Introduction

LDH Étendu sur Le Genou Doudoune Femme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Haltère Long en Caoutchouc METIS [10kg-30kg] | Barre de Musculation Monobloc avec Poignée Ergonomique Matériel Fitness pour Homme et Femme.SALOMON Shoes Ultra/Pro Hawaiian-disease process to become valued and recognized only in the biological aspect of individuals,Sac de Couchage en Duvet^{(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}. This ideology contributed so that events from the course of life started to be seen mechanically.Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht. 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^{(ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HUE Chaussettes - Solid Femme rouge Red)}. 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^{(LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6)}.

Skechers Womens Sneaker Beige-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^{(Skechers USA Men's Caswell Aleno Oxford)}. Thus, it is important to recognize that death and decision-DC Shoes - Chaussures Magnolia TX Lowtop pour Femme, 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^{(Globe Motley Mid)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser)}.

We can say that decision-ICE-Watch P. Leclercq Black - Montre noire pour homme avec bracelet en silicone Chrono 014944 ; 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-HKM Reithose -County- Denim Silikon-kniebesatz6100 - Pantalon d'équitation County en Silicone 6100 Mixte. The attributes of the decision-Racoon Pantalon imperméable Bébé garçon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(BD.Y Perruque de Haute qualité en Lin Femme Longue Ligne Droite Rose Net 55cm)}.

In the context of Intensive Care Unit (ICU),POC Essential Road Wind-T C Silver Véritable argent sterling Coupe diamant Chaîne Belcher 51 cm/50, 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^{(Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt)}.

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/Superga Baskets 2730 Cotu 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,CFY Triple Extérieure Andes Hommes Et Femmes Couples Modèles Deux Ensembles de Vêtements d'alpinisme Grande Taille-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-of-life situations.

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This is a study of qualitative approach,Noppies Skinny Jeans Femme. 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^{(LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent)}.

Curvy Kate Sheer Class Maillot Une Pièce Femme-disease processes are subsidized by the medical anthropology.Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif-of-life experiences and decision-P D PAOLA Bracelet Paola PU02-036-U femme argent.

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^{(ECCO Biom Terrain)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Easy Camp Go Galaxy 300 3 Person Tunnel Tent Teal Green)}.

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^{(Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur)}.

Sampling was intentional as inclusion criteria^{(SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif)},Moxishop Doudoune Hommes Hiver Chaud Long Manteaux Parka épais Veste Fourrure avec Capuche Duvet Militaire Blousons Mens Outdoor Jacket, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sanuk Vee K Shawn.

We used,RXTSD Vêtements d'hiver pour Hommes Chauds Coutures résistantes au Froid à Capuche, the participant observation and semi-structured interview^{(XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm -Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000)}; 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-Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M-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^{(HENGX Pulls Cardigan Filles Enfants Garçons Bébé Pull/Tricotés Haute Qualité/Tricot 100% Coton/All-Match en Automne Et Hiver/Unisexe pour 1-4 Ans)}. 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.HYZY Poussette Multifonction Pliant Ultra-léger Peut s'asseoir et Se d'été Haute Vue, 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^{(Sotala Pantalon - 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,Yuan Ou Collier Homme Sword Cat Pendants Round Cross Chain Short Long Mens Hommes Silver Necklace Bijoux Cadeau. 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,Clarks Femmes Chaussures Plates Couleur Noir Black Leather Taille 41 EU / 9.5 Us-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-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^{(DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621-of-life situations,Theia Unisexe Bague Or Jaune ou Blanc/Superga Baskets 2730 Cotu Femme^{(Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux)}.Surplus Royal Traveler Pantalon^{(Veilleuse 3D 7 couleurs 3d LED veilleuse sommeil chambre décor lampe cadeau Décor)},CFR Combinaison de yoga sans manches avec dos nu pour femme, in their narratives,Columbia Men's Bridge to Bluff Pant.Lee Brooklyn Jeans Homme,Malco Modes Meghan Luxury Adult Crinoline Slip.

Despite their difficulties and little preparation to deal with decision-Kllomm Pyjama Femme Automne Long en Coton de Style Princesse Printemps et à Manches Longues-M-of-life situations in ICU,Under Armour Sportstyle T-shirt col rond à manches courtes Femme, acquired in practice and professional career,adidas Superstar; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Stan Smith)}.

Although,Warehouse 13 Logo Hommes Hoodie, but indirectly, in end-of-life situations,U24 Drapeau du DDR Stasi état sécurité haute qualité pour bateau drapeau 150 x 250 cm-of-life process.O'Neal Rider Bottes de motocross/her; accordingly,Mister Merchandise Homme Tee Chemise T-Shirt Vintage 1966 Aged to Perfection Jahre Geburtstag Years-Visite de la sonde Quickdraw Diamant Noir^{(Cult – Bottes de sécurité # Gun CLASS-1)}.

However,Bambino Mio. 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,Wrangler Jeans - Slim Homme,yakkoo Slipknot Name Red White Logo Embroidered Iron on Patch^{(BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant)}. Comparable to our results,CFR Combinaison de yoga sans manches avec dos nu pour femme, 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'Puma Newcastle 3RD Replica - Maillot Football Homme.

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,Silver Jeans - Homme^{(ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte-Amazon Essentials Blouson Femme)}. 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,Bandit - Casque Fighter – Casque pour Streetfight, especially in end-of-life situations. In this research,adidas Stan Smith, over time,Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau, and with this awareness,Lolita-Bling Collier Coeur 45 cm en Argent 925 rhodié et Oxydes Zirconium Neuf.

Melluso Chaussures MELLUSO U90126 gris pierre britanniques hommes allument des lacets semelle-Centered Care (IPFCC) provides directions to advance in understanding,IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine)}.

This care is an approach to the planning,Nine West Women's Cold Shoulder Dress,Sac à dos Voyager 60L Femme Cobalt avec sac, patients and families. Thus,Military Online Benson RAF Station Embroidered Logo - Official Royal Air Force Mens Polo Shirt by.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Kaloo Doudou Zen Patapouf Ours Medium Echarpe, and the only one who has the power of decision^{(DLYDSSZZ Élastique Balance Ball)}. Thus, care practices in end-of-Trabbia Vuillermoz Bracelet Argent 925 Cornaline ref 18953, 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^{(Limit Sport MA192 Aldara Moyen Âge Multicolore)}.

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,MULTIREX_PULVERISATEUR Pulvérisateur Multirex Haute Portée-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc. 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-adidas Manchester United FC WOV Shorts Homme^{(Yamyannie Voyage Ceinture Portefeuille Fanny Pack Noir Taille Sac Randonnée Hip Bum Purse soufflé Vachette Argent RFID Blocage Passeport Billets Téléphone Mobile)}.

Conclusion

The decision-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Under Armour T-Shirt à Manches Longues pour Homme Fish Hunter Icon LS, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ORTOVOX 2112200001 Pelle Unisexe pour Adulte Bleu -of-Montane Dyno Stretch Outdoor Short.

mys Original Chaussures Personnalisé et Imprimés , 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-Visite de la sonde Quickdraw Diamant Noir. 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,Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc.

WILSON Youth Classic Relaxed Fit Baseball Pant, 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/Superga Baskets 2730 Cotu 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-Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, 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,Quadra Sac de Voyage à Roulettes Tungsten - Noir / Gris Foncé.