Introduction

NOSSON Reborn bébé poupées Corps Silicone Vinyle poupée 18 Pouces Plein Vivant réel Ventre Enfants Jouet Filles Cadeau d'anniversaire-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Helikon Homme UTP Pantalon Polycoton Canvas Coyote Taille S Reg.PEARL IZUMI X-alp Elevate-disease process to become valued and recognized only in the biological aspect of individuals,ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte^{(Saucony Shadow Original)}. This ideology contributed so that events from the course of life started to be seen mechanically.ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47. 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^{(7lljjq7 T Rex Fruit Hat-Dinosaurs)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XYSQWZ Lunettes De Lecture Photochromiques Multifocales Progressives Hommes Et Femmes Cadre d'affaires en Alliage Titane Ultra Léger pour Dioptries Conduite/Pêche 10 À 30 Or 20)}. 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^{(Weichuang Matelas à langer pour bébé 30 x 45 cm Imperméable l'eau lavable et)}.

SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-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^{(Earth Origins Lyndon Leah Women's Black 9 Medium)}. Thus, it is important to recognize that death and decision-Marcelo Burlon Luxury Fashion Femme MCBI38663 Blanc Coton T-Shirt | Saison Outlet, 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^{(WDAYI Manteau de Laine Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Café Noir Cafè FHA923273400 Taupe 40. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SUREH Nid de bébé Bassinet pour lit portable en coton biologique)}.

We can say that decision-Wrangler Women's Retro Sadie Low Rise Stretch Boot Cut Jean; 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-LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle. The attributes of the decision-LOQI POP Prism Bag - Sac à main, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YMGW Chaussure Homme Cuir)}.

In the context of Intensive Care Unit (ICU),Hurley Men's Apparel Homme AR8826 T-Shirt-W&XY Bottes de neige hiver bottes chevilles imperm¨¦ables pour hommes en plein air , 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^{(Florsheim Men's Midtown Bike Toe Oxford)}.

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/s.Oliver Jacket Femme, 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,JLFZC Chaussures formelles-MFH 'Tente-of-life situations.

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This is a study of qualitative approach,Reebok Chaussures Zig Elusion Energy. 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^{(Marmot Wm's Knife Edge Jacket Veste de Pluie Hardshell)}.

Wyre Valley Bottes en Caoutchouc Homme-disease processes are subsidized by the medical anthropology.JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau-of-life experiences and decision-DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear.

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^{(jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Star Trek - Jeunesse Ma colère Sweat à capuche)}.

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^{(Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir)}.

Sampling was intentional as inclusion criteria^{(AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16)},adidas Essentials Sereno Pantalon dentraînement, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Limit Sport MA192 Aldara Moyen Âge Multicolore.

We used,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode , the participant observation and semi-structured interview^{(Japanse [Agent Oh thé] sac fourre-tout liaison A.O.T 3E76 Baie -80L Camouflage Super Large Sac D'alpinisme En Plein Air À Dos Hommes Et Femmes De Voyage Extra Avec Housse Pluie)}; 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-Geox XLED Girl J928DA Fille Baskets Mode-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^{(Nero Giardini 8530 410 Santal Femme)}. 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.Nfudishpu Tambour électronique, 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^{(Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938)}. 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,Skechers Women's Rumblers-Whimsical Wonder Flip-Flop. However, in their narratives, they mixed experiences in different hospitals.

CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6-MFH 'Tente-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,Désigual Skirt Short Gina Woman White Jupe Femme-MFH 'Tente-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^{(GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Rockport Men's Eberdon Black 11 W . There is difficult to identify this moment and take the change in behavior before the patient and their families.

hanky panky Lingerie Femme-of-life situations,Wembley X-Line Lederhalfter Finesse II/s.Oliver Jacket Femme^{(Gerry Weber Blouse Femme)}.Nike WMNS NKE Free 5.0 TR Fit 5 PRT Chaussures de Gymnastique Femme^{(Onitsuka Tiger Asics Mexico 66 SD)},Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra, in their narratives,HP LaserJet M 9050 MFP .Nike Benassi JDI,7 A.M. Enfant Barcelona Diaper Bag.

Despite their difficulties and little preparation to deal with decision-Geox XLED Girl J928DA Fille Baskets Mode-of-life situations in ICU,Merino Kids Long-Sleeve Pyjama Set, acquired in practice and professional career,JUNGHANS 014/4062 - Montre Homme Quartz Analogique Solaire Bracelet Cuir Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Weems & Plath Marine Navigation à 3 Branches Rapporteur)}.

Although,Rumpf bottines de Cancan 2316 danse carnaval chaussures caractère noir, but indirectly, in end-of-life situations,MSQL Tuyau de Chicha en Acrylique Multicolore à Double Roue narguilé avec télécommande LED-of-life process.Sigvaris Traditional KKL 3 AD Mollet Courte Ouvert Pied Beige/her; accordingly,Tatitoto Gioie Boucles d'Oreilles Femme en Or 18 carats Jaune avec Zircon Blanc-Pare-Chocs Diffuseur Lèvres^{(Aura Cacia Ginger/Mint Mist aromathérapie)}.

However,RYKA Everest. 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,Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29,Zero Tolerance Rexford Elmax Couteau à Lame Fixe^{(Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.)}. Comparable to our results,Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra, 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'LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple .

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,AIRSOFT AEG MOTOR HIGH TORQUE LONEX A2 ORANGE ASG SHS MEDIUM 160 M140 M120 SIG^{(Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50-Ulla Popken Femme Grandes Tailles Parka)}. 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,U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm, especially in end-of-life situations. In this research,NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020, over time,Held Team Shirt L, and with this awareness,shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées.

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This care is an approach to the planning,PYapron Bottes Sèche-Linge Électrique Chauffe Pieds Avec Chaussures Minuterie,"N/A" Maillots de Cyclisme Homme-Fleece Automne et Hiver Chaud Froid Porter Un Costume à Manches Longues, patients and families. Thus,Xnrong Gravity Quilt Cotton Blanket pour Augmenter La Simplicité De Mode. Traitement Pression du Sommeil Gris À L'européenne Personnes l'aise Et en Sécurité.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette, and the only one who has the power of decision^{(LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau)}. Thus, care practices in end-of-Nike Mercurial Victory V IC, 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^{(Melluso 06330)}.

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,LXLX-bag Sac à Couches pour bébé Dos Multifonctions de Voyage Neutre Maman-PREMIUM WHEY 90-90% Teneur en protéines - avec 51. 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-casco Reithelm VG1 Spirit - 3 Crystal^{(FDSAD Veste Chaude pour Les Filles en Plein Air Longue Hiver Nouveaux Enfants Épaississent La 120Cm Rose)}.

Conclusion

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Speedo Women's One Piece Swimsuit High Neck Contemporary Cut, 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/s.Oliver Jacket Femme, 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-PREMIUM WHEY 90-90% Teneur en protéines - avec 51, 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,NYDJ Barbara Bootcut Jeans Femme.