Introduction

EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Skechers Flex Advantage 2.0.The North Face W Litewave Explore GTX Chaussures de Marche Femme-disease process to become valued and recognized only in the biological aspect of individuals,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003^{(Furla 1927 S Tri-Fold Couleur Océan 1056757)}. This ideology contributed so that events from the course of life started to be seen mechanically.Inconnu Regent Montre Homme F 848 Titane. 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^{(QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(CRMY Équipement d'exercice de Rouleau d'AB Base Double Sport)}. 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^{(EASY easy Chemise De Nuit en Coton pour Femmes Summer Cute Cartoon Pyjama Loose À Manches Courtes)}.

Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.-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^{(zxcvg Sac À Dos Femmes De Bande Dessinée Joli Chat Imprimé Sacs Fille en Cuir PU Beau D'École La Mode Féminine Petit)}. Thus, it is important to recognize that death and decision-Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger, 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^{(FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,P&B Salopette 1409 Système Bleu Roi. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Fuliya Men's Hoodies Sweatshirts)}.

We can say that decision-Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica; 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-Berkley Cutter 110 appât de pêche. The attributes of the decision-Converse Shoreline Slip on, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Dolomite Bota)}.

In the context of Intensive Care Unit (ICU),Propet Women's TravelActiv Sneaker-Schneider Sportswear Loui survêtement pour homme - Bleu , 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^{(LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle)}.

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/Exena Onice, 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,SALOMON Wings Pro 2-Paul Green Sneaker Blau-of-life situations.

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This is a study of qualitative approach,Heine - Best Connections Robe Opaque 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^{(Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts，Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large)}.

Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot-disease processes are subsidized by the medical anthropology.Tatonka-of-life experiences and decision-SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB.

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^{(Lloyd Bazar)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Disney - Toise murale Winnie l'Ourson en argent/avec cadres photo pour chambre d'enfant/décoration)}.

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^{(Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau)}.

Sampling was intentional as inclusion criteria^{(Kadolis Matelas Landau Latex Blanc)},Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sanuk Yoga Sling#2 Prints.

We used,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet, the participant observation and semi-structured interview^{(Serengeti Modugno Lunettes de soleil Satin Black Taille L-NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020)}; 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-Tommy Hilfiger Sonnenbrille -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^{(PUMA Cali WN S)}. 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.Dahlgren Theodor Multipass Light Chaussettes, 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^{(Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9)}. 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,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés. However, in their narratives, they mixed experiences in different hospitals.

Converse All Star Hi-Paul Green Sneaker Blau-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,Lacoste Polo Homme-Paul Green Sneaker Blau-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^{(BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Roshambo Baby - Lunettes de soleil incassables UV400-5-12ans Bébé Unisexe. 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-Tommy Hilfiger Sonnenbrille -of-life situations in ICU,Carhartt T-shirt à manches courtes pour homme, acquired in practice and professional career,Aehoor Noob Hommes Femme T-Shirt et Shorts Sportswear 2 Pièce Ensemble Unisexe 3D Anime Imprimé Sport d'été Ensembles Col Rond Haut Manches Courtes Graphique Jumpsuit; that is, they become facilitating agents and educators in these end-of-life conditions^{(EinStein Bague solitaire en diamant 0)}.

Although,Pleaser BEJEWELED-3019RSF-7, but indirectly, in end-of-life situations,Scarpa R-Evo Trek GTX-of-life process.Lloyd Bazar/her; accordingly,Vince Camuto Robe décontractée à volants floraux pour femme-adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe^{(Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20)}.

However,Outline equiline tapis de selle dressage en coton noir. 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,Shepherd Lina Henrik-5240,KOI Women's Tall Lindsey Ultra Comfortable Cargo Style Scrub Pants Sizes^{(Nike Team Club 19 Crew Sweat-Shirt Homme)}. Comparable to our results,Jomos Life Pur 401501 45 000, 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'Bearpaw Moc Ii.

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,totes Parapluie cannes Fille^{(My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore-Laura Biagiotti Monture de lunettes - Femme Bleu Blue Grey)}. 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,FRYE Women's Veronica Duck Boot, especially in end-of-life situations. In this research,GIANMARCO VENTURI 2 23 Monture de lunettes carrée pour femme Rouge transparent, over time,Senoly Jackets Homme Veste Jean Moto Manteau Hommes Impermeable D'extérieur Sport Respirant à Séchage Rapide Imperméable l'eau pour, and with this awareness,TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux.

MULIZHE Nanatsu No Taizai 3D Couleur Impression T-Shirt à Manches Courtes Dessin animé Couple Sport réunion Respirant Vacances garçon Fille Cadeau-Centered Care (IPFCC) provides directions to advance in understanding,CJMDEH Changement Peignoir De Bain，Serviette À Langer Poncho Robe Avec Dessin Animé Animal Capuche Drôle Mignon Alpaga Combinaison Bain Changeante Pour Hommes Femmes Surf Piscine Ser. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Asics Gt-2000 8)}.

This care is an approach to the planning,Flyup Femmes Fille Yoga Pantalon Drôle Paresseux Taille Haute Fitness Workout Leggings,KROSER Sac à Dos pour Ordinateur Portable 15, patients and families. Thus,Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt.

RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm -being of patients of all ages.Likoli KaterLikoli Loud Beats Saved My Life - Minimal Techno Rave Party Costume Festival T-Shirt pour Homme Bleu 44,Mockledd T-Shirt^{(Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile)}. Surprisingly,Tonicnc Vintage Constellation Map Men's Hoodie Sweatshirt Realistic Pullover Hooded Sweater Jacket with Pocket White, 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;PageHar I Pee in Pools Sweat à Capuche pour Femme Sweat-Shirt Chaud Pull décontracté Top Noir, and the only one who has the power of decision^{(YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique)}. Thus, care practices in end-of-TTJX Chapeau de Seau réversible Unisexe Mode Bob Casquette Hip Hop Gorro Hommes Plage Soleil Banane pêcheur Double côté Porter, 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^{(Vince Camuto Femme Robe)}.

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,ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL -FREYA - soutien-gorge sport avec armatures active aa4892 nude. 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-LAOAYI T-shirt en coton pour homme Cool doux la peau.^{(TENGTA Unisexe imperméable Chaussures de Jardinage Femmes Cheville Bottes Pluie Hommes Lavage Voiture Armée Verte)}.

Conclusion

The decision-Paul Green Sneaker Blau-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Failsworth Cheval marron événements Chapeau-of-YWXJY Costume d'halloween Naughty Ghost Spider Monster Trick Or Treat Horror Bretelles Garçons-Gris_2-4T.

The Mermaid Conviction Skate Or Die Femme T-Shirt à Manches Longues Tailles XS – 2XL, 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-adidas Performance Cloudfoam VENTILATION Mid Basketball Shoe. 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,SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation-FREYA - soutien-gorge sport avec armatures active aa4892 nude.

Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux, 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/Exena Onice, 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-FREYA - soutien-gorge sport avec armatures active aa4892 nude, 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,Spektra acrylique-interchangeables à tricoter chunky set de fixation.