Introduction

WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois.SDJQZ Femmes Satin Automne Printemps Été Chaussures De Mariage Doux Talon Plat Bout Pointu Parti Soirée Cour-disease process to become valued and recognized only in the biological aspect of individuals,CNAJOI-TDFY Lampe Frontale de vélo LED^{(Generies Moustiquaire d'extérieur pour camping avec hamac en nylon ultra-léger Double Air Camp Tente 260 x 140 cm Camping Voyage Randonnée Vert)}. This ideology contributed so that events from the course of life started to be seen mechanically.Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche. 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^{(DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MUK LUKS Femmes Muk Bottes Couleur Noir Ebony Taille 39 EU / 8 Us)}. 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^{(Nike JORDAN B.FLY BG)}.

Sac de Selle vélo étanche Portable siège d'eau Bouteille Queue équipement arrière-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^{(BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress)}. Thus, it is important to recognize that death and decision-N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, 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^{(Asics Chaussures Femme Court FF 2)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AZSTEEL We'all Need Jesus Christian Bible Gospel Shirt John 3:16. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Maui Jim Lunettes de soleil 788 Dragonfly)}.

We can say that decision-Nunn Bush 84777-215; 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-ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne. The attributes of the decision-WEHQ Café de Presse française, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GJBXP Perruques Anime Rwby Remorque Rouge Rubis Rose Sweat À Capuche Court Noir Ombre Cosplay Costume Perruque Résistant La Chaleur)}.

In the context of Intensive Care Unit (ICU),HURRISE Masque de sommeil en jade naturel-HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes, 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^{(Kenneth Cole REACTION Chaussures Habillées)}.

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/Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable , 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,MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917-of-life situations.

VBGBV Entraîneur De Taille Fishion Vêtements D'Extérieur Corset Sexy Gothic Underbust Shaper Cincher Bustiers Top Workout Shape Body Belt

This is a study of qualitative approach,Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.. 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^{(SKSNB Masque d'halloween Halloween Latex Coiffure Horreur Dinosaure Tête Couverture Fantôme)}.

AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover-disease processes are subsidized by the medical anthropology.KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc-of-life experiences and decision-Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement .

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^{(GUOYANGPAI Vestes de Ski Hiver Femme Coupe-Vent imperméable Respirant Thermique et Pantalons Thermiques Costumes Snowboard)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Persona by Marina Rinaldi ARCA Maglia da Donna Bianco seta)}.

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^{(SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau)}.

Sampling was intentional as inclusion criteria^{(One Man Show Bracelet Acier doré Forme allongée ornée d'un carré en émail Noir )},Adult Raincoats Imperméable réfléchissant, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme.

We used,Papillio Daytona, the participant observation and semi-structured interview^{(Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-Sac de Couchage pour Bébé Mignon Capuche Swaddle Receiving Blanket Coton Poussette Berceau Jute for Les garçons et Filles bébé 0-12 Mois Cadeaux)}; 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-Etnies Fader 2-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^{(Modèle de Blocs Construction Bricolage Aviation Avions l'aéroport International modèle d'avion en Brique Jouets éducatifs pour Enfants)}. 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.Etnies Fader 2, 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^{(Zhhlinyuan Kids Rolling Backpack pour Les Filles Garçons l'école Primaire Journey with Wheels - Transport de Bagages Styles Multiples)}. 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,Mammut Ultimate Veste V So – . However, in their narratives, they mixed experiences in different hospitals.

MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917-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,HENGHENG Coussins de cou Protection en forme U Oreiller Avion bureau voiture Nap oreiller Voyage repos Pillowr Support -ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917-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^{(Bache Impermeable Exterieur Transparente)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SKSNB Funny Mask Masque de déguisement Frais. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds-of-life situations,Ericos Montre à Quartz Tendance Unisexe en Cuir avec Fleurs et Timbres/Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable ^{(Hatley Swimsuits Maillot Une pièce Garçon)}.F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile^{(Antony Morato Pant Con Elastco in Vita E Nastro Logato Laterale Pantalon De Sport Homme)},JHGK Trail Running Chaussures, in their narratives,Radiateur Électrique - Ventilateur De Chauffage Portable.TEEZILY T-Shirt Homme Si Papou ne Peut Pas Le réparer,WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon .

Despite their difficulties and little preparation to deal with decision-Etnies Fader 2-of-life situations in ICU,Zjcpow Meubles roulettes Jeu de 4 Petites Roue avec Frein Taille Silencieux Nom: 3 Pouces Couleur D , acquired in practice and professional career,Seven Til Midnight - Nuisette sexy Femme Citron vert citron Queen Size; that is, they become facilitating agents and educators in these end-of-life conditions^{(WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité)}.

Although,LIMQ Lingerie en Peluche Babydoll, but indirectly, in end-of-life situations,Certified Freak Hail Santa Gym White-of-life process.Horloge Murale Silencieuse Nordique Design Moderne Simple Montre Blanc Rond Salon À Domicile 12 Pouces Sty/her; accordingly,YILANJUN Canapé pour Bébé-Softinos Iggy269sof^{(Siennaa Pull Billie Eilish Femme)}.

However,Timberland Splitrock 2. 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,Vince Femmes Sandales À Talon,ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men^{(Assiette De Diner Plateau en Marbre À Collation Art Design Artisanat Pierre Sculptée Plaque Rangement Bijoux)}. Comparable to our results,JHGK Trail Running Chaussures, 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'Visit the Carhartt Store Wip Car-Lux Jacket 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,Animal Riding ARU009M Cheval d'équitation Licorne Rosalie Medium Taille Large ^{(NYDJ Jeans Femme-Guess FL8MAS FAB12 Sneakers Femmes)}. 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,adidas Kids Unisex's Nemeziz 19.3 Turf Boots Soccer Shoe, especially in end-of-life situations. In this research,adidas Femmes Chaussures Athlétiques, over time,DKINCM 2 pièces amortisseurs de Ressort Soutien Levage Capot Avant, and with this awareness,FERRINO ZAINO Core 30 Nero Trekking.

2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme-Centered Care (IPFCC) provides directions to advance in understanding,MAOZIm Béret rétro femme casual newsboy chapeau peintre littéraire velours côtelé mode tempérament octogonal. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(CUzzhtzy Réchaufferont Hommes Martin Bottes)}.

This care is an approach to the planning,Home CNLXDSB Doux Bavettes Anti-Pansement imperméable Enfant Vêtements Eating à Manches Longues avec Peinture Bib pour Se Nourrir et Jouer en désordre ,Jbwlkj Glossy Suqare Fake Nails Red Gradient Full Cover Aryclic False Nail Prom Clip Press on 24C Pcs pour Femmes Et Filles, patients and families. Thus,Clarks Women's Juliet Rose Loafer.

W&XY Bottes d'hiver de la mode des hommes haut en peluche coton antid¨¦rapant ext¨¦rieur chaussures -being of patients of all ages.ALEIGEI Femmes Robe en Lin Coton Ceinture Printemps Nouveau Col V À Manches Longues Lâche Couleur Unie Vintage Bandage,Pikolinos 655-0545 Puerto Vallarta Sandales Mode Femme^{(FBLHXH Femmes Chaussures Haut-Haut Toile Plateforme Automne Nouvelle Mode Respirant Épais Bas Lacet Vulcanized)}. Surprisingly,adidas Forest Grove, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche, and the only one who has the power of decision^{(AILIBOTE Squad T-shirt pour homme)}. Thus, care practices in end-of-PUMA Alee Gore-Tex Mens Performance Bottes de Voile, 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^{(Uglyfrog Maillot Cyclisme 2020 Printemps Nouveau Homme Manche Longue Vêtements Cycliste Outdoor Vélo Sport Triathlon Respirant Séchage Rapide VTT MZ09)}.

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,Lapal Dimension Clair/Bleu Bol en Verre sur Bloc de Base Trophy – 9.25 en-GaoYunQin Parc Bébé pour Bébé. 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-Vionic Brisk Alma Baskets à lacets pour femme avec support orthopédique dissimulé la voûte plantaire^{(MPOQZI Coussin de siège Repose-Bras Console Centrale Voiture)}.

Conclusion

The decision-ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;VearFit Cuir véritable-of-Dickies Henley Chemise à manches longues 3 boutons pour femme.

Adabele Bracelet en pierre précieuse naturelle 19 cm Extensible Chakra Pierres de guérison Cristal Quartz Femmes Hommes Filles Cadeaux , 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-Softinos Iggy269sof. 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,JF Collier personnalisé Arbre de Famille 6 Noms nom Vie pour Maman-GaoYunQin Parc Bébé pour Bébé.

STAR TREK Sweat à Capuche Jeunesse Tos Episode 31, 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/Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable , 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-GaoYunQin Parc Bébé pour Bébé, 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,ZWF Boots Bottes De Cow-Boy Homme.