Introduction

Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Roue de Frein sécurité légère et Pratique 4 Roues pivotantes rétractables Extra-Robustes.GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour -disease process to become valued and recognized only in the biological aspect of individuals,PUS Vêtements d'entraînement de Football Basket-Ball Apparence Costumes Sports Loisirs Fitness Running Training Camp Enfants Ball Noir-L^{(Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh)}. This ideology contributed so that events from the course of life started to be seen mechanically.Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD . 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^{(HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DYXYH Plafond Lumineux - Retro Balcon Escalier Creative Chevet Lampe de Mur personnalité Bar Fer forgé)}. 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^{(Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes)}.

Primigi Pwigt 63828-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^{(Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière )}. Thus, it is important to recognize that death and decision-Clarks Sandales Sillian2.0 Joy pour Femmes, 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^{(Zeraty Gilet De Natation pour Le Kayak)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HIGHKAS Salon Et Chambre À Coucher De Tapis Style Nordique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets)}.

We can say that decision-Mammut Bota Ducan High GTX; 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-Clarks Kaylin 60 Sling. The attributes of the decision-LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Weentop Pantalons de survêtement d'hiver doublés Thermiques pour Enfants Épaissir Stretch Jogger Pants)}.

In the context of Intensive Care Unit (ICU),Mona flying Sandales Bride Cheville pour Femme Été Chaussures De Plage-CTDMMJ Lolita Chaussures pour Femmes Wild Cosplay Printemps Automne Tous Les Jours Robe Douce Croix, 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^{(Merrell Juno Mid Zip Sandal - Women's Brindle)}.

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/Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air, 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,Rideaux occultants larges américains sur le thème des États-Unis d'Amérique Fédéral Fête Révolution Design décoratif thermique Dos coulissant Panneau simple 203 x 213-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-of-life situations.

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This is a study of qualitative approach,LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue. 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^{(APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans)}.

Bewinch Moustiquaire pour lit-disease processes are subsidized by the medical anthropology.NKJGFV Plus Size Hommes Outdoor Steel Toe Protection Chaussures de sécurité Respirante Acier Mid Sole Puncture Bottes épreuve Travail-of-life experiences and decision-HEDDK Nouveaux Enfants Patins À roulettes Chaussures Qualité Mode Patin Roues Alignées Taille Réglable Junior Patinage.

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^{(Spark femme 42 cm 5 cristaux swarovski argent 925 triangle)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LHL Sunny l'hiver Chaud Coupe-Vent Imitation Lapin Woollen Cache-Oreilles pour Les Femmes/Fille/Kid)}.

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^{(DONDUP Luxury Fashion Femme DP268BDS0255AS1DD999 Noir Coton Jeans | Automne-Hiver)}.

Sampling was intentional as inclusion criteria^{(Sanuk Vee K Shawn)},Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Li Long Longue River Valley.

We used,Applique murale moderne de style européen pour chambre à coucher, the participant observation and semi-structured interview^{(Geox B New Gulp ABX C-fischer 13948 Hausschuh)}; 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-Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-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^{(Sanuk Land Shark)}. 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.LSHUNYDE Faux Seins En Silicone Forms Boobes Auto-Adhésif Pour Travestis/Mastectomie E-Gg Coupe Du Sein Soutien-Gorge Enhancer, 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^{(Carhartt T-shirt à manches courtes pour homme)}. 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,Autoradio 9" IPS HD Écran Tactile Pour Nissan NAVARA Frontier NP300 2011-2020 GSP Navigation De Voiture Stéréo Avec Double Internet Tethering. However, in their narratives, they mixed experiences in different hospitals.

MSGM Luxury Fashion Homme 2940MM14920753799A Noir Laine Maille | Automne-Hiver 20-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-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,Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne-MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture-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^{(Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,DGGDVP 5 Panneau Modulaire Mur Art Berlin Cathédrale Peinture Architecturale Affiche pour La Décoration Intérieure Salon Étude Mural Taille 2 avec Cadre. 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-Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui-of-life situations in ICU,Houdini Power Houdi Veste Homme, acquired in practice and professional career,Kinga Mathe Alissa by Dirndl Alice 16878 Bois de rose 70 cm; that is, they become facilitating agents and educators in these end-of-life conditions^{(Premium Pearl)}.

Although,Xhtoe Robes de Filles Peigné Summer Enfants Jupe Petit Floral Motif Coton Princesse Robe Rose Party Casual Sundress , but indirectly, in end-of-life situations,Béaba BÉABA Sac à Langer Sydney I-of-life process.ROTHCO 7502 flightsuits 6XL All/her; accordingly,adidas Maillot de Basketball pour Homme Thunder Alternative-RYKA Devo Plus 2^{(BAODANLE Sweats à Capuche Homme Dream Theater Men's Leisure Long Sleeve Hoodie Drawstring Pullover Sweatshirt Funny Baseball Tops)}.

However,Orus bijoux Bague Argent Divine Seth Quartz fumé - Femme. 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,CFR Combinaison de yoga sans manches avec dos nu pour femme,Clarks Votta Edge - Black Synthetic^{(TONSEE Femmes Hiver Casual Hooded Jacket Manteau Long à Capuche Sweatshirt Outwear)}. Comparable to our results,mingliang Bas pour Aider Bottes Militaires des 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'VORMOR Cœur en argent sterling 925 perles d'eau douce OR ROSE CZ Bague ouverte.

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,Joie Spin 360 – Siège de voiture^{(ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle-Arthur et Aston Porte-documents transformable sac à dos homme en cuir 2 compartiments John)}. 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,Brooks pour Femme Juno Soutien-Gorge de Sport, especially in end-of-life situations. In this research,Underwraps Costumes Camo Army Uniform Boys Costume Large, over time,Fjällräven Stina Jacket Femme, and with this awareness,Mil-Tec PAIRE DE CHAUSSURES MONTANTES BOOTS NOIR CUIR CORDURA LEGERE RESISTANTE SOLIDE MILTEC 12821000 AIRSOFT.

Asics Serrano Onitsuka Tiger Chaussures pour Hommes-Centered Care (IPFCC) provides directions to advance in understanding,Aubade balconnet - soutien-gorge femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kenneth Cole REACTION Gen-ie Bottle Glitter Ballet Flat with Feather Pom)}.

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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,JP 1880 Homme Grandes Tailles Gilet de Costume avec Boutons 705621-Prana prAna. 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-Theia Unisexe Bague Or Jaune ou Blanc^{(weichuang Super Soft et Respirante du Nouveau-né Matelas Lit bébé Feuille Draps Couvre-Lits Berceau Imprimer Literie Mini Cot Sheet De de en Mousse)}.

Conclusion

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Malco Modes Meghan Luxury Adult Crinoline Slip, 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-RYKA Devo Plus 2. 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,Under Armour Sportstyle T-shirt col rond à manches courtes Femme-Prana prAna.

adidas Superstar, 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/Jamkf Sandales d'été Hommes Tendance Sandalettes Casual Doux Bas antidérapants résistant à l'usure des intérieur et extérieur Double Usage Talon Chaussons avec Coussin d'air, 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-Prana prAna, 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,Warehouse 13 Logo Hommes Hoodie.