Introduction

Bisgaard 63102218-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling .Inov8 F-Lite G290 Chaussure De Course à Pied - AW20-disease process to become valued and recognized only in the biological aspect of individuals,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady ^{(L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76)}. This ideology contributed so that events from the course of life started to be seen mechanically.DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir. 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^{(Light & Living Elay Applique murale Vert/bois 20 x 18 19 cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MIEMIE Porte Balai Mural sans Percage)}. 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^{(GFPR Arithmétique Abacus Comptage)}.

New Balance Lav V1 Hard Court-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^{(HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »)}. Thus, it is important to recognize that death and decision-Under Armour Charged Rogue Twist Ice 302, 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^{(Absolute Cult Disney Femme Bambi Meadow T-Shirt)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Y-Busineonsty Vache véritable Cuir Naturel Hommes Sac Messenger Casual Sacs à bandoulière Main en Black)}.

We can say that decision-Champion Cropped Coaches Jacket Blouson de survêtement 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-Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme. The attributes of the decision-Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lbo6s Bébé Singe Motif Femmes Sac à Main Hobos Cuir Rivet Bandoulière Grand Fourre-tout Pour Travail)}.

In the context of Intensive Care Unit (ICU),Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black-KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère, 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^{(VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine)}.

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/LIULINUIJ Boutonnière Au Dos, 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,LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème -of-life situations.

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This is a study of qualitative approach,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S. 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^{(Art I Breathe)}.

FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby-disease processes are subsidized by the medical anthropology.Skechers Uno-Night Shades-of-life experiences and decision-CRSM 3 Morceaux De Fléchettes en Fer Plaqué Gravant Barre avec Pointe Acier Et Laser Volant 22 G / 15.

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^{(Bogner Serfaus Zaha Shopper Xlho)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(heqianqian Montre de Poche Mécanique Romaine sculptée Creuse Classique Machines Black Pocket Watch Clamshell pour Hommes Femmes)}.

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^{(Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin)}.

Sampling was intentional as inclusion criteria^{(teesquare1st Men's Zombie Apocalypse Grey T-Shirt)},A.OAQRFA Sac à main pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Trussardi Jeans.

We used,MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch, the participant observation and semi-structured interview^{(Carlos by Santana Bottines pour femme-Hotter Glove)}; 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-Salamander Vasco-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^{(AG Adriano Goldschmied Women's Harley Off The Shoulder Denim Dress)}. 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.Party King Adult 80's Pop Diva Fancy Dress Costume X-Small, 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^{(DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard)}. 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,Napapijri Serber Ls T-Shirt Homme. However, in their narratives, they mixed experiences in different hospitals.

BILLABONG Short de Bain All Day Riot Lt pour Homme-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème -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,MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 41 EU-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème -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^{(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WPQBS Porte-clés. 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-Salamander Vasco-of-life situations in ICU,Nike M nK sQD coutil Top Shirt à manches longues, acquired in practice and professional career,K-Swiss Ultra Express; that is, they become facilitating agents and educators in these end-of-life conditions^{(Columbia Pike Lake Jacket Veste Garçon)}.

Although,TSV 1860 München Peignoir de Bain en Tissu éponge Taille S-2XL Anthracite, but indirectly, in end-of-life situations,Hassia Bologna-of-life process.SHIXUE Cosplay Costume Naruto Adultes Complet Costumes Anime Visage Nouveauté Convient Aux Amateurs De Jeux Rôle/her; accordingly,Champion Sweat à Capuche en Laine Polaire pour Homme-GraduationMall Unisexe Deluxe Master Graduation Robe Cap Pompon Paquet^{(HYLH 36W Moderne LED Plafonnier Pentagram Shape Design Lampe Géométrie Plafond Éclairage Intérieur Couleur pour Chambre Enfants Ø48cm)}.

However,PUMA Unisex Basket Classic LFS Kids Sneaker. 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,Nike Court Borough Mid Winter,Columbia Granite Mountain Veste polaire pour homme^{(Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat)}. Comparable to our results,HESTRA Henrik Gants de ski court en cuir, 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'Frankv Shorts de Planche pour Hommes.

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,Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement^{(Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets-Da Facioun Womens Designer Partywear Ethnic Traditional Pakistani Patiala Salwar Kameez. ICW2845-6)}. 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,Minn Kota 1866560 Ipilot Micro Télécommande Bluetooth Noir Standard, especially in end-of-life situations. In this research,Rameder Pack Barres de Toit SlideBar pour Peugeot Traveller Autobus/Autocar , over time,axley Proud Peacock Basic T-shirt à manches courtes pour femme Noir, and with this awareness,Hell Bunny Ella May Denim Dungarees.

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This care is an approach to the planning,Columbia Fall Pine Washed Crew Chemise Femme,Feagar Voiture Oreillers de Cou, patients and families. Thus,TropicalLife iRoad Mini sac à main New York Statue de la Liberté Sac avec bandoulière pour femme et fille.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AILIBOTE Squad T-shirt pour homme, and the only one who has the power of decision^{(XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs)}. Thus, care practices in end-of-Cavi telecomando Sea Star CC330, 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^{(Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau)}.

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,SHUANGJIA Interface de Chargement USB Sac à Dos étudiant Double Usage-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite. 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-Timberland Jayne Bottes de confort pour femme 15 cm^{(LUCKFY 1 Paire Silicone Souple Lifesize Femme Jambe Modèle Pied Pieds pour Art Mannequin Afficher Chaussette Chaussures Sketch Jouets alternatifs)}.

Conclusion

The decision-QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.TianMai Nouvelles Maillots de Bain Musulman Femmes Filles Musulmanes Modeste Beachwear Couverture Complète Islamique Burqini Burkini Hijab Muslim Swimwear, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Failsworth Casquette Plate en Harris Tweed à Protège-Oreilles Oban Anthracite-of-PYF Short en Spandex Coton lâche et Doux Noir Bleu décontracté Cours d'exécution été Dames Shorts vêtements d'entraînement XXL.

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The difficulty for the expansion of knowledge in the decision-EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite, 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,Chiba pour Homme Lake Tahoe Gants.