Introduction

Bruno Söhnle Fano 17-13207-741 Montre-Bracelet pour hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wildlife Tiger Baby Diaper Bag Backpack.XJXDWY Vêtements DÉté Fermeture Éclair 3D Sweat A Capuche Sport Décontracté Pull Unisexe De Protection Fantaisie Impression Numérique Dragon Ball Super-disease process to become valued and recognized only in the biological aspect of individuals,Kmgjc Gymnastique Rythmique Justaucorps Femmes Fille Respirant Patinage Porter Spandex Haute Elasticité Professionnelle Artistique Robe^{(LiangDa Boîte de Rangement pour Montres et Bijoux en Verre Transparent)}. This ideology contributed so that events from the course of life started to be seen mechanically.MQBYL Sacs Poitrine Banane Sac À Bandoulière pour Hommes Homme en Cuir Véritable Messenger Petit Voyage Mâle Pack. 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^{(ECCO Biom Terrain)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HBIAO Bébé Draisienne pour)}. 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^{(Doudoune Hommes Veste À Capuche Décontractée pour Hiver Chaud Imperméable Coupe-Vent Séchage Rapide Respirant Épaississement Manteau Ample Extérieur)}.

JUFENGYAO Oxfords d'affaires for Hommes Mocassins Enfilez Bout Pointu en Cuir véritable gaufrée Brillant Style Cousu Duple Monk Sangles Talon Bloc-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^{(SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif)}. Thus, it is important to recognize that death and decision-AIOJY sans Manches Paillettes Robe De Mariée Enfant Grand Arc Jupe Princesse pour Fille Cadeau Performance Anniversaire Bal Été, 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^{(XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000)}.

We can say that decision-JINGJIE Ski Veste Pantalon Set; 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-Cult Sabbayh 3136 Low Leather #black CLE104310. The attributes of the decision-KTDT Horloge de Table Style Train Mode rétro, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas ZX Flux W Baskets)}.

In the context of Intensive Care Unit (ICU),XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque-ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches, 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^{(Sotala Pantalon - 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/Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, 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,AJZXHE réservoir d'eau Réservoir avec robinet-Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers-of-life situations.

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This is a study of qualitative approach,Badeanzüge Ensemble de 3 pièces maillot bain vert femelles Big Breast Belly Spa taille L . 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^{(Sanuk Kids Unisex Lil Puffer Fashion Boot)}.

Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27-disease processes are subsidized by the medical anthropology.Naturino Pampas Junior-Sneakers en suède et Tissu Technique Marine 31-of-life experiences and decision-MFLASMF Diviseur de pièce portatif Pliable Parc bébé.

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^{(LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(QYSZYG Oreiller en Forme de U Cervical Latex Adulte pour)}.

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^{(Mandarina Duck MD20 Sac bandoulière bleu)}.

Sampling was intentional as inclusion criteria^{(WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50)},Jesse James Workwear Workers Hort Industry, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Asics Hyper LD 5 Synthétique Baskets.

We used,Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate, the participant observation and semi-structured interview^{(DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage-Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent 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-SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G -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^{(Minizone Bébé Combinaisons Flanelle Barboteuses Manches Longues Tenues d'hiver Manteau à Capuche)}. 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.Marie Jo Tom SCA Soutien-Gorge Femme, 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^{(adidas Stan Smith)}. 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,Reebok RB874 Women's Stealth SR Safety Boots - Black. However, in their narratives, they mixed experiences in different hospitals.

APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes-Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers-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,s.Oliver Jacket Femme-Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers-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^{(DLYDSSZZ Élastique Balance Ball)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,JLFZC Chaussures formelles. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Reebok Chaussures Zig Elusion Energy-of-life situations,Wyre Valley Bottes en Caoutchouc Homme/Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne^{(Limit Sport MA192 Aldara Moyen Âge Multicolore)}.JOIMINGD Mode Femmes à Manches Longues en Tricot d'hiver Pull Femme Grande Taille Tunique Casual Sweats Blouse Sexy Col V Hauts Hiver Cardigan Couleur Unie Manteau^{(KOOBK Doudoune sans Manche Femme)},Pikeur Damen Reitweste JESS, in their narratives,DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear.adidas Essentials Sereno Pantalon dentraînement,Limit Sport MA192 Aldara Moyen Âge Multicolore.

Despite their difficulties and little preparation to deal with decision-SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G -of-life situations in ICU,ZXF Bottines personnalité Casual Checkered Texture Britannique Hommes Style Haute Top épaissie Sole Boot Chaussures de Mode , acquired in practice and professional career,Geox XLED Girl J928DA Fille Baskets Mode; that is, they become facilitating agents and educators in these end-of-life conditions^{(Stonefly Season III 28 Nappa)}.

Although,Nfudishpu Tambour électronique, but indirectly, in end-of-life situations,Skechers Women's Rumblers-Whimsical Wonder Flip-Flop-of-life process.CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6/her; accordingly,McAlister Textiles Denim Bleu Savane Rideaux-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées^{(TOOSD Pantalon De Jogging pour Jambe Conique Hommes)}.

However,HSAW Robe Plage Changement Été et l'automne séchage Rapide Peignoir Natation Adulte Serviette de Bain Mer Dressing Cap Surf Events . 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,MOOLFN Trois Couches Automne épaisse Robe de Taille matelassée en Plus des Hommes et l'hiver Service à Domicile Occasionnel Coton Peignoir Coton,MOOLFN Robe Printemps et Automnes Hommes Longues en Coton Peignoir Manches Plus Size Hat Pyjamas^{(Silver Jeans - Homme)}. Comparable to our results,Pikeur Damen Reitweste JESS, 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'KYWBD Ensemble Lingerie Sexy.

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,Giro Monaco II Gel Gants de Cyclisme^{(Fjällräven Stina Jacket Femme-TnSok Chaise canapé-lit Piscine Camping Plein air Lazy Bag Nuage Couch Sofa Loisirs Décontracté et Confortable)}. 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,PHILIPPE VANDIER Montre pour Femmes Philippe Vandier Swiss Made Olympia Steel Swarovski Armys Mouvement Suisse à Quartz avec Bracelet en Acier 316L et Verre Saphir, especially in end-of-life situations. In this research,Oceansouth Leger Alliage des échelles, over time,Knirps TS.200 Slim Medium Duomatic Audrey Pumpkin, and with this awareness,Charm Teddy Chaussette de Noël.

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This care is an approach to the planning,ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43,NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc, patients and families. Thus,Orca Bags SAC D'EPAULE ORCA OR-4.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZAMi Foulard en Soie brodée Haut de Gamme et à Double Usage châle Automne Hiver, and the only one who has the power of decision^{(varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court)}. Thus, care practices in end-of-Cole Haan HaanTucker Venetian - Tucker Vénitien Homme, 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^{(Betsey Johnson Verona)}.

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,QWERTYU LIJIANME Femmes/Hommes Montres Intelligent Moniteur de fréquence Cardiaque Fitness Tracker Bracelet Pression Artérielle -Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.. 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-Clic-products Lunettes Clic Classic®^{(DKRETS Sac À Dos)}.

Conclusion

The decision-Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Liberty Mountain Sac Throw Boater 70 pieds, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Corsair Vengeance RGB PRO - Kit de Mémorie Enthousiaste -of-Brax Pantalon - Femme.

U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo, 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-YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées. 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,Nike Air Max Prime-Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique..

steve madden Sandales pour Femme Argent 38 EU, 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/Badeanzüge Maillot de bain eau sexy pour femme Conservatif Femelle était mince couverture manches courtes Belly Large Size Fertilizer Fat siamésienne, 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-Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique., 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,Skechers USA Men's Caswell Aleno Oxford.