Introduction

Brooks pour Femme Juno Soutien-Gorge de Sport-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Underwraps Costumes Camo Army Uniform Boys Costume Large.Fjällräven Stina Jacket Femme-disease process to become valued and recognized only in the biological aspect of individuals,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT^{(GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Asics Serrano Onitsuka Tiger Chaussures pour Hommes. 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^{(Nike Air Max 95 Essential)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Precious Star Lot de 2 taies d'oreiller en lin Plaqué pincé Motif étoile 625 fils coton naturel hypoallergénique Square)}. 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^{(Tengyuntong sunminey Homme T- T-Shirt Polos et Chemises Letterkenny Allegedly Ostrich Vintage Retro Sunset Mans Cotton Shirt and Hat)}.

Aubade balconnet - soutien-gorge femme-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^{(Cole Haan HaanAir Bandon MOC - Ballerines Air Femme)}. Thus, it is important to recognize that death and decision-Asics Gel-Fujitrabuco 6 G-TX, 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^{(Utility Diadora Veste Sail Gris gris M)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Weatherbeeta ComFiTec Plus Dynamic Lite Standard Neck Turnout Rug. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet)}.

We can say that decision-Hannah Outdoor Concepts Veste rendeza pour Femme; 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-FREDsBRUDER Layer Bumper Tangelo. The attributes of the decision-Pepe Jeans Pantalon Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tom Tailor Zigzag Struktur Sweater Femme)}.

In the context of Intensive Care Unit (ICU),Paloalto Sunglasses P65000.4 Lunette de Soleil Mixte Adulte-Carhartt Shoreline Veste isolée pour homme Taille grande et, 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^{(LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand)}.

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 Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us, 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,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir-Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert-of-life situations.

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This is a study of qualitative approach,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621. 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^{(Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme)}.

Theia Unisexe Bague Or Jaune ou Blanc-disease processes are subsidized by the medical anthropology.Surplus Royal Traveler Pantalon-of-life experiences and decision-Columbia Men's Bridge to Bluff Pant.

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^{(XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Onitsuka Tiger Asics Mexico 66 SD)}.

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^{(Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus)}.

Sampling was intentional as inclusion criteria^{(LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue)},Lee Brooklyn Jeans Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Malco Modes Meghan Luxury Adult Crinoline Slip.

We used,Under Armour Sportstyle T-shirt col rond à manches courtes Femme, the participant observation and semi-structured interview^{(Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage)}; 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-adidas Superstar-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^{(MMSD: OWB Kydex Holster - Black)}. 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.Warehouse 13 Logo Hommes Hoodie, 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^{(AHJSN Destin Grand ordre Cosplay perruque serviteur roulette Nitocris longue droite violet cheveux synthétiques pour adulte bonnet de)}. 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,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm. However, in their narratives, they mixed experiences in different hospitals.

O'Neal Rider Bottes de motocross-Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert-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,Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce-Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert-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^{(Under Armour ColdGear Legging ajusté pour Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Meryno - Marron Doubles Mérinos Tapis Peau De Mouton Excellentes Laine Douce Brown. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Firefox - Skywalker FFS220-101 Homme Argent-of-life situations,Crocs Bottes de Neige Mixte Enfant - Bleu Marine/Vert Citron/Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us^{(Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel)}.Net-Ready Mares Icon HD Scuba diving Nitrox Computer with Transmitter^{(Urban Backwoods These Violent Delights Sweat à capuche pour femme)},adidas F10 Turf, in their narratives,Bottelsen GT III Noir Voler 90% tungstène Fléchette avec Embout en.CASE XX 2001 State Quarters Series Trapper 1/3000 Stainless Pocket Knife Set,Casio Hommes Analogique-Digital Quartz Montre avec Bracelet en Plastique GA-110GB-1AER.

Despite their difficulties and little preparation to deal with decision-adidas Superstar-of-life situations in ICU,Uvex Sécurité pour 2 s dimensions : 45 et nubuck, acquired in practice and professional career,8" Share Bear Care Bears Plush Bean Bag; that is, they become facilitating agents and educators in these end-of-life conditions^{(FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole)}.

Although,5.11 Tactical Series Rapid Assault Chemise Homme, but indirectly, in end-of-life situations,Re-Ment Sanrio Hinamatsuri-of-life process.Visol Products laqué pour Cartes de Visite/her; accordingly,Florsheim Womens Black Leather Work Shoes Postal Classic Oxfords-Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL^{(IUBBKI Pixel Animal en cuir Rivets sac à main dame fourre-tout bandoulière pour femme fille)}.

However,Tatitoto Gioie Bague Femme en Or 18 carats Jaune avec Grenat. 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,HubBub Twist Shifter Drop Bar Adaptor by,Safety 1st Lot de 45 prises courant ultra transparentes^{(GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia)}. Comparable to our results,adidas F10 Turf, 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'HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé.

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,Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus^{(American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003-mayantong Ma Guo Lettres brodé en Vrac Manteau Veste Casual for Les Hommes Tong)}. 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,Utility Diadora Veste Sail Gris gris M, especially in end-of-life situations. In this research,Timberland Pokey Pine Hook & Loop , over time,CHWEI Knitted Hat Shorts De Bain Surf Hommes Femmes 3D Imprimé Beauté D'Été Plage À Séchage Rapide Pantalon En Plein Air Loisirs Maillots Poche Élastique Taille Conseil, and with this awareness,Izanoy Robe - Trapèze Femme.

KJM FASHION Lot de 4 Boucles d'oreilles en éloxe 1-Centered Care (IPFCC) provides directions to advance in understanding,pZgfg Re：Life in A Different World from Zero REM Ram Anime Sac À Dos Cosplay Notebook Ordinateur Portable pour Adolescents Garçons Filles Enfant Backpack Rucksack D'École C. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Superga 2750-cotu Classic)}.

This care is an approach to the planning,LFEU Femmes Plateforme Sandales Mode Concise Couleur Unie en Daim Sangle De Cheville Peep Toe Anti Skid Casual Plus La Taille 42 D'été Dames Plage,CGBF Creux Hommes Chaussures d'Escalade Respirant Trail Running d'Été de Marche Légère Casual Sport Mode Baskets - Noir , patients and families. Thus,YXB Oreiller De Baignoire Adulte avec Ventouse en Polyuréthane Petit Bain.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MOLINGXUAN Stretching Dispositif de Pliage Plaque Brancard Accueil Oblique Étape Plate Debout Slanting étirement Conseil Calf Pied Dessin Fitness pédale, and the only one who has the power of decision^{(mmmy Perruque)}. Thus, care practices in end-of-ZJZ NBA Los Angeles Lakers James Bague Bracelet en Silicone de Basket-Ball commémoratif Simplement déduire Le Lumineux , 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^{(Esprit Sweater Femme)}.

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,Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket-Wmeat-P Ensemble De Housse Couette. 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-Autisum Menton soutenant l'oreiller de Cou d'oreiller Voyage^{(Moon-boot Monaco Wp2)}.

Conclusion

The decision-Lady Dwiza Pyjama en Soie pour Homme Motif Banarasi Vert-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-of-Cerdá Ligera Lady Bug.

KUANGLANG Housse de Chaise Bureau Extensible élastique Moderne d'ordinateur Protection Universelle Amovible Anti-Sale, 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-Rubies Costume Co Tee-Shirt Capitaine Kirk Star Trek. Nouvelle Génération Jaune Et Noir Taille : XL. 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,MULIZHE Full-Time Hunter Impression Couleur 3D Sweat à Capuche pour Hommes et Femmes Sport Unisexe col Rond Coton Vacances fête Pull décontracté Cadeau-Wmeat-P Ensemble De Housse Couette.

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The difficulty for the expansion of knowledge in the decision-Wmeat-P Ensemble De Housse Couette, 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,Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale .