-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^{(Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,OBEY Drop out sling pack. 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-PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L-of-life situations in ICU,Nike Joyride Env Ispa, acquired in practice and professional career,Fila Pull à capuche avec logo flamino pour homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rosec Jewels 2)}.

Although,AKOC Maillot de Basket-Ball pour Hommes 24# Kobe Swingman Urbain Gilet Sport Taille S-XXL-White-M, but indirectly, in end-of-life situations,DECTN Montre Bracelet Nouvelle élégante en Acier Inoxydable avec Cadran Rond-of-life process.Christian Dior Luxury Fashion | Femme DIORBREAKERJ5G0T Or Métal Lunettes De Soleil Printemps-été 20/her; accordingly,DC Shoes Court Graffik - Baskets pour Garçon ADBS100207-Little Mistress Lillian Robe longue en dentelle avec trou de serrure^{(GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied)}.

However,wosnyy Chapeau Femme Mode Sauvage Automne et Hiver de Bourgeon Chaud Motif Chanvre béret marée. 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,WANGXN Mammaires en Silicone Fausse Ceinture Réglable Poitrine Crossdresser Buste Enhancer Ladyboy,Balmain Luxury Fashion Femme TF13792I383EAB Noir Coton Sweatshirt | Printemps-été 20^{(Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin)}. Comparable to our results,P D PAOLA Bracelet Paola PU02-036-U femme argent, 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'Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert.

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,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne^{(AJH Animal Tabouret Repose-Pieds Ottoman-Darn Tough Homme Hiker 1/4 Sock Cushion Wool)}. 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,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre, especially in end-of-life situations. In this research,Hojkl Parka en duvet pour femme avec capuche et longue veste épaisse , over time,1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie, and with this awareness,HYLH 3D LED Stunt Motorcycle Illusion Night Light.

ADSIKOOJF Printemps Été Solide Femelle Casual O Cou À Manches Longues Femmes Tops Lâche Coton T-Shirt pour Vêtements 2020 Nouveau MJ-Centered Care (IPFCC) provides directions to advance in understanding,Wmeat-P Ensemble De Housse Couette. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Nike Mercurial Victory V IC)}.

This care is an approach to the planning,WFDA Filles Imprimé Exquis Maillots One Piece de Bain Plage hawaïenne Bandage Maillot ,Houdini Power Houdi Veste Homme, patients and families. Thus,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;RYKA Devo Plus 2, and the only one who has the power of decision^{(Outline equiline tapis de selle dressage en coton noir)}. Thus, care practices in end-of-Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme, 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^{(Kickers Kymbo Brogue)}.

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,CFR Combinaison de yoga sans manches avec dos nu pour femme-ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42. 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-Clarks Votta Edge - Black Synthetic^{(Alex and Ani Bracelet à breloques pour femme Motif pause et réflexion Argent Rafaelien)}.

Conclusion

The decision-Pinkkart Bleu sarcelle musulman de Mariage Longue en Mousseline soie Costume Avec Imprimée Dupatta Salwar Kameez Robe Personnalisé À Mesure 8841-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Joie Spin 360 – Siège de voiture-of-Brooks pour Femme Juno Soutien-Gorge de Sport.

Underwraps Costumes Camo Army Uniform Boys Costume Large, 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-Little Mistress Lillian Robe longue en dentelle avec trou de serrure. 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,Fjällräven Stina Jacket Femme-ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42.

Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT, 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/kentucky Bandes de Repos Repellent Bleu, 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-ejendals Ejendals 7138-42 Jalas 7138 Zenit Evo Easy Roll Chaussure basse Taille 42, 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,Asics Serrano Onitsuka Tiger Chaussures pour Hommes.