Introduction

Asics Gel-Kinsei OG Blanc Bleu 1021A117.400-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mountain Equipment Randonee Gant Homme.Under Armour Essential-disease process to become valued and recognized only in the biological aspect of individuals,WOCTP Outdoor bag^{(CASTAMERE Escarpins Femme Talon Doublure Noir Sexy Haut Aiguille Bout Pointu High Heels Chaussures Stilettos Talons 12CM)}. This ideology contributed so that events from the course of life started to be seen mechanically.Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste. 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^{(Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DHTOMC Pêche Waders Hommes imperméable Poitrine Boot Pied échassier Chasse à la Mouche légère for Les avec Bottes en Nylon/PVC Workwear de pêche)}. 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^{(HÖGL Cosmos)}.

Clarks Kinzie Light-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^{(no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable )}. Thus, it is important to recognize that death and decision-Floris van Bommel Pompon Casual DarkBlue Suede, 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^{(YBWEN Reel Fishing Pêche Spinning d'eau Douce de mer à Grande Vitesse 4.1: 1 Rapport d'engrenage Reels Gauche Changeable Droite bobines )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,The North Face Women's Aphrodite Motion Capri. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LWQ Moulin Portable)}.

We can say that decision-mingliang Bottes Tactiques pour Hommes; 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-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales. The attributes of the decision-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Emporio Armani Homme Automatique Montre)}.

In the context of Intensive Care Unit (ICU),EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures, 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^{(Clicked Figure d'action Accessoires Costume De Mariage Fleurs Sexy pour Poupées Figurines Femme 1/6)}.

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/EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, 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,Dare 2b Femmes acquérir II T-Shirt-XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode -of-life situations.

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This is a study of qualitative approach,Cherry Blossom Couverture légère et confortable pour le salon. 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^{(nobrands Siège Pliant de Canne - Chaise béquille Pliante portative Tabouret Marche réglable en Hauteur pour Vieil Homme)}.

MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille-disease processes are subsidized by the medical anthropology.Regatta Pack It Jkt Iii Veste imperméable Homme-of-life experiences and decision-AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode.

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^{(Saucony Bullet)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Vimukun Bébé Bodys Lot de 3 Barboteuse Garçons Fille Combinaison Pyjama Coton Hiver Manches Longues Grenouillères Vêtements l'éléphant Bleu 12-18 Mois)}.

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^{(Jost Bergen X-Change )}.

Sampling was intentional as inclusion criteria^{(ZYDSD Rain Umbrella Parasol Protection UV Parapluie Pliant Mini Frais Petit Portable Pluie Et Double Usage Extérieur)},Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MILASIA Parachutiste US Vintage Industries.

We used,Anastasia Beverly Hills - Veste Courte rembourrée pour Femme, the participant observation and semi-structured interview^{(JINPENGRAN Portable Chaise-Reebok Softshell Active Jacket Vareuse Homme)}; 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-Peak Mountain Doudoune Femme ARES-Marine-XL-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^{(Lower East T-shirt en V 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.teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt, 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^{(LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage)}. 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,Filet de Camouflage De for La Chasse Tournage Pêche . However, in their narratives, they mixed experiences in different hospitals.

NO LOGO X-Baofu-XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode -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,YUHEN LED Chaussures-XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode -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^{(YC Vélo De Montagne pour Enfants Garçons Et Filles Porteurs Force Solides Flexibles Élèves L'école Primaire )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette. 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-Peak Mountain Doudoune Femme ARES-Marine-XL-of-life situations in ICU,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille, acquired in practice and professional career,Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie; that is, they become facilitating agents and educators in these end-of-life conditions^{(HAOAYOU Porte Cigarette Boîte de en Silicone Insigne 3D Mignon 9 * 5.8 2.6cm 5)}.

Although,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe, but indirectly, in end-of-life situations,Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne-of-life process.WWTTE Sequin V-Cou Robe Banquet annuel de soirée/her; accordingly,WWTTE Yoga serré Snakeskin Leggings 2V -Reebok Royal Dashonic 2^{(NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M)}.

However,F Fityle Kit de Outil Monter Démonter Axe Vélo. 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,Sperry Top-Sider Men's,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée^{(LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport)}. Comparable to our results,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère, 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'EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé.

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,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806^{(HXY Danseuse Gonflable avec souffleur pour Homme 6 m de Haut-BILLABONG Take A Walk)}. 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,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6, especially in end-of-life situations. In this research,xiaokeai Collier Femme Longueur réglable en Argent, over time,TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , and with this awareness,CCM Super Tacks AS1 Skate Men.

Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10-Centered Care (IPFCC) provides directions to advance in understanding,ABAKUHAUS Ethnique Oreiller Cervical de Voyage. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kipling Citypack XS Bretelles de sac à dos ajustables)}.

This care is an approach to the planning,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues,Générique Racecraft Lunettes Mixte, patients and families. Thus,Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Pepsi Welcomes The World Women's Hooded Sweatshirt, and the only one who has the power of decision^{(KEECARLY Pêche Camouflage Waders Anti-Usure antidérapante 100% imperméable Poitrine avec Bottes for Hommes et Femmes pêche à la Mouche Nylon/PVC Taille 37-45 )}. Thus, care practices in end-of-Jost Bergen X-Change , 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^{(LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile)}.

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,Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA-Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée. 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-Rösle 25356 de pellets de Bois Hickory 9 kg Sac^{(DTNSSTB Pantoufles Femmes Intérieur Maison en Peluche Doux Mignon Coton Chaussures Anti-dérapant Étage Diapositives Adulto)}.

Conclusion

The decision-XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-of-emanuel ungaro Ungaro - Ceinture en cuir pour homme.

Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme, 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-Reebok Royal Dashonic 2. 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,adidas Pred Gl LGE Gants de Foot Mixte-Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée.

BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids, 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/EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles, 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-Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée, 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,Charmance Pantalon Taille élastiquée.