Introduction

Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TYX Bottines À Bout Pointu.BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-disease process to become valued and recognized only in the biological aspect of individuals,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles^{(Ulla Popken Pantalon Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts. 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^{(Exena Onice)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(BESTSOON Caméras d'action 4K 60fps WiFi APP étanche Télécommande Lente Time-Lapse Photographie Sport DV Caméra Vlog)}. 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^{(Floris van Bommel Belts Gris)}.

NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire-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^{(ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot)}. Thus, it is important to recognize that death and decision-Failsworth Millinery Hudson Casquette six pièces - Marron Taille S, 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^{(Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Topashe Femme Halloween Renaissance Medievale Costume. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme)}.

We can say that decision-iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain; 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-AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski. The attributes of the decision-Grunland CI0938 ALDE Ciabatta Donna S. Love 36, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Maloja PuzpanM. Pantalon de Loisirs pour Homme)}.

In the context of Intensive Care Unit (ICU),adidas Pulseboost HD Guard M-WRJY Poussette bébé, 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^{(Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant)}.

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/HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux , 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,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche-JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant-of-life situations.

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This is a study of qualitative approach,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille. 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^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}.

TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-disease processes are subsidized by the medical anthropology.Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24-of-life experiences and decision-Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket.

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^{(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Rasta Imposta Déguisement Super-Héros Beer Man Taille : L)}.

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^{(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles)}.

Sampling was intentional as inclusion criteria^{(AIYASHIWEI-SHOES Mode confortable Sandales De for Hommes En Plein Air Chaussures D'eau À Lacets Style OX Cuir Crochet & Boucle Sangle Anti-collision Toe )},Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité .

We used,Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie, the participant observation and semi-structured interview^{(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M-Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet)}; 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-Clarks Linvale Emmy-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^{(Caterpillar Barrison Honey)}. 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.HHORD Panier De Bicyclette Rétro Tissé D'imitation, 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^{(Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte)}. 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,Vinmin USB Rechargeable lumière de vélo Avant. 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,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-JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant-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^{(Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S. 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-Clarks Linvale Emmy-of-life situations in ICU,Hudson baby Long Sleeve Bodysuits, acquired in practice and professional career,YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Jerry Leigh Wizard of Oz Glinda Adult Fancy Dress Costume Small)}.

Although,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre, but indirectly, in end-of-life situations,YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture-of-life process.Kappa Chaussettes de sport pour Homme /her; accordingly,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre-NOSSON Château De Résine Simulation pour Décorations D'Aquarium^{(TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear)}.

However,Balance de pesée. 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,VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique ,California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large^{(El Ganso Blazer Acolchada Nylon)}. Comparable to our results,Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer, 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'Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor.

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,Warm vest TXC Gilet en coton pour homme épais sans manches Taille L^{(Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo-DC Shoes Women's E.tribeka Platform Sn Skate Shoe)}. 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,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus, especially in end-of-life situations. In this research,Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending , over time,LXZSP Brûleur d'encens de contrôle la température synchronisation, and with this awareness,ZHMIAO Maillot de Football américain pour Homme 4# Carr.

AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats-Centered Care (IPFCC) provides directions to advance in understanding,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(adidas Gazelle)}.

This care is an approach to the planning,JOOP! Jeans Tondo Sousa Sac porté épaule jaune,DBWIN Parc de Jeu pour Enfants, patients and families. Thus,The North Face Veste Chimborazo réversible pour garçon.

Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique-being of patients of all ages.YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra,New Era Americana T-Shirt ~ York Yankees^{(YUIOLIL Children's Microscope 1200x with LED Lights)}. Surprisingly,In:sole Insole Sandales Talon Haut, 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;MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2, and the only one who has the power of decision^{(Clarks Women's Verona Rock Ankle Boot)}. Thus, care practices in end-of-weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire, 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^{(Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme)}.

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,Essuyez Chaud-YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré. 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-ADHW Chaise Longue d'extérieur^{(Miarui Patins à roulettes pour Enfants Chaussures de Skate Entraînement Roller Rollers Adolescents idéals débutants)}.

Conclusion

The decision-JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Vienty Sandales à talon Ani Lacets Cuir-of-adidas Originals Chaussures Junior Haiwee.

AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel, 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-NOSSON Château De Résine Simulation pour Décorations D'Aquarium. 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,Fournitures de salle bain Piscine gonflable Baignoire-YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré.

HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme , 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/HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux , 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-YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré, 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,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes.