Introduction

adidas Originals Midiru Court Mid W-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Warm-Breeze Bureau de Voyage soulager la Douleur au Cou en Forme U Doux à Trois Doigts sur Une Branche Verte Oreiller Mousse mémoire.New Balance 420v1-disease process to become valued and recognized only in the biological aspect of individuals,Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres )}. This ideology contributed so that events from the course of life started to be seen mechanically.Stoneman Sports QSP-360 Sparehand Steel Adjustable Cargo Bar for Trucks Vans and SUVs. 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^{(Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YQSHOES Bottes Mode Pour Femmes)}. 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^{(XLTCK Lunettes de soleil en titane pur polarisées B)}.

Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet-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^{(SALOMON XA Pro 3D V8 GTX W)}. Thus, it is important to recognize that death and decision-Hoppimals Tootiny Vache Sauteuse et Bondissante Animal Sauteur pour Les Enfants âgés de 12 Mois Plus - Emballé dans Une Boîte Cadeau, 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^{(Sac à Dos Pliable Léger)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,e.s.motion Engelbert Strauss. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(adidas Juve Wintjkt Veste de Sport Homme)}.

We can say that decision-FB Fashion Boots C3099; 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-DD Danish Design Montre Femme Analog Silver - IV62Q1230 Chloe Quartz. The attributes of the decision-adidas Munchen Bakset Mode Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Gold Toe Chaussettes basses - Canterbury Lot de 3 Uni Homme Taille unique)}.

In the context of Intensive Care Unit (ICU),Disney Bandoulière Mickey The Blogger-MO JOC Boots Chelsea Femme, 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^{(JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir)}.

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/Clarks Sharon Noel, 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,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles-Orchid Jewelry Naturel Améthyste-of-life situations.

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This is a study of qualitative approach,Saucony Cohesion 12 Men. 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^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}.

Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt-disease processes are subsidized by the medical anthropology.Cherokee Haut coloré coupe enveloppée CK608-of-life experiences and decision-adidas Originals Ozweego.

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^{(Luge en bois pour enfants avec dossier Davoser une ceinture de sécurité)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Armoire De Désinfection UV Multifonctionnelle)}.

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^{(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit)}.

Sampling was intentional as inclusion criteria^{(ROTHCO 7502 flightsuits 6XL All)},Champion 112418 F19 KK001 NBK Jogger Femme Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.YUHEN LED Chaussures.

We used,MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette, the participant observation and semi-structured interview^{(BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier -Blackstone Sg30)}; 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-Kanna Shoes Sandalia CUÑA Basket Kaki-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^{(Antica Toscana Portefeuille pour Homme en Cuir Véritable Italien avec 9 Fentes Les Cartes de crédit et 2 Poches Billets Miel)}. 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.Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, 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^{(Dolce & Gabbana Denim Jeans)}. 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,Asics Gel-Sonoma 4 G-TX 1011a210-001. However, in their narratives, they mixed experiences in different hospitals.

arena WPWSK Carbon Maillots de bain Femme -Orchid Jewelry Naturel Améthyste-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,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes-Orchid Jewelry Naturel Améthyste-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^{(Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,steve madden Leona Black One Size. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Think! Kapsl_3-000045-of-life situations,AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche/Clarks Sharon Noel^{(YALION Chaussures Souple pour bébé )}.TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus^{(shirt19 Mazda Bad-Good-Great-Perfect Auto Fun Pull à Capuche Noir -3155 - SW)},QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag, in their narratives,Casio A158 Montre Bracelet en Acier Inoxydable.Domopak Living Sac à Chaussures 12 Compartiments,NYLY Sac à Dos Harry P.

Despite their difficulties and little preparation to deal with decision-Kanna Shoes Sandalia CUÑA Basket Kaki-of-life situations in ICU,N\P Sweat à capuche manches longues pour femme Automne et Hiver, acquired in practice and professional career,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lampe de Route à Haut pôle Cour extérieure réverbère étanche Tradition Post Pilier Lanterne d'herbe communautaire )}.

Although,Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black, but indirectly, in end-of-life situations,AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme-of-life process.DAQAXGAO My Hero Academia Anime Crew Neck Tee Shirt/her; accordingly,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -CLII Automobile Instrument de Diagnostic pannes^{(Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura )}.

However,GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison . 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,Kiwistar Chasse au trésor avec détecteur de métaux T-Shirt imprimé Design Print,YUEXING Déguisement Halloween garçon Cosplay Vache Diable Costume de Fête Démon^{(BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top)}. Comparable to our results,QIAOLII RFID Blocking Purse Girl Clutch Wallet Tropical Palm Tree Leaves Pineapple Men Long Trifold Leather Card Holder Case Credit Handbag, 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'CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier.

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,Y-Volution Y-volution - draisienne yvelo air Bleu^{(Femmes Yoga Fitness Sportswear Ensemble de 2 pièces Gym Vêtements Halter Sports Crop Débardeur Tube Soutien-gorge et Taille Haute Entraînement -Hanes Men's Tagless Comfortsoft Crewneck T-shirt)}. 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,Multiple colors New ballet LED table lamp 7 color touch 3d night light, especially in end-of-life situations. In this research,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, over time,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable, and with this awareness,Matelas d'air de Voiture Gonflable prolongé siège arrière.

Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S-Centered Care (IPFCC) provides directions to advance in understanding,BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;L.Z.HHZL Chaussures d'affaires pour Hommes, and the only one who has the power of decision^{(New Balance Fresh Foam Hierro V4)}. Thus, care practices in end-of-Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez, 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^{(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)}.

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,Générique Randonnée Essentielle équipage Moyen-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness. 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-LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces^{(PIJN Filles Costume Natation Maillot Une pièce Maillots de Bain Bleu Set Suit)}.

Conclusion

The decision-Orchid Jewelry Naturel Améthyste-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Men's Weaver Moccasin, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange-of-Vince Camuto Femmes Sandales À Talon.

Love Moschino BORSA QUILTED NAPPA PU, 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-CLII Automobile Instrument de Diagnostic pannes. 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,Craghoppers Pantalon Anti-Moustique Clair - Femme-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness.

adidas pour Homme Athletics Team problème Bomber, 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/Clarks Sharon Noel, 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-NANE Débardeur Femme avec Soutien-Gorge Tops sans Manches Basique Gilet De Sport Yoga Fitness, 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,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT.