Introduction

BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,MNSSRN-MM Baskets En Maille D'automne.RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot-disease process to become valued and recognized only in the biological aspect of individuals,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode ^{(Hdadwy Sac à Dos imprimé en 3D)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté. 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^{(Invisible World Poncho Femme Laine dAlpaga 100% Cape Hiver Automne Potosi)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LANGPIAOEZU Pocket Soft Femmes Short en Jean Mode Lâche Pantalon Jambe Large Burr Imprimer Outfitters)}. 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^{(SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire)}.

Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou-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^{(Vero Moda Vmvictoria Ls Short Blazer Noos Veston Femme)}. Thus, it is important to recognize that death and decision-L.Z.HHZL Chaussures d'affaires pour Hommes, 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^{(BCGT Atlanta Hawks NO.11 Trae Young)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable)}.

We can say that decision-Générique Randonnée Essentielle équipage Moyen; 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-LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces. The attributes of the decision-Clarks Men's Weaver Moccasin, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JXILY Chaussures Femme de Course Plates-Formes à Lacets en Velours All-Match Plus Outdoor Chaussures)}.

In the context of Intensive Care Unit (ICU),ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange-Vince Camuto Femmes Sandales À Talon, 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^{(DPASIi Women Mini Purse Crossbody of Cell Phone，Eastern Foliage Pattern with Warm Tones Lotus Leaves Abstract Motifs Japan)}.

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/Love Moschino BORSA QUILTED NAPPA PU, 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,Craghoppers Pantalon Anti-Moustique Clair - Femme-Domopak Living Sac à Chaussures 12 Compartiments-of-life situations.

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This is a study of qualitative approach,adidas pour Homme Athletics Team problème Bomber. 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^{(Pliable Barrière De Le Lit)}.

Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT-disease processes are subsidized by the medical anthropology.Catimini Gilet Bébé Fille-of-life experiences and decision-Kate Spade New York KATE SPADE LUCYANN 2 0807 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^{(Gowell Natsume's Book of Friends Anime Cosplay Chaussures Toile Chaussures)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Laparoscopique Entraînement Boîte Kit De Simulation)}.

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^{(Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture)}.

Sampling was intentional as inclusion criteria^{(Portable Butane Stove Burner - Taille Unique)},Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Guess FLOP24 FAM10 Bottes Femmes.

We used,Timberland Bradstreet Chukka Molded, the participant observation and semi-structured interview^{(YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18-GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité )}; 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-Morgan Trench GINGER Beige T36 Femme-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^{(JOMSK Bustiers Gothiques pour Femmes Royal Gothic Sexy Corset Underwear Set Haut à Lacets Taille Formation Steampunk Gilet Dames XL Collants Costumes Robe Marron)}. 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.Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, 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^{(Merino Kids Long-Sleeve Pyjama Set)}. 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,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière. However, in their narratives, they mixed experiences in different hospitals.

Callaghan 14804 Enfiler Femme-Domopak Living Sac à Chaussures 12 Compartiments-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,Forrest Gump bubba gump schrimps hutkappe rouge-Domopak Living Sac à Chaussures 12 Compartiments-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^{(Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DIY fun shop Sac à bandoulière. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-Morgan Trench GINGER Beige T36 Femme-of-life situations in ICU,GFDGFDG Fibre De Carbone Modification Voiture Spoiler D'aile Arrière pour Le Style BMW X6 E71 P Aileron 2008 2009 2010 2011 2012 2013 2020, acquired in practice and professional career,Lloow Chaise de Douche; that is, they become facilitating agents and educators in these end-of-life conditions^{(Skechers Women's Persmimmon Chai Combat Boot)}.

Although,Tondeuse à cheveux, but indirectly, in end-of-life situations,BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier -of-life process.AlokHnvj Banbag Simple De Canapé Paresseux/her; accordingly,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche-Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher^{(Genuins Sandales Bio deux boucles réglables réalisées en serrure)}.

However,JALAL Perruque synthétique résistante à la Chaleur de Haute qualité Noire bouclée Dame Mode. 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,Sculptures Sculpture de personnage Ornements d'équitation Décoration d'étude classique Accessoires pour la maison course chevaux salle modèle ,Head Ultimate Power 2020 Raquette de padel Verte^{(N\P Sweat à capuche manches longues pour femme Automne et Hiver)}. Comparable to our results,PUMA Chaussures de Jeu Future Rider Neon pour Hommes, 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'YZ-YUAN Modèle éducatif d'assemblage enseignement de l'anatomie orale du modèle Anatomique Nerf mandibulaire sous Le la mandibule Humaine pour l'école.

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,GJBXP Biamoxer Cardcaptor Sakura carte claire capteur de Tomoyo Daidouji longue ondulée violet Cosplay perruque femmes fête perruques une taille^{(ZTXCM Femmes Sexy Kimono Sakura Anime Costume Japonais Traditionnel Imprimer Original Vintage Tradition Robe en Soie Yukata S-XXXL -Sanuk Tripper H2O Yeah)}. 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,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear, especially in end-of-life situations. In this research,Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga, over time,ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, and with this awareness,Columbia Homme - Manches Courtes T-Shirt athlétique.

FEUER1 Sweat-shirt à capuche Bleu marine-Centered Care (IPFCC) provides directions to advance in understanding,Reebok 2020 NHL Draft Flex Fit Hat pour homme . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass)}.

This care is an approach to the planning,Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant,MotoGP Apparel Veste Polo Contrast Yoke, patients and families. Thus,Brax Pantalon Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine, and the only one who has the power of decision^{(XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles )}. Thus, care practices in end-of-Inglesina ag87l0grr – chaises de Promenade, 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^{(Y-Volution Y-volution - draisienne yvelo air Bleu)}.

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,Clarks Women's Ashland Lily Loafer-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision . 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-Planches À roulettes pour Enfants^{(Kanu Surf Women's UPF 50 Quick Dry Active Prints I Swim Boardshort)}.

Conclusion

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CLCTOIK Bonnet Enfant pour Filles garçon tricoté, 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-Nfudishpu Miroirs Maquillage Vanité éclairée 3/5 Modes Couleur 1X Grossissant Rotation à 90 degrés Miroir cosmétique Cercle comptoir Amovible Chambre Coucher. 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,N\A Chemises décontractées pour Hommes Chemise boutonnée Mince Un Kangourou Debout dans Les prairies Mode imprimée-RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision .

Clarks Chaussures Whiddon Vibe pour Hommes, 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/Love Moschino BORSA QUILTED NAPPA PU, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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