Introduction

Find Nice Trouvez Belle Dames Mode Strass Robe de Mariée Confort Soirée OL Slingback Fête Plat Tongs Sandales-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Moulinets de pêche.Porte-Serviettes Chauffant Intelligent-disease process to become valued and recognized only in the biological aspect of individuals,Fried Pocket Faux Fur Coat Taille Plus Parka Long Trench Mode Sexy Fourrure Multicolore Lapin Manteau de Zippered ^{(Blue Banana Tunique en imprimé Squiggle avec Manches évasées)}. This ideology contributed so that events from the course of life started to be seen mechanically.GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat. 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^{(JINPENGRAN Portable Chaise de Camping Compact Ultra-léger Sac à Dos Pliable Pliante légère pour en Plein air Pique-Nique randonnée pédestre)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(EQWR 2020 3D Print Captain America Iron man Spider Deadpool Hoodie Sweatshirts Zip Up Super Hero Hoody Hooded Jacket vêtements XL B)}. 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^{(Reebok Flashfilm 3.0)}.

LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -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^{(Huile Bardahl 2 temps synthétique direct injection evinrude johnson analogue xd 100)}. Thus, it is important to recognize that death and decision-IUBBKI sac à main rouge et blanc vagues en cuir véritable fourre-tout rivets bandoulière poignée supérieure femmes, 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 T-Shirt Femme Robot Android et la Pomme - drôle de Conception Humoristique parodique)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LGLE Pyjama en satin à manches longues pour homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Bandit - Casque Fighter – Casque pour Streetfight)}.

We can say that decision-Gants de boxe pour Muay Thai De haute qualité MMA Training professionnelle for les hommes femmes sac lourd en cuir infusé Gel Sparring Kickboxing Fighting Mit; 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-LILONGXI Tapis. The attributes of the decision-SYue Miroir de Maquillage Mural, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DAGCOT Commodité poussette)}.

In the context of Intensive Care Unit (ICU),Pneus De Scooter Électrique-Aden Anais Sac de Couchage Mousseline 100% Coton, 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^{(XCBW Femmes Sexy Back Cutout Longues Robes De Bal A-Ligne Empire Taille Longue Soirée Demoiselle d'honneur Pageant Robe avec Poches)}.

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/Mandarina Duck Hera 3.0 Portafoglio, 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,Vince Camuto Raner-Reebok TS Layering Pant - Pantalon Homme-of-life situations.

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This is a study of qualitative approach,Demonia GRIP-103 Blk Faux Leather UK 3 . 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^{(Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long)}.

W&XY Escarpins d'hiver pour l'alpinisme -disease processes are subsidized by the medical anthropology.Nike Quest 3-of-life experiences and decision-ZOMAKE Sac à Dos Petit 25L.

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^{(GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Eaton Onduleur 3S 850 FR - Off-line UPS 3S850F 850VA)}.

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^{(Mizuno Wave Fang SL Chaussure Sport en Salle)}.

Sampling was intentional as inclusion criteria^{(Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT)},RVCA South Eastern Trunk pour Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DC Manteca chaussures pour hommes.

We used,HUNTER 0158LS Buscadero Ceinture gauche Taille 38 Marron, the participant observation and semi-structured interview^{(Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-LYATW Montre de Poche Femme métal épinglette for Nurse Watch)}; 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-Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille-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^{(MHDE Top Qualité Rocket Harden 13 Paul 3 Basketball Jersey Uniformes Sports Chemises De Basket-Ball Cousu Hommes Hot Pressing)}. 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.Tremblay CT Tennis Ballon synthétique, 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^{(MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette)}. 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,New Balance Kids' 990v5 Hook and Loop Running Shoe. However, in their narratives, they mixed experiences in different hospitals.

adidas Pro Adversary Low 2020-Reebok TS Layering Pant - Pantalon Homme-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,LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads-Reebok TS Layering Pant - Pantalon Homme-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^{(Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure. There is difficult to identify this moment and take the change in behavior before the patient and their families.

überleben Coppa leggera in Legno Con moschettone Backpacking-of-life situations,Kipling 100 Pens Organiseur de Sac à Main/Mandarina Duck Hera 3.0 Portafoglio^{(Roamers Bottines Chelsea - Homme )}.Lacrosse Women's Aero Timber 10^{(KnSam Bague Homme Acier Inoxydable Bagues Anneau Style Punk Heavy Metal Crâne Tête de Mort Bijoux Noir Argent [Bague Noël])},The North Face Zipline Vestes imperméable Fille, in their narratives,YQ QY Chaussons Description du produitpointureTableau des Tailles .SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet,EXTON 246 Sneakers Man.

Despite their difficulties and little preparation to deal with decision-Puma BMW M MOTORSPORT T-shirt pour homme à logo - Bleu Taille-of-life situations in ICU,LLNB Zip Veste À Capuche, acquired in practice and professional career,CHZDSB Bottes Femmes Automne Et Hiver avec des Talons Pointus Martin en Cuir pour Printemps 34 Noir ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark)}.

Although,Lora di Collier Indi Celebrate. court, but indirectly, in end-of-life situations,Benavente Xti 48172 Chaussures décontractées en cuir Serrage Marron-of-life process.Neerupam Collection Naturelle Ciel bleue Topaze qualité AAA 7x9 mm de forme ovale Vérificateur Couper/her; accordingly,GRBD Vest for Men Gilet Outdoor Homme vêtements d'été Section Mince Sports Alpinisme Tourisme Loisirs Respirante à séchage Rapide Multi-Poches -Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes^{(Chaise de pêche tir glace en plein air multifonctionnelle pliante alliage d'aluminium Tabouret 87 * 53 39 cm)}.

However,LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré. 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,JJHR Robe de Soiree soirée pour Fille avec épaule et Bordeaux,HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage ^{(Tommy Hilfiger Reversible Th Logo Bomber Blouson)}. Comparable to our results,The North Face Zipline Vestes imperméable Fille, 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'Tamaris Femme Chaussures à Lacets.

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,HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre^{(WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping -LYATW Montre de Poche Femme métal épinglette for Nurse Watch)}. 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,Speedo One Piece Swimsuit Shirred Contourback Conservative Cut - Une pièce Femme, especially in end-of-life situations. In this research,Joules Golightly Imperméable Femme, over time,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique, and with this awareness,MZSG LED Loft Vintage Applique.

SXHNNYJ Garniture de poignée Porte extérieure Voiture-Centered Care (IPFCC) provides directions to advance in understanding,CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent )}.

This care is an approach to the planning,PUMA Roma Anniversario,Reqins ILAN Lycra - Training Lacet Noir, patients and families. Thus,NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre.

HONG-YANG Numérique Nautique Acier Inoxydable de qualité 316 Porte-Canne à pêche Rack Pôle Support Clamp on Montage sur Rail 26 ou 32mm Bateau Accessary -being of patients of all ages.SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme,In:sole Insole Sexy Talon Haut^{(Saucony Jazz Original)}. Surprisingly,XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, 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;MHMT Planches De Stand Up Paddle Gonflables 10 Pieds, and the only one who has the power of decision^{(bugatti 321720605000)}. Thus, care practices in end-of-BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène , 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^{(HR Bague en or jaune pour homme 3 pierres)}.

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,WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg. 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-Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's^{(LOVEKUSH 24k Gold Plated Dainty Slave Loose Helling 3mm Stracking Blue & Green Tanzanite Apatite Bracelet Rondelle)}.

Conclusion

The decision-Reebok TS Layering Pant - Pantalon Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Tentes à Tente rétractable de lit, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;adidas Originals Chaussures Junior Haiwee-of-Ysswjzzzz Masque d'halloween.

Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura , 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-Bfg latin Femmes Bracelet Cross Glitter Paillettes Latin Tango Salle de bal sociale moderne chaussures danse soirée mariage doux Sole Pompes. 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,H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg.

Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore, 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/Mandarina Duck Hera 3.0 Portafoglio, 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-4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg, 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,NanXi Moustiquaire auvent 4 Coin pour Les Lits.