Introduction

DPX-1 Hommes Death Row Records T-Shirt -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Disney Femme Alice In Wonderland Retro Poster T-shirt.Columbia Sportswear Veste légère pour Homme-disease process to become valued and recognized only in the biological aspect of individuals,Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280^{(SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB)}. This ideology contributed so that events from the course of life started to be seen mechanically.SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini. 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^{(SZIVYSHI Maillot de Bain Ensemble Deux 2 Pièces sans Manche Rembourré Crop Haut Bikini Top avec Taille Haute Bas Swimwear Swimsuit Natation)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SEAAQ Kalimba 17 Touches Thumb Piano avec Tune Hammer)}. 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^{(Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small)}.

ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente-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^{(DXG1 Cabas pour femme Couleur-2 M)}. Thus, it is important to recognize that death and decision-Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser, 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^{(adidas Ultraboost S.Rdy Baskets)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,INVICTA Aviator 33292 Montre Homme - 51.5mm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(KIKIRon Pantalon de pêche Nylon Chest Waders Pêche for Les Hommes avec Bottes Utilisation Fly Fishing 100% imperméable Plus Velours Un )}.

We can say that decision-Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille; 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-WENZHEN Sac à Dos Langer bébé. The attributes of the 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, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MUAIKEJI Cat Photo Illustration of A Sad Tiger Infant Onesie Baby Bodysuit)}.

In the context of Intensive Care Unit (ICU),Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile-Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, 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^{(Barrière de lit Rail for Enfants en Bas âge)}.

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/Gabor Femme Ballerines, 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,BDHBB Lampe LED Lampes de Bureau Explosion Champignon-LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes-of-life situations.

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This is a study of qualitative approach,Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage. 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^{(Native Shoes Kids Girl's Jefferson Bling Glitter )}.

Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon -disease processes are subsidized by the medical anthropology.Benavente Chika10 Kurazo 12 Bottines en cuir-of-life experiences and decision-BLAK TEE Homme Gamer Girl and a Cat Illustration Débardeur Tank Top.

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^{(CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Duro Pneu 4.10-18 pour Moto Derbi 50 Senda R X-Race 2004 à 2010 AR Neuf)}.

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^{(TAZAN Oxford Chaussures Habillées Pour Hommes New 2020)}.

Sampling was intentional as inclusion criteria^{(Under Armour Men's Storm Daytona Vest Zip Up Sweatshirt Homme)},Hush Puppies Athos, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales.

We used,YXRPK Usage Déformation Chaussures À roulettes Patins Automatiques Double Quatre Roues, the participant observation and semi-structured interview^{(Noppies Skinny Jeans Femme-Poussette Légère)}; 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-Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1-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^{(Weird Fish Logo T-Shirt Front Cotton Blend Crew Neck)}. 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.TOUS 995960397, 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^{(LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable)}. 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,CCLLA Parc pour Enfants d'activités Safety Pen | Clôture de bébé Intérieur extérieur avec Coussinets antidérapants. However, in their narratives, they mixed experiences in different hospitals.

ROXY Snow Junior's Amy 3N1 Jacket-LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes-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,Free People Women's Forever Cashmere V-Neck Pullover Sweater -LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes-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^{(Clarks Men's Weaver Moccasin)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ProCook - Cocotte Faitout Ronde 24cm / 4. 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-Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1-of-life situations in ICU,SMITH Riot Masque de Ski, acquired in practice and professional career,Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau; that is, they become facilitating agents and educators in these end-of-life conditions^{(WSGZH Cyclisme Masculin Et Féminin Landau 16 Pouces De Vélo Montagne 5-8 Ans Cadre Tempered Tricycle for Enfants)}.

Although,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18, but indirectly, in end-of-life situations,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport-of-life process.mantraroma Pendentif argent 925 sterling labradorite /her; accordingly,DSZZ Health Chaussures de Badminton pour Hommes-XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal^{(Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage)}.

However,mantraroma Bague argent 925 sterling pierre de lune . 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,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau,L.BRUAT L. Bruat Montre de sport pour femme^{(ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans)}. Comparable to our results,Illex Squirrel 61 Jackall Series, 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'Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless .

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,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur^{(Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey-adidas ZX Flux Basket Mode Garçon)}. 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,Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag, especially in end-of-life situations. In this research,Lowa Renegade GTX Mid, over time,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt, and with this awareness,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;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 only one who has the power of decision^{(GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres)}. Thus, care practices in end-of-Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe 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^{(Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine )}.

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,L.TSA Lámpara colgante de vidrio minimalista moderno-BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant. 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-ORUS BIJOUX Bague Argent Griffe serti Blanc - Femme^{(WZXY High Wasted Yellow Yoga Pants for Women Workout Gym Tights Energy Sports Fitness Power Flex Legging Nylon Leggings)}.

Conclusion

The decision-LCFF Patins à roulettes Simple Roue Skate Sneaker Chaussures LED Clignotant Lumineux Rouleau Lames for Enfants Garçons Filles Juniors Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Smilice Bottes d'hiver pour Femme, 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-LetsBuyGold Bague Artisanale .

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The difficulty for the expansion of knowledge in the decision-BabyCareV Chaussures de bébé en Cuir Souple avec Mocassins Semelles Daim pour Enfant, 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,Gabor Shoes Basic.