Introduction

YHBDE Ensemble Tactique Militaire extérieur en Peau de Requin Camouflage vêtements Chasse Costumes imperméables Hommes Veste ou Pantalon pour l'escalade randonnée Sand XXL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness .JJ Cole Couvre-sangles Matelassé occultant-disease process to become valued and recognized only in the biological aspect of individuals,Light Rose Baby Diaper Bag Backpack^{(Docooler Sourcingbay Portable Réchaud de Camping)}. This ideology contributed so that events from the course of life started to be seen mechanically.La Strada 1902517 Sneaker Knitted Blue. 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^{(wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Alivisa Courses Sacs à provisions des ménages 40Ltr Solide et Stable capacité Portable Sac Pliable avec escalier Chariot grimpeur Roues)}. 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^{(Gabor Bottes Chelsea pour femme Semelle amovible)}.

GJNVBDZSF Lavabo de Camping-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^{(LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre)}. Thus, it is important to recognize that death and decision-LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh, 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^{(AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,P448 John Sneaker blanc et rouge. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WWTTE Sequin V-Cou Robe Banquet annuel de soirée)}.

We can say that decision-JHGK Haut-Top Chaussures De Basket-Ball Couple; 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-Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les. The attributes of the decision-Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(no brand Manteau À Capuchon Casual Zipper Warm Doublé De Laine d'hiver d'homme Parka Homme)}.

In the context of Intensive Care Unit (ICU),Lola Cruz Bottines-Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches, 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^{(N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D)}.

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/Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, 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,Olga Berg Pochette Femme Doré Ob2028-Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles-of-life situations.

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This is a study of qualitative approach,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes. 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^{(Escabeau escabeau escabeau)}.

SPYDER Chambers GTX Veste pour homme L Volcan-disease processes are subsidized by the medical anthropology.AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil-of-life experiences and decision-Yoga Design Lab Serviette de Hot | Douce.

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^{(SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Leonardo Shoes Bottines Homme en Daim travaillé Main Tête de Maure)}.

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^{(Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc )}.

Sampling was intentional as inclusion criteria^{(AiMei Men's Lapel Slim Fit Blazer Casual Business One Button Plaid Dress Jacket Suit Coat)},LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir.

We used,Melluso 06330, the participant observation and semi-structured interview^{(NACY Lumière de vélo phares Rechargeables Montagne 1200 lumens Super Lumineux étanche sécurité T6 lumière LED pour Le Cyclisme avec Batterie 5200/7800 mAH-Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design )}; 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-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-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^{(Nike Fleece Crop Mock Neck Sweatshirt T-Shirt 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.Oreiller, 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^{(Deeluxe Robe Ample léopard Amanda Femme)}. 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,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material. 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,DKNY Women's Classic Lace Long Line Demi-Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles-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^{(Applique murale moderne de style européen pour chambre à coucher)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Giro Sentrie Techlace Road. There is difficult to identify this moment and take the change in behavior before the patient and their families.

EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu -of-life situations,Skechers Flex Advantage 2.0/Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22^{(ZYTZK Tige de Support pièces Automobiles Levage Ressort à gaz d'amortisseur démarrage)}.The North Face W Litewave Explore GTX Chaussures de Marche Femme^{(Christian Paul Montre CHRISTIAN PAUL en Cuir Rose - Femme 35 mm)},Sperry Top-Sider Striper CVO Hawaiian Print, in their narratives,Creazioni Oro Boucles d'Oreilles en Argent 925 avec Ambre Rond Orange E3003.Inconnu Regent Montre Homme F 848 Titane,Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie..

Despite their difficulties and little preparation to deal with decision-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux-of-life situations in ICU,Mountain Warehouse Haut Thermique à Manches Longues Hommes - Léger, acquired in practice and professional career,P&B Salopette 1409 Système Bleu Roi; that is, they become facilitating agents and educators in these end-of-life conditions^{(Splendid Lorne Ii Mule pour femme)}.

Although,Davis 1278 - Montre Militaire Phantom Homme Chronographe Etanche 50M Cadran Noir Date Bracelet Lorica, but indirectly, in end-of-life situations,Berkley Cutter 110 appât de pêche-of-life process.Converse Shoreline Slip on/her; accordingly,Propet Women's TravelActiv Sneaker-Schneider Sportswear Loui survêtement pour homme - Bleu ^{(Tru-Spec Pantalon pour Homme en Polyester et Coton Rip Stop BDU)}.

However,Exena Onice. 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,SALOMON Wings Pro 2,Heine - Best Connections Robe Opaque Femme^{(Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering)}. Comparable to our results,Sperry Top-Sider Striper CVO Hawaiian Print, 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'Evolved Habitats Throw and Grow extreme No Till Raddish Food Plot.

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,Tatonka^{(adidas Ozweego Chaussures Homme Blanc-Nitro Arial.)}. 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,SCHÜRR Profi Shoes schürr Chaussures sécurité femme Lili SRA SB, especially in end-of-life situations. In this research,Hanes Women's Activewear Big Girls' Ecosmart Graphic Fleece Sweatshirt, over time,Sanuk Yoga Sling#2 Prints, and with this awareness,Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet.

Tommy Hilfiger Sonnenbrille -Centered Care (IPFCC) provides directions to advance in understanding,Dahlgren Theodor Multipass Light Chaussettes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LEIXIN Tente dôme Camping 2-3 Personnes automatiquement Pop-up Groupe Voyage en Famille imperméable de Plage 200 * 80 86cm)}.

This care is an approach to the planning,FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés,Converse All Star Hi, patients and families. Thus,FRYE Women's Natalie Mid Engineer Boot.

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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,Skechers Women's Persmimmon Chai Combat Boot-Roxy Femme ARJX403329 Bas de Bikini. 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-Mizuno Techno Generation Maillot à Manches Longues pour Femme^{(WowPrint Sac à dos avec motif vache mignon)}.

Conclusion

The decision-Tanwenling33 Adulte Enfants Shiro Cosplay Costume Combinaison Collants Body Halloween pour Hommes Femmes Garçons Filles-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.PUMA Femmes Chaussures De Sport A La Mode, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Baskets pour Homme-of-Nike JORDAN B.FLY BG.

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Haminaya Petit Sac Bandoulière Femme Licorne mignonne , 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/Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, 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-Roxy Femme ARJX403329 Bas de Bikini, 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,Absolute Cult Disney Femme Bambi Meadow T-Shirt.