Introduction

Gabor Shoes Casual-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Obut - ATX Competition 175mm Boules de pétanque.Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-disease process to become valued and recognized only in the biological aspect of individuals,BILLABONG Garçon Short décontracté^{(YOLL Bébé Baignoire)}. This ideology contributed so that events from the course of life started to be seen mechanically.HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU. 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^{(Champion Mens Powerblend Fleece Joggers C Logo )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XHH Ensemble de Douche - Levage à Trois Vitesses en Acier Inoxydable Noir et Blanc)}. 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^{(GFBVC Short de Combat MMA Adulte Shorts d'homme Libre la Lutte Contre l'usure Muay Thai Sanda Fighting Taekwondo Sport Survêtements Noir )}.

Sallypan ModeAntler Mur lumière-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^{(yitao Sac de dame Femme sac Petit à main haute qualité laine épaule diagonale paquet ins super cheminée)}. Thus, it is important to recognize that death and decision-Burton Covert Veste de Snowboard Homme, 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^{(Skechers Ultra Flex 2.0)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WYZDQ Bottes Hiver Neige Hommes Chaud entièrement en Fourrure Doublé Bottillons Non-Slip à Lacets Outdoor Chaussures de Marche Casual)}.

We can say that decision-ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL; 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-ARA Sapporo. The attributes of the decision-Wacoal Bra Underwire Soutien-Gorge de Sport Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Keds Moxie Mule Baskets à enfiler en sergé lavé pour femme)}.

In the context of Intensive Care Unit (ICU),RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, 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^{(GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady )}.

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/Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, 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,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-Kickers Orilegend-of-life situations.

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This is a study of qualitative approach,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479. 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^{(Pro Skateboard Cruiser Conseil de Penny 46)}.

DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove-disease processes are subsidized by the medical anthropology.XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-of-life experiences and decision-Marco Ferretti Cadre Beatles 172146 Moss Noir.

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^{(WSJDE Natsuki Subaru Cosplay Manteau pantalon Re: Zero Start Life in Another World Déguisement Halloween Costumes XL)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PeppeShoes Modello Patrizio - Handmade Italiennes Cuir pour des Hommes Couleur Brun Chaussures Oxfords de Vachette Souple Lacer)}.

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^{(Ion Combinaison en néoprène Base Semidry 4/3 BZ DL)}.

Sampling was intentional as inclusion criteria^{(TSEINCE Lattice Print Women Plus Size Work Dress Three Quarter Sleeve Slim Fake Two Piece with Belt High Waist Patchwork XXXL 708-1)},WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.cartoon Chemisier de dessin animé long 1/1 bras.

We used,DYM Chaussures de Sport Baskets Mode & athlétique Femme, the participant observation and semi-structured interview^{(Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne-CMP C.P.M. Rigel)}; 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-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-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^{(DERB 34940 projecteur projecteur DX [côté passager])}. 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.LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, 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 Fortarun AC K)}. 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,Studio Untold Femme Grandes Tailles Jupe plissée. 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,adidas Lucas Premiere 10 Femmes / 9 Hommes-Kickers Orilegend-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^{(Seachoice Ultimate Outrigger Kit by SEACHOICE)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros. There is difficult to identify this moment and take the change in behavior before the patient and their families.

RB Leipzig Essential Pullpants-of-life situations,Smiley 54705 Pyjama d'hiver chaud en coton/Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39^{(Agatha Ruiz de la Prada Ensemble collection fantaisie fille argent montre bracelet corde AGR305 licorne - Modèle:)}.sunminey sac à dos en cuir pour femmes I'm Not Yelling^{(Clôture GCX- Bébé Playpen Centre d'activités for Enfants Sécurité Accueil Jardin Jouer intérieur - extérieur Pen sécurité)},Maui Jim Lunettes de soleil 788 Dragonfly, in their narratives,Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche.weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm,HXF Charmant Filles Princesse Blanche Robe.

Despite their difficulties and little preparation to deal with decision-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey-of-life situations in ICU,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche, acquired in practice and professional career,adidas B P TT Sweat-Shirt Garçon; that is, they become facilitating agents and educators in these end-of-life conditions^{(ZENGER Jewelry Zenger Or 18 carats Double tête de Mort Bracelet Perles)}.

Although,Victoria Tenis Velcros Piel/Leopardo, but indirectly, in end-of-life situations,Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme-of-life process.Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile/her; accordingly,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564-LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets ^{(PUMA Chaussures de Jeu Future Rider Neon pour Hommes)}.

However,Pliable Barrière De Le Lit. 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,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème ^{(DIY fun shop Sac à bandoulière)}. Comparable to our results,Maui Jim Lunettes de soleil 788 Dragonfly, 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'Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection.

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,ZYFXZ Mesdames Bottes de travail Groundwork^{(CPAI Gilet Chauffant Hommes Femmes Veste Chauffante Lavable sans Manches Vêtements Chauffants USB Légers avec 3 Niveaux de Chauffage pour Randonnée Chasse Moto Camping-Scanstrut Deck Seal DS16-P Passe-câbles en plastique pour yacht)}. 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,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue, especially in end-of-life situations. In this research,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, over time,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime, and with this awareness,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L.

EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-Centered Care (IPFCC) provides directions to advance in understanding,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Catimini Gilet Bébé Fille)}.

This care is an approach to the planning,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité, patients and families. Thus,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine.

GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable -being of patients of all ages.LDH Mi-Longueur Doudoune Femme Hiver,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme^{(KEHUITONG Barre horizontale pour porte de sport)}. Surprisingly,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, 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;ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , and the only one who has the power of decision^{(Clarks Women's Leisa Joy Sandal)}. Thus, care practices in end-of-Etnies Barge XL, 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^{(Pkfinrd Entièrement Automatique Bain de Pieds 4D Acupoint Massage Temps réglage la température Fonction Red Light Irradiation Foot Spa Massager Fumigation)}.

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,Kipling Citypack XS Bretelles de sac à dos ajustables-CMP C.P.M. Rigel. 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 EQT Cushion ADV^{(Super Amos Nouveau Soins de La Peau Laser Mole Tache Rousseur Enlèvement Stylo Outil Détachant Tatouage Machine Spot Pen Beauté Dispositif)}.

Conclusion

The decision-Kickers Orilegend-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Aubade Haut de Maillot Bain Noir Taille100D, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bisgaard 63102218-of-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, 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-LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets . 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,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady -CMP C.P.M. Rigel.

DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir, 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/Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, 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-CMP C.P.M. Rigel, 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,New Balance Lav V1 Hard Court.