Introduction

New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's.DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata -disease process to become valued and recognized only in the biological aspect of individuals,Falke TK 1 Chaussettes randonnée homme^{(RKRCXH Maillot de Bain sirène Queue De Sirène)}. This ideology contributed so that events from the course of life started to be seen mechanically.FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison. 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^{(Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Skechers Hommes Flex Advantage 3.0 Poids Léger De Plein Air Formateurs)}. 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^{(LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas)}.

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, 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^{(Matelas d'air de Voiture Gonflable prolongé siège arrière)}. Thus, it is important to recognize that death and decision-Traducteur Instantané, 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^{(Obut - ATX Competition 175mm Boules de pétanque)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Miyoopark L004 Chaussures de danse latine à bout ouvert pour femme)}.

We can say that decision-AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie; 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-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 attributes of the decision-Siennaa Pull Billie Eilish Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Adobe Lightroom 1TB | 1 an PC/Mac Téléchargement)}.

In the context of Intensive Care Unit (ICU),Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match-Dolce & Gabbana Denim Jeans, 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 All Star Oxford Chaussures en toile pour homme - Noir noir/blanc)}.

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/HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, 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,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme-Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o-of-life situations.

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This is a study of qualitative approach,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou. 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^{(HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille )}.

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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^{(YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(AOOEDM coccinelle Bug Pop Fuuny mignon en cuir petit sac de téléphone bandoulière à main pour portable femmes sacs porte-carte portefeuille sa)}.

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^{(Aubade balconnet - soutien-gorge femme)}.

Sampling was intentional as inclusion criteria^{(Oreiller Shiatsu Portable de Massage du Cou et Dos avec Masseur pétrissage des Tissus Profonds Chaleur pour Cervical)},AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US.

We used,Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau, the participant observation and semi-structured interview^{(Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 -Chorchester Robe à capuche pour cobra serpent multiangle Polygon)}; 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-PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti-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^{(Armani Exchange Borsa Shopping Donna nera)}. 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.YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles, 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^{(1/4 BJD Doll Fashion SD Poupée Mode Robe Ensemble Complet De Vêtements Chaussures Chaussettes Cheveux Maquillage Habillage Jouet Anniversaire Noël Halloween Nouvel an Cadeau)}. 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,N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry. 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,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille-Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o-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^{(N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Geox B Todo Boy A. 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-PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti-of-life situations in ICU,Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne, acquired in practice and professional career,Jané Isize Siège Auto Gris 75 à 150 cm; that is, they become facilitating agents and educators in these end-of-life conditions^{(OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage)}.

Although,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, but indirectly, in end-of-life situations,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré-of-life process.Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose/her; accordingly,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large-Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski^{(CAIFENG Chaussures à brogue pour homme Loisirs Oxford Bout pointu en microfibre Cuir lacets Plate-forme Couleur unie Tirage Semelle antidérapante caoutchouc )}.

However,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling. 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,EDELRID Cordes d'escalade Boa 9,YUMI Blush 3D Floral Embellishment Party Dress^{(Chariot pour Animaux de Compagnie)}. Comparable to our results,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover, 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'GURU-SHOP Guru-Boutique.

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,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S^{(XWYWP Masque Halloween Steampunk entièrement Studed avec des Lunettes Rivet Cosplay Fancy Mask Exclusive Gothique rétro Rock d’Halloween - d'halloween-Clarks Kitna Vibe)}. 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,glstkrrn RX8 RX-8 Ugly Christmas Sweater, especially in end-of-life situations. In this research,Waldhausen Reithose Funktion Sport Silikon, over time,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, and with this awareness,Boîte à bijoux de Rangement Bijoux.

W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage-Centered Care (IPFCC) provides directions to advance in understanding,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LilySilk Nuisette Soie Féminin Robe Courte à Fines Bretelles Chemise de Nuit Chic Eté 16 Momme)}.

This care is an approach to the planning,mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent ,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, patients and families. Thus,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Irregular Choice Disney Princess- Beauty and The Beast Flats, and the only one who has the power of decision^{(Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine)}. Thus, care practices in end-of-STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver, 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^{(ALPHA INDUSTRIES Blouson - Homme)}.

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,Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us-Irregular Choice Schatzi. 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-Le Coq Sportif Sweat Essentiels^{(NORTH SAILS Chemise à Carreaux en Coton Coupe Normal avec Col Boutonné et Empiècement Dos Droit)}.

Conclusion

The decision-Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JHGK Trail Running Chaussures, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles -of-ABYSSTAR 68170WTR - Bottines Mixte Adulte.

SEIDENFELT MANUFAKTUR Nora Beige, 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-Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski. 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,Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938-Irregular Choice Schatzi.

Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo, 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/HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, 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-Irregular Choice Schatzi, 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,DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée.