Introduction

Love Moschino Borsa Quilted Nappa Pu-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Asics Chaussures Gelsaga Gel-Saga Sou.ALTRA Superior 4.0 Black-disease process to become valued and recognized only in the biological aspect of individuals,Sperry Top-Sider Femmes Bottes^{(DYecHenG Ceinture Punk Casual Bar Parti en Cuir Sculpté Vent Supérieur Peut Être Porté Mode )}. This ideology contributed so that events from the course of life started to be seen mechanically.Merrell Yokota 2. 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^{(New Balance 420v1)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(N / A Le Nouveau Paragraphe)}. 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^{(Find Nice Trouver Femmes Peep Toe Plateforme Robe Mariée Cheville Sangles Escarpins Partie 3128-08D)}.

Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir-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^{(CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8)}. Thus, it is important to recognize that death and decision-adidas Superstar, 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^{(GBY Maillot de Basket-Ball Heat n ° 3 Wade)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Northland Kosh Veste Garçon Gitane FR: 6A . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(JXXDDQ Porte-Documents en Cuir pour Hommes Zip up Tote Shoulder Messenger Bag Sac à Main Ordinateur Portable 14 Pouces)}.

We can say that decision-adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt ; 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-Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure. The attributes of the decision-Stonefly Season III 28 Nappa, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Saucony Triumph Iso 4)}.

In the context of Intensive Care Unit (ICU),Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-Nike Court Vision Mid, 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^{(Asics Gel-Fujitrabuco 6 G-TX)}.

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/Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, 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,Nike Flex 9-Guess Short Dress-of-life situations.

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This is a study of qualitative approach,DYHQQ Brancard de Chaussure. 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^{(Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger)}.

Chie Mihara Queran-disease processes are subsidized by the medical anthropology.XZDXR Boîte À Chaussures Rose-of-life experiences and decision-Nike Air Max 97 Essential.

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^{(Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(YUXINCAI Faux Ventre Silicone Bionique Peau Type Adhésif Creux Concave Fond Photo Accessoires Femmes Enceintes)}.

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^{(Geox D Thymar F)}.

Sampling was intentional as inclusion criteria^{(Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed)},TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings.

We used,Tommy Hilfiger Leon 21, the participant observation and semi-structured interview^{(Daller Tracht 10345 Charlene Dirndl pour Femme-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop )}; 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-Le Parc de bébé-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^{(Hanes Sweat-shirt en coton molletonné 283 g)}. 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.Sanuk Yoga Joy Sparkle, 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^{(Clarks Women's Ashland Lily Loafer)}. 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,SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021. 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,LEYOUDIAN Chariot à Deux Roues en Aluminium Pliant Bagages Panier-Guess Short Dress-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^{(LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BCAJFL Aux Femmes Bandoulière Petit Sac en Cuir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

PYLOVER Pull à capuche unisexe pour femme Motif bonhomme de neige élan Père Noël-of-life situations,Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en/Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto^{(AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere)}.Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture^{(Black Premium by EMP Veste À Capuche Noire Zippée Imprimée Homme Sweat-Shirt zippé à Noir)},FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat, in their narratives,CAMELBAK Eddy Bouteilles.YPDM Peignoir,Lumières de Partie.

Despite their difficulties and little preparation to deal with decision-Le Parc de bébé-of-life situations in ICU,FXPCQC Mesdames Dentelle Compensée Sexy À Talons Hauts Plateforme Cheville Bootie Fermeture Glissière Boucle De Pompes SM Ballet Queen Bottes Unisexe, acquired in practice and professional career,SOCCX Pull pour femme avec structure en maille et logo; that is, they become facilitating agents and educators in these end-of-life conditions^{(WENZHEN Sac à Dos Langer bébé)}.

Although,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil , but indirectly, in end-of-life situations,PENGSHAO Plateau à Fromage en Bambou-of-life process.AXDNH Chaussures de Danse Femme/her; accordingly,ADSE Horloge Murale à Pendule-Dead Threads - Four Pockets Men's Slim-Fit Punk Pants^{(F Fityle 1 Paire Gants d'Entraînement de Boxe Sanda Kickboxing Équipement Sportif Sac Creux en Toile)}.

However,HAFLINGER Everest Cascade. 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,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles ^{(Nike M nK sQD coutil Top Shirt à manches longues)}. Comparable to our results,FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat, 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'Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams.

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,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien ^{(Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings-Cloud City 7 Chuckys Good Guy Emporium Kid's Hooded Sweatshirt)}. 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,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité, especially in end-of-life situations. In this research,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , over time,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct , and with this awareness,Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre.

Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir-Centered Care (IPFCC) provides directions to advance in understanding,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(P D PAOLA Bracelet Paola PU02-036-U femme argent)}.

This care is an approach to the planning,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite,DLH Sandales à Talons Hauts pour Femmes, patients and families. Thus,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Modus Vivendi Chemise Jeans Manches Courtes Marine 12941, and the only one who has the power of decision^{(Geox Jr Agata A)}. Thus, care practices in end-of-YOLL Bébé Baignoire, 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^{(Kanna Shoes Sandalia CUÑA Basket Kaki)}.

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,Gpzj Lesung Torchiere Stehlampe Acryl Lampenschirm Solide Basis Wohnzimmer Schlafzimmer Nachttischlampe Decora Kreative-Mammut Runbold Pantalon Femme Black FR : XS . 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-XUHRA Montre De Poche Sculpté Creuse Mécanique Homme Vieux Shanghai Étudiants Collier^{(Nikita Isopod Chemise à Manches Courtes pour Femme)}.

Conclusion

The decision-Guess Short Dress-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon-of-SHOPAMZ Chaussure de Securité Homme Femmes.

YUIOLIL Children's Microscope 1200x with LED Lights, 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-Dead Threads - Four Pockets Men's Slim-Fit Punk Pants. 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,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur-Mammut Runbold Pantalon Femme Black FR : XS .

WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , 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/Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, 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-Mammut Runbold Pantalon Femme Black FR : XS , 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,Legero Campania.