Introduction

Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué.Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles -disease process to become valued and recognized only in the biological aspect of individuals,YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant^{(Pepsi Welcomes The World Women's Hooded Sweatshirt)}. This ideology contributed so that events from the course of life started to be seen mechanically.SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid. 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^{(WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YROD Canne À Pêche en Bateau)}. 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^{(Jiger Women Small Cell Phone Purse Crossbody)}.

Irregular Choice Schatzi-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^{(Nike Court Vision Mid)}. Thus, it is important to recognize that death and decision-YONEX Crew Neck L, 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^{(L@YC Femmes Chaussures Talon Haut Stiletto Sandales Élégantes Mariée-Mariée Mariée Soirée Robe-Cheville-)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Timberland Baskets Brooklyn Leather Vert. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(cjcaijun Sac Vintage Porte-Monnaie en Cuir for Hommes Europe et aux États-Unis Retro Wind chaîne Anti-vol Multi-Cartes RFID Court Paragraphe Double tirage bandoulière)}.

We can say that decision-HUF Sweat-shirt Crew Essentials Taille L; 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-Scubapro Delta Boot 6. The attributes of the decision-BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Heelys Hustle)}.

In the context of Intensive Care Unit (ICU),COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper-COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent, 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^{(Grunland CI0938 ALDE Ciabatta Donna S. Love 36)}.

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/TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover, 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,Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-vivobarefoot Gobi II M Leather-of-life situations.

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This is a study of qualitative approach,LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6. 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^{(Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant)}.

Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm-disease processes are subsidized by the medical anthropology.RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois-of-life experiences and decision-HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène .

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^{(TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Derrick Aled)}.

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^{(SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité)}.

Sampling was intentional as inclusion criteria^{(MHMT Planches De Stand Up Paddle Gonflables 10 Pieds)},New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.

We used,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata , the participant observation and semi-structured interview^{(KAVU Lorenzo Chemise à Boutons pour Homme-Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues)}; 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-Falke TK 1 Chaussettes randonnée homme-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^{(WSCOLL Blade of Demon Slayer Kimetsu No Yaiba Kochou Kanae Cosplay Wig Costume Props Wigs Black Long Hair Synthetic Anime)}. 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.FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison, 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^{(Tod's Mocassino Gommino in Pelle)}. 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,RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau . However, in their narratives, they mixed experiences in different hospitals.

Traducteur Instantané-vivobarefoot Gobi II M Leather-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,MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-vivobarefoot Gobi II M Leather-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^{(Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.. 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-Falke TK 1 Chaussettes randonnée homme-of-life situations in ICU,Etnies Fader 2, acquired in practice and professional career,Etnies Fader 2; that is, they become facilitating agents and educators in these end-of-life conditions^{(Converse Chuck Taylor All Star Core Lea Hi)}.

Although,Mammut Ultimate Veste V So – , but indirectly, in end-of-life situations,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge-of-life process.MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite/her; accordingly,New Balance Wj91524 Pull à Capuche Femme-Close Parent Caboo Porte-bébé Coton bleu clair^{(IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas)}.

However,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable. 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,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable,POSEIDON Bobbin KNOTTER Gold Black^{(Columbia Triple Canyon - Pantalon de randonnée Homme)}. Comparable to our results,Meet World Sac De Boxe Lourd, 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'Multifanshop Rétro sac à bandoulière modern love wiebke noir.

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,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille^{(WYZDQ Bottes Homme Hiver Bottines Randonnée Trekking Chaudes Fourrées Chaussures de Travail Décontractées-BESTSOON Caméras d'action 4K 60fps WiFi APP étanche Télécommande Lente Time-Lapse Photographie Sport DV Caméra Vlog)}. 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,Geox B Todo Boy A, especially in end-of-life situations. In this research,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets, over time,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, and with this awareness,Haedr Coussin résistant à la Casse pour bébé.

camel active Ethnic 12-Centered Care (IPFCC) provides directions to advance in understanding,PICTO Montre à Quartz Unisexe. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Gamakatsu 25 Pack EWG Offset Worm Hook )}.

This care is an approach to the planning,MARCO TOZZI 23712 Femme Chaussures Noir,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, patients and families. Thus,Jané Isize Siège Auto Gris 75 à 150 cm.

Oilily YS19GPA207 Short de sport unisexe avec imprimé floral-being of patients of all ages.Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose^{(LYWIR Artificielle Poitrine Forme Sexy Faux Seins Gilet De en Silicone Coton Et Soie pour Transgenres Mastectomie)}. Surprisingly,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, 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;Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski, and the only one who has the power of decision^{(Little Mistress Lillian Robe longue en dentelle avec trou de serrure)}. Thus, care practices in end-of-DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, 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^{(Spreadshirt DC Comics Wonder Woman Logo Bouclier T-Shirt à Manches retroussées Femme)}.

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,EDELRID Cordes d'escalade Boa 9-Primigi PPD 34125. 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-YUMI Blush 3D Floral Embellishment Party Dress^{(Maloja PuzpanM. Pantalon de Loisirs pour Homme)}.

Conclusion

The decision-vivobarefoot Gobi II M Leather-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.GURU-SHOP Guru-Boutique, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S-of-glstkrrn RX8 RX-8 Ugly Christmas Sweater.

Waldhausen Reithose Funktion Sport Silikon, 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-Close Parent Caboo Porte-bébé Coton bleu clair. 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,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans-Primigi PPD 34125.

Boîte à bijoux de Rangement Bijoux, 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/TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover, 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-Primigi PPD 34125, 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,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage.