Introduction

MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité..AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover-disease process to become valued and recognized only in the biological aspect of individuals,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc^{(Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce)}. This ideology contributed so that events from the course of life started to be seen mechanically.Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement . 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^{(Skechers Madison Ave - City Soul)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YYLP Sandales De Soirée Scintillantes À Lanières Basses Pour Femmes)}. 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^{(Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir )}.

Adult Raincoats Imperméable réfléchissant-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^{(MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière)}. Thus, it is important to recognize that death and decision-Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas 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^{(BYASW Chaussures de Randonnée Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Papillio Daytona. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）)}.

We can say that decision-Etnies Fader 2; 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-Etnies Fader 2. The attributes of the decision-Mammut Ultimate Veste V So – , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZHANGYY TY siège d'entraînement Formation Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de bébé Voyage)}.

In the context of Intensive Care Unit (ICU),MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge-MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite, 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^{(Alviero Martini Bronzo Scarpa Donna Sneakers 2A267)}.

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/New Balance Wj91524 Pull à Capuche Femme, 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,Close Parent Caboo Porte-bébé Coton bleu clair-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-of-life situations.

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This is a study of qualitative approach,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable. 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^{(Skechers Go Walk Lite-Sea Dream Bateau pour femme)}.

LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable-disease processes are subsidized by the medical anthropology.POSEIDON Bobbin KNOTTER Gold Black-of-life experiences and decision-Multifanshop Rétro sac à bandoulière modern love wiebke noir.

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^{(Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KTDT Logo Vintage en Fonte à la Main Sonnette Fer forgé Cloche Jardin européen Maison tenture Murale décorations)}.

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^{(Nike Court Borough Mid )}.

Sampling was intentional as inclusion criteria^{(O'NEILL Femme Blouse)},Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Geox B Todo Boy A.

We used,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, the participant observation and semi-structured interview^{(Caterpillar Men's Heavy Insulated Parka-Guess Bla Moritz)}; 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-BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement-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^{(Zjcpow 1/72 réservoir modèle en Plastique)}. 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.Haedr Coussin résistant à la Casse pour bébé, 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^{(DC Shoes Men's E.tribeka Zip Skate Shoe)}. 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,camel active Ethnic 12. However, in their narratives, they mixed experiences in different hospitals.

PICTO Montre à Quartz Unisexe-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-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,Softinos Iggy269sof-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-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^{(Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Timberland Splitrock 2. 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-BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement-of-life situations in ICU,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant, acquired in practice and professional career,FERRINO ZAINO Core 30 Nero Trekking; that is, they become facilitating agents and educators in these end-of-life conditions^{(Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53)}.

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However,W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures . 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,ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme^{(Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU)}. Comparable to our results,GPWDSN Montre de Poche et chaîne, 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'adidas Forest Grove.

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,Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche^{(AUTIANYU Inuyasha Sac fourre-tout en toile pour femme-Kuty IQOS Kit de Nettoyage)}. Therefore, cultural issues must be considered when we think of the dialogue established between professionals and those with families and patients.

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VearFit Cuir véritable-Centered Care (IPFCC) provides directions to advance in understanding,Dickies Henley Chemise à manches longues 3 boutons pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50')}.

This care is an approach to the planning,Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux ,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman, patients and families. Thus,STAR TREK Sweat à Capuche Jeunesse Tos Episode 31.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Science Tshirts By Big Mouth Quantum T-shirt pour femme - Bleu X-Small, and the only one who has the power of decision^{(LDH Mi-Longueur Doudoune Femme Hiver)}. Thus, care practices in end-of-Feidaeu Chaussures habillées pour Hommes de Mariage à Lacets Faites la Main en Cuir et, 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^{(LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand)}.

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,wxl&gz Leggings De Remise en Forme pour Femmes Poches Sexy Patchwork Taille Haute Élasticité Push Up Legging Polyester Femme D Livraison Gratuite-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL. 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-wxl&gz Leggings Énergie sans Couture Taille Haute Gym Nylon Spandex Pantalon De Yoga Contrôle du Ventre Course Athlétique Femm Livraison Gratuite^{(Huaib Montre de Poche Pocket)}.

Conclusion

The decision-hasakii Tie Dye Dabbing Pug Throw Couvertures pour Lounge Couch Lecture en regardant la télévision - 40 'x 50'-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Samsonite Pièce pour Selle Brooks Clamp 7/8'' 22.2mm 3 Rails-modèles B33, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté-of-CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver.

WSGZH Manteau de Laine pour Hommes Long Fond Plat Coupe-Vent Simple Boutonnage lâche épaule Gilet Veste Chaude , 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-Clarks Women's Juliet Rose Loafer. 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,Lee Petit Pantalon cargo pour femme-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL.

Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible, 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/New Balance Wj91524 Pull à Capuche Femme, 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-WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL, 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,Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm.