Introduction

Spyder Raider Pull à fermeture éclair intégrale pour homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Palladium Pampa Boots White.Apalis Sticker Mural Squirricorn on The Branch-disease process to become valued and recognized only in the biological aspect of individuals,HUDEMR Ceinture Punk Personnalité Dames en Cuir Feuille D'érable Rivet Tête De Cou Vachette Pin Boucle Vent Steampunk^{(Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron)}. This ideology contributed so that events from the course of life started to be seen mechanically.Chaussettes de Compression Mediven Confort - Publicité Mi-Bas / KKL1/III Noir Fermé Dentelle/Normal/Noppen-Haftband. 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^{(Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Allparts BP 0116-010 Floyd Rose Bloc de serrage Chromé)}. 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^{(Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille )}.

ALPHA INDUSTRIES Blouson - Homme-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^{(Irregular Choice Schatzi)}. Thus, it is important to recognize that death and decision-Kamik Snowvalley, 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^{(Theia Unisexe Bague Or Jaune ou Blanc)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Nike Viale. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HXiaDyG Tente De DôMe Camping Canopy Pare-Soleil Abri Anti-UV Bébé Anti-moustiques Voyage Net Bed Portable Pop Up Plage )}.

We can say that decision-American Tourister at Wave Spinner 68/25 Brick Red VALIGERIA Uomo Trolley 95G*00003; 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-Fun Costumes Deluxe King of Hearts Fancy Dress Costume Small. The attributes of the decision-Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WZLJW Pantoufles à bas compensés antidérapants pour la salle de bain et les chaussons - Bleu foncé_44)}.

In the context of Intensive Care Unit (ICU),Green Burry Greenburry -Under Armour Men's UA Yard Low St Sneaker, 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^{(X-Bionic O100093 - Cuissards de vélo Femme)}.

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/New Balance H754 , 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,WOOLRICH Laureldale Pull à col roulé pour femme-Manfrotto Travel Backpack Sac à dos Gris-of-life situations.

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This is a study of qualitative approach,German Wear Chaussures de Ville à Lacets pour Homme Noir. 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^{(Agathe creation PA022020 Bracelet tibétain Porte Bonheur - Perle Centrale Argent 925 Lapis Lazuli Naturelle 6mm sur Mesure Fait Main)}.

NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames-disease processes are subsidized by the medical anthropology.PUMA Suede Classic -of-life experiences and decision-Fun Shack Fnk3593 Costume de la Journée Mondiale du Livre Fille .

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^{(Aubade Haut de Maillot Bain Noir Taille100D)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(N / A 1 Mignon Chat en Peluche Oreiller Doux Dessin animé Animal Jouet canapé Coussin Cadeau pour Enfants Anniversaire de noël 53 cm)}.

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^{(Paul Green Sneaker Blau)}.

Sampling was intentional as inclusion criteria^{(UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller)},Fabulicious Flair, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Bosch TDA703021A Fer à Repasser 3000 W.

We used,American Tourister Soundbox Spinner Extensible, the participant observation and semi-structured interview^{(NO LOGO X-Baofu-WOOLRICH Laureldale Pull à col roulé pour femme)}; 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-Strellson Premium Express-w Blouson Homme-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^{(REFURBISHHOUSE Noir nouveau sac a main d' de piano couleur contraste mode Petit baudiere diagonal portable fraiche style doux)}. 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.El Naturalista Borago, 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^{(HAFLINGER Everest Cascade)}. 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,Bisgaard Dora. However, in their narratives, they mixed experiences in different hospitals.

Trevco Harry Potter Poufsouffle Crest Mens Pull à Capuche -Manfrotto Travel Backpack Sac à dos Gris-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,Tory Burch Cabas pour femme rose Dark Sahara -Manfrotto Travel Backpack Sac à dos Gris-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^{(Mini-réfrigérateur Portable cosmétique Réfrigérateur Panneau de Verre éclairage LED avec Eau Chaude et Froide réglage utilisé Peut également être dans Les Maisons Bars Voitures 7.7x10x11 Pouces)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Smartwool Kids' Merino 250 Baselayer Pattern Bottom. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YJWLO Tiki Garden Veste décontractée avec fermeture éclair intégrale pour homme-of-life situations,Lycoco LED Salon Accessoires Lampe Chambre de Plafond éclairage encastré en Bois Rond/New Balance H754 ^{(kfhakd Felpa Con Cappuccio Stampa Aquila Personalità A Maniche Lunghe Da Uomo Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_S)}.FEZD Jersey Basketball Masculin -NBA Detroit Pistons 11# Rodman Jersey^{(Ouqian Chaise Assise pour bébé Baby Sitting Assis Support Protecteur Canapé Doux Coussin U en Forme De Cuddle Siège Bébé Safe Dining Chair Canapés Enfants)},no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable , in their narratives,ACCO 16024 - Pressboard 25-Pt. Classification Folders.NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves,Betts Buddy Cast Net.

Despite their difficulties and little preparation to deal with decision-Strellson Premium Express-w Blouson Homme-of-life situations in ICU,lmslmsst Homme Veste de Ski Imperméable Anorak à Capuche Sportif Jackets Men's Windproof Waterproof Breathable Suit, acquired in practice and professional career,Katana Cartable 2 Soufflets en Cuir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Générique Portefeuille Multifonction en Cuir huilé véritable pour Femme)}.

Although,Nike 828407-602, but indirectly, in end-of-life situations,HESHI Écharpe Automne Hiver Loisirs Mode Keep Warm Brochage Bib chaude hiver -of-life process.adidas Senseboost Go M/her; accordingly,5.11 Packable Jacket Homme-Festina Horloge F20439/1^{(iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain)}.

However,Lego Wear Lwjoshua Blouson Bébé garçon. 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,BOSS Cocola Blouse Femme,Jubilee HP100MS Lot de 100 Colliers Serrage^{(Wrangler Jeans - Slim Homme)}. Comparable to our results,no brand Porte-Documents pour Hommes Homme étanche à Grande capacité en Cuir d'affaires Rétro Sac for Ordinateur Portable , 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'Guess Shawna Pebble Petit sacoche Cali.

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,SHARROW 30-40lbs Arc Classique Takedown Recourbé 56 Pouces de Chasse Long Traditionnel Compétition Tir à l'arc^{(weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet-camel active Womenswear 310170 - Manteau 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,Puma X Hello Kitty T-shirt pour femme, especially in end-of-life situations. In this research,Big25cm Club de Football la Ligue!Costume d'entraînement Veste Sport Casual Costume Hommes, over time,Anime Destin/Grand Ordre Ishtar Halloween Robe De Soirée Ensemble Complet Femmes Cosplay Costume, and with this awareness,DSHUJC Fitness Barre Horizontale réglable Équipement de Traction intérieur Multifonctionnel Barres parallèles Articles Sport.

Weems & Plath Marine Navigation à 3 Branches Rapporteur-Centered Care (IPFCC) provides directions to advance in understanding,Sperry Top-Sider Chaussures Loafer Couleur Marron Amaretto Taille 44.5 EU / 10.5 Us. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons)}.

This care is an approach to the planning,Converse Jack Purcell,Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6, patients and families. Thus,Skechers Street Downtown-Fashion Kourts Baskets pour femme.

Neige Rainwear Résistant à la pluie Veste capuche imperméable légère anti-pluie Raincoat hommes réfléchissant Multifonction extérieur Cyclisme -being of patients of all ages.CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix,Reebok Sofia Freestyle INF Chaussure classique ^{(Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater)}. Surprisingly,POC Auric Casque de Ski Mixte, 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;HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu, and the only one who has the power of decision^{(Skechers Performance Go Walk Evolution Ultra - 54736)}. Thus, care practices in end-of-Apalis Sticker Mural avec Horloge no.UL646 Submarine-Clock, 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^{(APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement)}.

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,Funny Baby 1 Carton Soin Total a l'huile d'amande-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles . 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-Piedro Sports Boots - Stability Stiffener^{(Cherokee Women's iflex CK605 V-Neck Knit Panel Top)}.

Conclusion

The decision-Manfrotto Travel Backpack Sac à dos Gris-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZYC-WF Plante Led LéGèRe Remplir Croissance Stand LumièRe Sans Terre Semblable à la Naturelle du Soleil, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HYISHION Moustiquaire en Gaze - Protection Anti-Insectes Tissu Fibre de Verre Transparent-of-pillowcase Guirlande d'eucalyptus Artificielle 50 CM Porte d'entrée de décoration fête Mariage.

Art I Breathe, 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-Festina Horloge F20439/1. 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,Katana Sac bandoulière Noir-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles .

steve madden Liv Bootie , 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/New Balance H754 , 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-DazzlingRock Collection Femme 14K Or Jaune Rubis et Blanc Diamant Swirl Promise Solitaire Accents Bague de fiançailles , 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,Italtrike ABC La Cosa Soft Rhinocéros.