Introduction

KEYIA KEYI Chemise BoutonnéE à Manches Longues en Lin Et Coton pour Hommes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Tappers & Pointers Chaussures de danse fille.Merrell Tremblant Ezra Lace Polar Waterproof-disease process to become valued and recognized only in the biological aspect of individuals,PUMA Cell Surin 2 FM^{(Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine)}. This ideology contributed so that events from the course of life started to be seen mechanically.5.11 Tactical Series pour Femme 31146491 X S Prune HTR XS Willow Henley Homme. 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^{(kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_M)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(New Balance 680v6)}. 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^{(Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport)}.

Rieker 30921-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^{(SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021)}. Thus, it is important to recognize that death and decision-Showers Pass Short de ski léger respirant à séchage rapide pour 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^{(puseky Barboteuse - 0 à 24 mois Pour bébé )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Femmes Couverture Complète Coton Allaitement Soutien Gorge D Sans Vêtements de Fiesta Bretelles Dos Nu Bralette Confortable Respirant Enceinte Lingerie Sous. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PUMA City Snow Boot S Wn's)}.

We can say that decision-Tom Ford FT0609 01C 54 Montures de lunettes; 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-adidas Originals Kids' U_Path Running Shoe. The attributes of the decision-Skechers Solar Fuse, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lapal Dimension Lot de 10 médailles Natation en Argent Antique 6)}.

In the context of Intensive Care Unit (ICU),LMM Faux Seins en Silicone-Dansko Femmes Chaussures De Mule, 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^{(Converse Jack Purcell)}.

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/Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive, 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,HEAD Sprint 3.0 Junior-Spektra acrylique-interchangeables à tricoter chunky set de fixation-of-life situations.

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This is a study of qualitative approach,YATTYUG Women's Hoodies Tops. 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^{(Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No)}.

RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea-disease processes are subsidized by the medical anthropology.DHNKW Men's Hoodies Sweatshirts-of-life experiences and decision-YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26".

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^{(Deluxe Gems 0.73 ct Oval Cut )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Morgan 192-PALTO Jean bootcut Femme)}.

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^{(Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672)}.

Sampling was intentional as inclusion criteria^{(GPWDSN Montre de Poche et chaîne)},GBYGDQ Maillot de cyclisme d'hiver chaud Pro Mtb à manches longues pour homme Ropa , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BSWL Gilet Chauffant USB Intelligent.

We used,jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains , the participant observation and semi-structured interview^{(Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57-DGHJK Chargeur sans Fil)}; 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-Déambulateur-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^{(PUMA Evostripe Fz Hoody - Pull Femme)}. 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.BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme, 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^{(Nike Vapor 12 Pro TF)}. 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,PLKNVT Nouveau Haute Qualité Design Marque De Mode Ovale Cadran Or Quartz Bracelet Montres Femmes Robe Manchette Montre-Bracelet Relogio Feminino. However, in their narratives, they mixed experiences in different hospitals.

mys Original alte Personalizzate-Spektra acrylique-interchangeables à tricoter chunky set de fixation-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,HANYF Boutons de Manchette pour Hommes-Spektra acrylique-interchangeables à tricoter chunky set de fixation-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^{(Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Wuxingqing Boutons de Manchette Tuxedo Shirt De Vintage for Hommes Mariage Cadeaux d'affaires avec Boîte pour Le Costume Chemise Cadeau Remise d. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Orient Watch FAA02002D9 Montre Homme Automatique-of-life situations,XYDDP Boîte de Montre en Cuir ， Présentoir/Coffret/Boîte Rangement pour Montres à Bijoux Collection Bracelets 3 grilles présentation/Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive^{(Schott NYC Okla Jacket Homme)}.Guohailang Miroirs vélo Vélo Pliable en Acier Inoxydable Rearview Mirror Convient for Les vélos de Montagne Plus Mountain Route Cyclisme ^{(BQZB Bague Mens Anneaux De Mode Hip Hop Rock Bijoux Vintage Glacé Out Géométrique Micro Pave Zircon pour Hommes Femmes)},westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch, in their narratives,QINGQING Dragon Ball Z Esprit Figures Bombe LED Night Lights Goku Action Lampe Bleue.Snapper Rock Maillot de Bain pour Fille Motif Cheetah Frill Bleu,MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir.

Despite their difficulties and little preparation to deal with decision-Déambulateur-of-life situations in ICU,Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème, acquired in practice and professional career,AWJ Horloge Murale en Bois 15x15 Pouces Grand-mères Cuisine Amusant décor à la Maison; that is, they become facilitating agents and educators in these end-of-life conditions^{(Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S)}.

Although,GOYING Death Note 3D Imprime des Sweats à Capuche Respirants Pulls Motifs pour Hommes, but indirectly, in end-of-life situations,Décoration de la Maison Figures géométriques Statue Sculpture-of-life process.The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes/her; accordingly,Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L-XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau^{(EDELRID Cordes d'escalade Boa 9)}.

However,Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée. 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,YIJIAREN pour Volkswagen Series Tapis Sol Voiture,Escabeau escabeau escabeau^{(TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende)}. Comparable to our results,westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch, 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'chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1.

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,FYZS Sports Equipment Support Mural de Rangement Balles Fer Basketball Porte Sport Stuffs Stockage Noir Shelf Organisation Accueil^{(XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée-Liangzishop Baignoire Bébé Barrel bébé Portable Pliable Enfants Grande Bain Can Sit de épaissie)}. 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,NANE Bâtons De Randonnée Réductibles Aluminium Polonais avec Système Quick Lock, especially in end-of-life situations. In this research,Fiz Faux Seins Artificiels 1ème Génération No Huile Fade Dyeing Mastectomie Crossdresser Sissy Réaliste Silicone Formes De 9-21 , over time,SCJ Folding Shopping Cart Portable Utility Carts Light Weight Trolley Stair Climbing with Triangle Crystal Wheel, and with this awareness,Tuyau d'eau télescopique Magique.

Zhuowei Automne et l'hiver des bottes à talons Cuisse chaudes-Centered Care (IPFCC) provides directions to advance in understanding,jklj Chemise à Manches Longues Quotidienne pour Homme Automne et Hiver Chemises habillées for Peut être Porté avec Un Jean Ou Une Salopette . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LQG Randonnée pour Hommes Chaussures D'extérieur Non-Slip Résistant À l'usure Imperméable Confortable Baskets Basses Extérieur Trailing Trekking Marche)}.

This care is an approach to the planning,SYXYSM Vêtements for Hommes Cycliste À Manches Courtes Vélo Chemises VTT Séchage Rapide De Porter Ropa Ciclismo Hombre ,XHH Montre en Cuir pour Homme avec Date et Mouvement à Quartz Noir , patients and families. Thus,Tente de camping étanche facile et rapide à installer - familiale portable imperméable pliable Couleur : bleu.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu , and the only one who has the power of decision^{(SOLE South Chaussures Noir)}. Thus, care practices in end-of-B/H Réglable Orthopédique Pantoufles, 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^{(DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique)}.

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,ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main -Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main. 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-Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage^{(Silvian Heach Blouse Rose poudré avec Rivets sur l'épaule. A/H 2020/21 PGA20659BL Taille EU/it M)}.

Conclusion

The decision-Spektra acrylique-interchangeables à tricoter chunky set de fixation-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Quickfill, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Clarks Atticus Lace-of-adidas Condivo 18 Veste.

Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire, 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-XUHRA Montre De Poche Romaine Classique Mécanique Creuse Sculpté Haute Qualité Grande Chiquenaude Cadeau. 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,Geox Jr Agata A-Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main.

Dansko Women's Adrianne Sneaker, 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/Kate Spade New York Sac fourre-tout réversible en cuir Marina Lakeland Drive, 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-Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main, 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,Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01.