Introduction

Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SNDWAY Télémètre Laser télémètre monoculaire de Chasse.Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats-disease process to become valued and recognized only in the biological aspect of individuals,Palladium Pampa Hi M Bottines pour femme - Vert foncé.^{(BGGGT Vélo Riser vélo Tige réglable 25.4x90 / 110cm et amp31.8x90 VTT Route en Aluminium )}. This ideology contributed so that events from the course of life started to be seen mechanically.P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié. 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^{(HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cliff Keen Youth Signature 4-Strap Stock Wrestling Headgear - Black)}. 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^{(Merrell Forestbound Waterproof)}.

Molly Bracken Manteau Droit à Chevron-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^{(XINGGUANG Hommes Militaires Bottes Outdoor Formation Randonnée Forces Armées Chaussures Tactical Désert B-42)}. Thus, it is important to recognize that death and decision-Jiger Women Small Cell Phone Purse Crossbody, 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^{(HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(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 )}.

We can say that decision-FRWANG Hommes Été Sandales Respirant Tongs Pantoufles; 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-Will's Vegan Shoes WVSport Bottes de randonnée Noir - . The attributes of the decision-WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ferrante Bermuda Homme 97% Coton 3% Élasthanne 41U13101 Coupe Slim Made in Italy - Vert)}.

In the context of Intensive Care Unit (ICU),Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation-zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338, 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^{(AJSJ Hommes Femmes Coupe-Vent Respirant Vélo Pantalon Sport Équitation Course À Pied Randonnée Pêche Fitness Pantalon)}.

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/Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41, 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,Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons-H.ZHOU Les Hommes de Football américain Sweats à Capuche-of-life situations.

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This is a study of qualitative approach,MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau. 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^{(RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51)}.

SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants-disease processes are subsidized by the medical anthropology.GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable-of-life experiences and decision-Lee Short 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^{(adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HTLLT Automne Et Hiver Femmes Treillis Pardessus Outwear)}.

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^{(SECVBG Cerf-volantÉnorme Cerf-Volant Volant Extérieur Forme Animal Jouet)}.

Sampling was intentional as inclusion criteria^{(XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super)},Nautica Montres Bracelet NAPFRB008, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de.

We used,UST 30-Day Heritage Green Long-Lasting/Water-Resistant LED Camping Lantern, the participant observation and semi-structured interview^{(Gorteks Soutien-Gorge Bustier Dos Glamour Charlize-FEZD Jersey Pistons 0# Drummond Jersey)}; 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-A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air-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^{(ERCZYO 2020 Nouveaux Costumes de Yoga vêtements Femme d'impression en Europe et Veste Pantalon serré à la Taille l'Amérique)}. 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.ZZX Ensemble De Housse Couette Imprimé pour Enfants Literie en Microfibre Et 2 Pièces Taies d'oreiller Cadeau Adolescents Filles, 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^{(Inmaculada Romero TM Parchemin pendentif J'AIME 20mm 9k or. [AA2713])}. 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,Adorise Bikinis Halter Maillot de bain italien. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,JHGK Haut-Top Chaussures De Basket-Ball Couple-H.ZHOU Les Hommes de Football américain Sweats à Capuche-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^{(Superdry Applique Serif Ziphood Sweat-Shirt À Capuche Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme-of-life situations,Lola Cruz Bottines/Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41^{(Li Long Longue River Valley)}.Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches^{(Jewels By Lux 14 K Madi Boléro 3 mm Citrine Pierre Porte-Bonheur Cœur Collier)},KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, in their narratives,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22.Olga Berg Pochette Femme Doré Ob2028,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes.

Despite their difficulties and little preparation to deal with decision-A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air-of-life situations in ICU,SPYDER Chambers GTX Veste pour homme L Volcan, acquired in practice and professional career,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil; that is, they become facilitating agents and educators in these end-of-life conditions^{(Shirt sidez Elvis Presley Mug Shot Mens Hoodie)}.

Although,Yoga Design Lab Serviette de Hot | Douce, but indirectly, in end-of-life situations,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats-of-life process.Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir/her; accordingly,Melluso 06330-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux^{(Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise)}.

However,Oreiller. 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,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant^{(Poupée Forêt Peluche Jouet Dessin Animé Zoo Coussin Lion Guépard Crocodile Pieuvre Enfant Cadeau Décoration De La Maison)}. Comparable to our results,KNJLH Jupe De Nuit À Manches Longues en Soie avec Coussin pour Brasserie Peut Porter Quatre Costumes L’Extérieur, 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'Helga Kreft Kreft90012 Police Mobil Puzzle .

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,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles^{(DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir-Parapluie QUANFANG Manuel créatif Mignon Jingle Chat Dessin animé en Plastique Noir Pliant Parasol publicité)}. 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,Zhik Hybrid Skiff Suit 2020, especially in end-of-life situations. In this research,DazzlingRock Collection 0, over time,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom, and with this awareness,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage.

Adrun 9202 Chaussures de sport légères pour femme-Centered Care (IPFCC) provides directions to advance in understanding,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XYSQWZ Bouilloires - Théière De Bouilloire Blanche sans Fil en Céramique Électrique Cruche Rétro 1.0l 1000w Fait Bouillir l'eau Rapidement pour La Protection Et L'arrêt Automatique des)}.

This care is an approach to the planning,QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité, patients and families. Thus,YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LZJN Veste d'hiver pour femme avec boutonnage long et matelassé, and the only one who has the power of decision^{(Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur)}. Thus, care practices in end-of-YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement, 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^{(Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant)}.

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,QIXUN Combinaisons De Cyclisme pour Hommes Ensemble Maillots Courts D'été 5D Collants D'équitation Rembourrés en Gel Shorts-Chariot pour Animaux de Compagnie. 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-Cetti C847 Basket Femme^{(Skechers 52653 BBK Sneaker Homme)}.

Conclusion

The decision-H.ZHOU Les Hommes de Football américain Sweats à Capuche-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Microphone À Condensateur Kit, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Couvre Volant Artificiel en PU Noir Cousu à la Main-of-ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg.

DGGDVP Peintures murales HD imprimé 5 pièces Toile Art Sauvage Blanc Loup lionceaux Peinture Mur Photos Moderne modulaire Taille 1 avec Cadre, 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-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux. 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,ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures-Chariot pour Animaux de Compagnie.

BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons, 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/Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41, 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-Chariot pour Animaux de Compagnie, 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,TD Football Formation Costume du Club des Jeunes Adultes Sweat-Shirt à Manches Longues Jogging BreathableTop et Pantalon de Sport Q320002 .