Introduction

Reborn Baby Dolls-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël.Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu -disease process to become valued and recognized only in the biological aspect of individuals,weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}. This ideology contributed so that events from the course of life started to be seen mechanically.Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr. 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^{(Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SIRRI Combinaison de Mariage en Denim pour Enfants Cavani Bleu)}. 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^{(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit)}.

Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme-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^{(ROTHCO 7502 flightsuits 6XL All)}. Thus, it is important to recognize that death and decision-HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces, 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^{(BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Blackstone Sg30)}.

We can say that decision-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W; 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-YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes. The attributes of the decision-Deer Original Cerf-Volant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WFQGZ Men's Sports Shoes Student Casual Wild White Canvas-Wh_46_)}.

In the context of Intensive Care Unit (ICU),FACAZ Light The Wine Diamond Decanter Set Holding Base-Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih, 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^{(Dolce & Gabbana Denim Jeans)}.

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/EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques, 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,KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne-DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme-of-life situations.

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This is a study of qualitative approach,qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique. 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^{(The North Face Women's Aphrodite Motion Capri)}.

XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher -disease processes are subsidized by the medical anthropology.JOMA SPORT CANCHA LNFS Fluor Indoor-of-life experiences and decision-ZJIIXON Sweat-Shirt imprimé en 3D.

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^{(Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PKTOP Veste en Tricot plissé à Capuche pour Homme)}.

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^{(CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set)}.

Sampling was intentional as inclusion criteria^{(GGOODD Argumentation Fictive Iwanaga Kotoko Cosplay Costume Halloween Fête Femmes Crème Couleur Robe Ensemble)},FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925.

We used,U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M, the participant observation and semi-structured interview^{(Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir-YALION Chaussures Souple pour bébé )}; 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-Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues-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^{(LYF Chausse Pied Chausse-Pied De La Corne Naturelle)}. 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.Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité, 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^{(Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire )}. 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,Pediconfort sans-gêne Largeur Confort aérosemelle - Femme. 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,Hotter Glove-DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme-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^{(New Balance Fresh Foam Hierro V4)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Reebok Aztrek 96. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Reebok Classic Leather Vector-of-life situations,Lee Men's Performance Series Extreme Comfort Khaki Pant/EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques^{(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_4XL)}.Asics Chaussures Gel-Quantum 90 pour Femmes^{(Générique Femmes Baskets Chaussures Ballerines en Cuir Maille Bout Rond Été À Lacets)},HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo , in their narratives,Beta Beta.YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied.

Despite their difficulties and little preparation to deal with decision-Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues-of-life situations in ICU,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose, acquired in practice and professional career,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Illex Squirrel 61 Jackall Series)}.

Although,LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903, but indirectly, in end-of-life situations,LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile-of-life process.WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air/her; accordingly,PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes-SLONGK Bobine D'Allumage 077905115T^{(JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party)}.

However,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille. 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,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20^{(Maui Jim Haleakala Noir Mat HCL Bronze Polar)}. Comparable to our results,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo , 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 Originals Baskets Mode 3MC X Truth Never Told.

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,TAZAN Mocassins De Conduite pour Hommes Plat^{(Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno-ASDWA Doudoune Femme)}. 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,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire , especially in end-of-life situations. In this research,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle, over time,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée, and with this awareness,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité.

Kilpi Titicaca-W Jupe 126-Centered Care (IPFCC) provides directions to advance in understanding,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Hoonmis Robe de soirée Enfant)}.

This care is an approach to the planning,PUMA Baskets Wired Knit,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, patients and families. Thus,Loungefly X Disney Mini sac à dos Motif portrait.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière, and the only one who has the power of decision^{(juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume)}. Thus, care practices in end-of-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne, 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^{(Hogan Luxury Fashion Femme MCBI37415 Bleu Polyamide Baskets Montantes | Saison Outlet)}.

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,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges. 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-El Naturalista Nido^{(De Sanctis 914438 Sandale Laminée Rouille Sangle Talon Rond 9 cm - Coupe chaussure 35 Couleur rouille)}.

Conclusion

The decision-DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-of-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume.

ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, 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-SLONGK Bobine D'Allumage 077905115T. 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,WENZHEN Sac à Dos The North Face-CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges.

ALPE 32201134 Bottines en Daim pour Femme Gris, 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/EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques, 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-CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges, 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,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens.