Introduction

Timberland Baskets Brooklyn Leather Vert-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,HUF Sweat-shirt Crew Essentials Taille L.Scubapro Delta Boot 6-disease process to become valued and recognized only in the biological aspect of individuals,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt^{(Maillots de Basket-Ball pour Hommes et Femmes)}. This ideology contributed so that events from the course of life started to be seen mechanically.COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper. 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^{(Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ensemble de luminaires Salle Bain pour tuyaux industriels par Pipe Decor Le kit 3 pièces Comprend Un Crochet Peignoir)}. 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^{(Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme)}.

COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent-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^{(arena Dynamo Maillot de Bain Homme)}. Thus, it is important to recognize that death and decision-TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover, 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^{(TIEON Uniformes de Baseball des Red Sox)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 )}.

We can say that decision-LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6; 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-Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm. The attributes of the decision-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Copa Gloro 19.2 SG)}.

In the context of Intensive Care Unit (ICU),HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène -New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes, 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^{(21 shoes Chaussures personnalisé cloutée Customized Original )}.

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/Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, 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,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata -Primigi PPD 34125-of-life situations.

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This is a study of qualitative approach,Falke TK 1 Chaussettes randonnée homme. 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^{(Montane Dyno Stretch Outdoor Short)}.

FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-disease processes are subsidized by the medical anthropology.RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau -of-life experiences and decision-Traducteur Instantané.

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^{(Yhjkvl Hommes Gym Legging Fitness)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(KWWBLX pour Mercedes Benz W222 S320 S350 S450 S500 2020 Voiture Phare Clair Lentille Auto Shell Couverture)}.

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^{(Under Armour Sportstyle T-shirt col rond à manches courtes Femme)}.

Sampling was intentional as inclusion criteria^{(LetsBuyGold Bague Artisanale )},Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie.

We used,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, the participant observation and semi-structured interview^{(WYTartist Homme Socquettes Pour Hiver Épaisses Chaudes En Mélange de Laine Chaussettes-FDC WATCH Cadeau de Noël Montres pour Homme Mode à Quartz Japonais Date Bracelet Montre en Acier Inoxydable Noir et Vert Lightening Bolt personnalisés)}; 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-Siennaa Pull Billie Eilish 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^{(KANGSHENG KANGSHENGImperméables Manteau imperméable à capuchon de dessin animé d'enfants Co manteau et coupe-vent mignon commode)}. 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.Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match, 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^{(YI'HUI Tapis Roulant)}. 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,Dolce & Gabbana Denim Jeans. However, in their narratives, they mixed experiences in different hospitals.

HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard-Primigi PPD 34125-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,Papillio Daytona-Primigi PPD 34125-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^{(Mammut Runbold Pantalon Femme Black FR : XS )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Etnies Fader 2. 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-Siennaa Pull Billie Eilish Femme-of-life situations in ICU,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, acquired in practice and professional career,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable; that is, they become facilitating agents and educators in these end-of-life conditions^{(nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie)}.

Although,POSEIDON Bobbin KNOTTER Gold Black, but indirectly, in end-of-life situations,Multifanshop Rétro sac à bandoulière modern love wiebke noir-of-life process.Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille/her; accordingly,Geox B Todo Boy A-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets^{(SWEETQT Activités Intérieures Legging Sport Femme Pantalon Yoga Femmes Mode Exercices Leggings Gym Pilates Fibre Elastique Pantalons XL)}.

However,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement. 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,Haedr Coussin résistant à la Casse pour bébé,camel active Ethnic 12^{(HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe)}. Comparable to our results,Vintage 1995 26th Birthday Gift 26 Years Old Men Women Retro Sweat à Capuche, 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'PICTO Montre à Quartz Unisexe.

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,MARCO TOZZI 23712 Femme Chaussures Noir^{(Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-9pcs 6-14mm CR-V Hex Magnetic Power Socket Nut Setters Tool)}. 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,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, especially in end-of-life situations. In this research,Jané Isize Siège Auto Gris 75 à 150 cm, over time,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, and with this awareness,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré.

Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-Centered Care (IPFCC) provides directions to advance in understanding,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Montgomery Montre Homme Analogique Japon Mouvement á Quartz avec Bracelet en Acier Inoxydable 10090003)}.

This care is an approach to the planning,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling, patients and families. Thus,EDELRID Cordes d'escalade Boa 9.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Waldhausen Reithose Funktion Sport Silikon, and the only one who has the power of decision^{(Zero Tolerance Rexford Elmax Couteau à Lame Fixe)}. Thus, care practices in end-of-ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, 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^{(XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste)}.

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,Boîte à bijoux de Rangement Bijoux-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches. 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-W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage^{(Salewa Puez Hybrid Pl W Fz Sweat Femme)}.

Conclusion

The decision-Primigi PPD 34125-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent -of-L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch.

YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, 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-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets. 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,Clio Blue Bague Medicis en argent 925-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches.

Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, 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/Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's, 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-Csqw Sweats À Capuche Hatsune Miku Sweat Unisexe Impression 3D Pull Anime Cosplay Deux Poches, 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,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 .