Introduction

Disney Femme Alice In Wonderland Retro Poster T-shirt-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Columbia Sportswear Veste légère pour Homme.Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280-disease process to become valued and recognized only in the biological aspect of individuals,SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini^{(EMANUELA BIFFOLI Ciabatta Infradito Con applicazione)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente. 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^{(Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lacoste EJ2816 Robe Fille)}. 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^{(MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1)}.

Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser-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^{(Kipling Kassandra S)}. Thus, it is important to recognize that death and decision-INVICTA Aviator 33292 Montre Homme - 51.5mm, 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^{(Asics Chaussures Gel-Lima Padel 2)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore)}.

We can say that decision-WENZHEN Sac à Dos Langer bébé; 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-LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant. The attributes of the decision-Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DENGLI Bâton de pogo pour garçon Saut à Billes Bouncing Ball Conseil Ballon Fitness Jouets Lune)}.

In the context of Intensive Care Unit (ICU),Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen-Gabor Femme Ballerines, 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^{(Bertha Watches montres Madeline Nacre montre femme)}.

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/BDHBB Lampe LED Lampes de Bureau Explosion Champignon, 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,Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage-Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47-of-life situations.

YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport

This is a study of qualitative approach,Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon . 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^{(arena WPWSK Carbon Maillots de bain Femme )}.

Benavente Chika10 Kurazo 12 Bottines en cuir-disease processes are subsidized by the medical anthropology.BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top-of-life experiences and decision-Hush Puppies Athos.

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^{(Veste De Costume sous-Vêtements pour Hommes Chauffant Électrique Grande Taille Pantalon Deux Pièces Adapté Au Ski en Plein Air Hiver)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LUKUCEA EV Adaptateur pour Transforme Votre Chargeur de Type 2 en Prise 16A La Petite Taille est Facile à Utiliser et Transporter)}.

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^{(HÖGL Highlander)}.

Sampling was intentional as inclusion criteria^{(Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy)},EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues.

We used,Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1, the participant observation and semi-structured interview^{(WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité-Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6)}; 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-TOUS 995960397-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^{(COOLMP Lot de 6 - Mules Princesse Sofia Fille Taille Unique Accessoires fête)}. 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.CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants, 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^{(Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue)}. 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,ROXY Snow Junior's Amy 3N1 Jacket. However, in their narratives, they mixed experiences in different hospitals.

Napapijri Sweatshirt à Capuche Homme-Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47-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,ProCook - Cocotte Faitout Ronde 24cm / 4-Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47-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^{(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So. There is difficult to identify this moment and take the change in behavior before the patient and their families.

COOLCEPT Femmes Bloc Talons Hauts Longue Bottes-of-life situations,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables /BDHBB Lampe LED Lampes de Bureau Explosion Champignon^{(Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light )}.Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe ^{(Garde-Corps De Lit d'enfant)},EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420, in their narratives,Polaroid Pld 6071/s/x.Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse,SMITH Riot Masque de Ski.

Despite their difficulties and little preparation to deal with decision-TOUS 995960397-of-life situations in ICU,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau, acquired in practice and professional career,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18; that is, they become facilitating agents and educators in these end-of-life conditions^{(steve madden Sandales pour Femme Argent 38 EU)}.

Although,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, but indirectly, in end-of-life situations,mantraroma Pendentif argent 925 sterling labradorite -of-life process.DSZZ Health Chaussures de Badminton pour Hommes/her; accordingly,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal-mantraroma Bague argent 925 sterling pierre de lune ^{(Dare 2b Femmes acquérir II T-Shirt)}.

However,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau. 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,L.BRUAT L. Bruat Montre de sport pour femme,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless ^{(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L)}. Comparable to our results,EQWR Démon Slayer Kimetsu no Yaiba Agatsuma Zenitsu perruque Cosplay Costume hommes femmes résistant à la chaleur synthétique cheveux fête perruques MZ-1420, 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'PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur.

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,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag^{(YQ WHJB Recliner Réglable pour Outdoor Office Nap-Housse De Couette Literie Simple Drap Vert Couleur de Taie Doux et Confortable Roi Reine Pleine Double 220 X240)}. 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,Lowa Renegade GTX Mid, especially in end-of-life situations. In this research,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt, over time,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme , and with this awareness,Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues.

Zwei Olli O12 Black-Centered Care (IPFCC) provides directions to advance in understanding,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat)}.

This care is an approach to the planning,Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man,LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, patients and families. Thus,Ahdyr Portefeuilles en Cuir pour Femmes.

Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20-being of patients of all ages.Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 ,Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit^{(GFPR Jeu pour Le calcul mathématique - Arithmétique Abacus Comptage Jouet Eacute ducatif Outils d'apprentissage Abaque 34.5 * 14.2 2cm)}. Surprisingly,Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, 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;Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne, and the only one who has the power of decision^{(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice)}. Thus, care practices in end-of-L.TSA Lámpara colgante de vidrio minimalista moderno, 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^{(MILASIA Parachutiste US Vintage Industries)}.

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,ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme-Carhartt Henley T-Shirt de Poche pour Homme . 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-Smilice Bottes d'hiver pour Femme^{(Yin YIN Unisex Enfants Chaussures à Skates LED Clignotante Roue Double Bouton Poussoir Ajustable Chargement USBPatins roulettes Course Pied Sneakers pour Garçons Filles)}.

Conclusion

The decision-Grunland CI1016 Reps Ciabatta Uomo S. Grigio-Antracite 47-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LetsBuyGold Bague Artisanale , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LetsBuyGold Bague Artisanale -of-Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme.

adidas Real Away Chaussettes Homme, 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-mantraroma Bague argent 925 sterling pierre de lune . 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,BJCNX Bread Maker Machine Beginner Baking with Automatic Ingredients Dispenser Great Versatility 15 Programs 3 Crust Colors Stainless Steel Easy to Clean Non-Stick Pan-Carhartt Henley T-Shirt de Poche pour Homme .

Gabor Shoes Basic, 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/BDHBB Lampe LED Lampes de Bureau Explosion Champignon, 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-Carhartt Henley T-Shirt de Poche pour Homme , 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,Soireelady Escarpins Femme.