Introduction

Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Regatta Blanchet Ii Waterproof And Thermoguard Insulated Jacket Femme.Tamaris 1-1-25012-23-disease process to become valued and recognized only in the biological aspect of individuals,DC Femmes Recherche 18^{(LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies)}. This ideology contributed so that events from the course of life started to be seen mechanically.GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime. 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^{(Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AQWESD Pieds de Table Meuble en métal 4X)}. 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^{(Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches)}.

xunlei Super Mario Montres 5pcs /lot Fashion Cartoon Pretty Style Watches Women’s Girls Students Boy’s Children Nylon Strap Quartz Wrist Watch Clcok-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^{(PEARL IZUMI X-alp Elevate)}. Thus, it is important to recognize that death and decision-ISABELLE BLANCHE P030T001 Chino Femme, 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^{(Burton AK Gore CYCLIC Hose 2021 Forest Night)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088)}.

We can say that decision-Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ ; 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-MWOOOK Escarpins Femmes Talons Aiguilles. The attributes of the decision-Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Nacree Sandales pour Femme Noir)}.

In the context of Intensive Care Unit (ICU),LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower-LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable, 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^{(Ellesse Orazio Sweatshirt Maillot de survêtement Homme)}.

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/Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45, 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,Dare 2b Cloud Burst Veste pour Fille-TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-of-life situations.

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This is a study of qualitative approach,Seachoice Ultimate Outrigger Kit by SEACHOICE. 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^{(SQlab 610 Ergolux Active 2.0)}.

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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^{(VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Chaise De Bureau Pour Fauteuil Pivotant Comfy Tissu informatique de bureau à hauteur réglable avec base Chrome rembourré pivotant)}.

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^{(Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless )}.

Sampling was intentional as inclusion criteria^{(Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème)},Cult – Bottes de sécurité # Gun CLASS-1, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Steiff Fleecejacke Blouson Bébé garçon.

We used,UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage, the participant observation and semi-structured interview^{(Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-Gabor Femme Ballerines)}; 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-XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée -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^{(SXZHSM Enfants Garde-Corps Barrière De Sécurité Jeu Centre D'Activités Maison Clôture Jouet Apprendre À Marcher Protection de l'enfance)}. 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.RYKA Devotion XT Mid, 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^{(Columbia Youth Firecamp Mid 2 WP)}. 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,QYYdress Robe de Mode V-Cou imprimée Motifs . 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,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap-TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-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^{(Impala ROLLERSKATES - Midnight)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vienty Sandales à talon Ani Lacets Cuir. 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-XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée -of-life situations in ICU,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen, acquired in practice and professional career,YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches; that is, they become facilitating agents and educators in these end-of-life conditions^{(Zhik Hybrid Skiff Suit 2020)}.

Although,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement, but indirectly, in end-of-life situations,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm-of-life process.YCCC Doudoune Garcon 12 Ans Hiver/her; accordingly,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite-OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes ^{(Asics Chaussures Gel-Quantum 180 4)}.

However,Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière. 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,Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor,SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme^{(LA SPORTIVA Akasha Chaussures de Trail - Homme)}. Comparable to our results,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus, 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'Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise.

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,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos^{(Katana Cartable 2 Soufflets en Cuir-sdssup Contrer véritable Chapeau de Baseball Masculin Cap 18CA0065 A0065 Code Denim Bleu)}. 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,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs, especially in end-of-life situations. In this research,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble , over time,L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm, and with this awareness,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche .

Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules-Centered Care (IPFCC) provides directions to advance in understanding,SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kipling Creativity Grande)}.

This care is an approach to the planning,Verre À Whisky Fait Main Real Bullet,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable, patients and families. Thus,Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap, and the only one who has the power of decision^{(SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila)}. Thus, care practices in end-of-Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé, 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^{(Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy)}.

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,Under Armour Herren UA HOVR Havoc Low Basketballschuhe-HHORD Panier De Bicyclette Rétro Tissé D'imitation. 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-SYXYSM Calico SYXMSM Écharpe chouchou^{(XWF Haltère Haltères 2 Pcs Poids Set for Culturisme Fitness de Levage Formation Accueil 4 / 6kg Bras et Les Mains - Idéal Pilates)}.

Conclusion

The decision-TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Clarks Sharon Dolly, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Badgley Mischka Vega-of-Guess Robe à manches longues pour femme.

Hurley One & Only Pantalon de survêtement pour homme, 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-OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes . 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,LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme-HHORD Panier De Bicyclette Rétro Tissé D'imitation.

Ganter AKTIV Hali-h, 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/Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45, 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-HHORD Panier De Bicyclette Rétro Tissé D'imitation, 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,Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set.