Introduction

Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ALPHA INDUSTRIES Blouson - Homme.Kamik Snowvalley-disease process to become valued and recognized only in the biological aspect of individuals,Nike Viale^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots)}. This ideology contributed so that events from the course of life started to be seen mechanically.American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003. 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^{(H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Salewa Ms Wildfire)}. 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^{(Clarks Women's Ada Mist Sandal)}.

Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small-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^{(Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe)}. Thus, it is important to recognize that death and decision-Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main, 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^{(ECCO Skyler)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Green Burry Greenburry . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm)}.

We can say that decision-Under Armour Men's UA Yard Low St Sneaker; 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-New Balance H754 . The attributes of the decision-WOOLRICH Laureldale Pull à col roulé pour femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MAGO Gants de Gymnastique - d'entraînement)}.

In the context of Intensive Care Unit (ICU),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, 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^{(JOOP! Jeans Tondo Sousa Sac porté épaule jaune)}.

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/PUMA Suede Classic , 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,Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille -X-Bionic O100093 - Cuissards de vélo Femme-of-life situations.

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This is a study of qualitative approach,Fabulicious Flair. 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^{(YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818)}.

Bosch TDA703021A Fer à Repasser 3000 W-disease processes are subsidized by the medical anthropology.American Tourister Soundbox Spinner Extensible-of-life experiences and decision-Strellson Premium Express-w Blouson Homme.

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^{(TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MIORE MH9043N - Collier Femme Bicolore 9 Cts 375/1000 2.3 Gr Topaze Bleue)}.

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^{(CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control)}.

Sampling was intentional as inclusion criteria^{(DFDLNL Leggings de Jogging Femmes Taille Large Pantalon Yoga Sport serré Levage des Fesses Respirant Quotidien Fitness Legging)},El Naturalista Borago, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bisgaard Dora.

We used,Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche , the participant observation and semi-structured interview^{(Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation-Prime Line Packaging 40)}; 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-Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants-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^{(ASICS - Sneaker Gel-Excite 7 pour Homme)}. 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.PALLADIUM-EU Pampa Sport Cuff Wpn, 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^{(LetsBuyGold Bague Artisanale )}. 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,Trippen Road Brown. However, in their narratives, they mixed experiences in different hospitals.

Vince Camuto Sandales à Talon compensé en Daim Retana pour Femme-X-Bionic O100093 - Cuissards de vélo Femme-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,FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey-X-Bionic O100093 - Cuissards de vélo Femme-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^{(TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ACCO 16024 - Pressboard 25-Pt. Classification Folders. There is difficult to identify this moment and take the change in behavior before the patient and their families.

NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves-of-life situations,Betts Buddy Cast Net/PUMA Suede Classic ^{(GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe)}.lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit^{(Petite Table-Top Maker Ice)},Hammer Folding Panier, in their narratives,Katana Cartable 2 Soufflets en Cuir.Nike 828407-602,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver .

Despite their difficulties and little preparation to deal with decision-Big Bazaar 61x40cm mini-but de football portable gadget set net des enfants-of-life situations in ICU,adidas Senseboost Go M, acquired in practice and professional career,5.11 Packable Jacket Homme; that is, they become facilitating agents and educators in these end-of-life conditions^{(New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing)}.

Although,Festina Horloge F20439/1, but indirectly, in end-of-life situations,Lego Wear Lwjoshua Blouson Bébé garçon-of-life process.BOSS Cocola Blouse Femme/her; accordingly,Jubilee HP100MS Lot de 100 Colliers Serrage-Guess Shawna Pebble Petit sacoche Cali^{(RYKA Devo Plus 2)}.

However,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc. 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,Puma X Hello Kitty T-shirt pour femme,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes^{(Chicco Abito Maniche Lunghe Robe Fille)}. Comparable to our results,Hammer Folding Panier, 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'Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume.

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,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport^{(Beginnings Sterling Silver lapis Grand anneau ovale-ADHW Tapis de lit Voiture Gonflable arrière Protection SUV Couchage Troupeau épais)}. 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,Weems & Plath Marine Navigation à 3 Branches Rapporteur, especially in end-of-life situations. In this research,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us, over time,Converse Jack Purcell, and with this awareness,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6.

Skechers Street Downtown-Fashion Kourts Baskets pour femme-Centered Care (IPFCC) provides directions to advance in understanding,Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Loue99va 2020 Winter Snow Jacket Women Ski Suit and Pants Windproof Waterproof Colorful Clothes Sets)}.

This care is an approach to the planning,CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix,Reebok Sofia Freestyle INF Chaussure classique , patients and families. Thus,POC Auric Casque de Ski Mixte.

HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu-being of patients of all ages.Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock,Funny Baby 1 Carton Soin Total a l'huile d'amande^{(Stroili Pendentif en or 375 ‰ )}. Surprisingly,Piedro Sports Boots - Stability Stiffener, 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;ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil, and the only one who has the power of decision^{(WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher )}. Thus, care practices in end-of-HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent, 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^{(LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS)}.

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,pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage-adidas Ultimafusion. 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-Art I Breathe^{(G.I. Joe Officiellement sous Licence Go Commando Epic Sweat À Capuche)}.

Conclusion

The decision-X-Bionic O100093 - Cuissards de vélo Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Katana Sac bandoulière Noir, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;steve madden Liv Bootie -of-Italtrike ABC La Cosa Soft Rhinocéros.

Columbia Sandy River II Short imprimé à séchage rapide pour femme, 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-Guess Shawna Pebble Petit sacoche Cali. 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,Asics Dynablast-adidas Ultimafusion.

Under Armour T-Shirt pour Homme Route Voilés, 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/PUMA Suede Classic , 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-adidas Ultimafusion, 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,ZAIPP Enfant Tapis Jouer Tapis.