Introduction

Skechers Newbury St Every Angle-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole.SHOES-HY Chaussures de Sport pour Femmes-disease process to become valued and recognized only in the biological aspect of individuals,Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl^{(pantalon 2020 Hiver Sweatpants Hommes Pantalon HH Imprimé à la Mode Sportswear Casual Plus Polaire M-3XL)}. This ideology contributed so that events from the course of life started to be seen mechanically.Lotto Leggenda Legging pour femme. 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^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dancewear Gaze Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée Baptême Habillée)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DMZZYGJR Marque New Automatic Mécanique Hommes Montre Saphir Transparent Verre Squelette Or Rose Noir Argent Montres)}. 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^{(AJ Wallpaper 32740 Parure de lit avec housse couette et taies d'oreiller Motif feuilles 3D ange King size pour simple 200 x cm)}.

Gabor Shoes Jollys-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^{(Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD)}. Thus, it is important to recognize that death and decision-Delsey Trolley Brisban Black M 4R, 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^{(Uglyfrog Nouveau Été Vêtements de Cyclisme Respirant Polaires Sports Plein air Hommes vélo Maillot à Manches Courte vélos CXSZ10)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Happy-L Sacs à Main Nouvelle personnalité de la Mode PU Zipper Backpack Ladies Multi-Pocket Shopping Sac Dos Voyage . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Roamers Bottines Chelsea - Homme )}.

We can say that decision-JIEFU Chaussures de Travail Femme Legere S1P Confortable Chaussure Securité Basket Securite Embout Protection en Acier; 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-Asics Chaussures Femme Court FF 2. The attributes of the decision-Sweet But Psycho Backpacks Dragonfly Sac à dos femme en nylon pour Motif broderies de mode Grande capacité Double utilisation Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(HIMFL Arbres de Fleurs Cerisier artificiels Fausse Fleur Sakura pour la Maison Fête Jardin Noël Mariage Décoration)}.

In the context of Intensive Care Unit (ICU),JX-ZHANGPENG Tente de Camping pour 1-2 Personnes Étanche Deux Portes Facile à Installer 4 Saisons dôme Plage randonnée Festival -ZUOZUO Ceinture Homme Boucle Automatique Noir Longue, 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^{(Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark)}.

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/DOUCAL'S Chaussures - Noir, 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,KG by Kurt Geiger BIRCHIN-MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates-of-life situations.

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This is a study of qualitative approach,Merrell Juno Mid Zip Sandal - Women's Brindle. 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^{(Tommy Hilfiger Reversible Th Logo Bomber Blouson)}.

HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket-disease processes are subsidized by the medical anthropology.FIESSO Oxford for Man Chaussures Formelles à Lacets Style Haute Qualité en Cuir Véritable Rétro Exquis Gravé Angleterre Biens durables -of-life experiences and decision-UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers.

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^{(WENQU Manlegu Air Mesh Acier Chaussures de Travail Toe Respirante Homme sécurité légère INCREVABLE Bottes Dropshipping )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(100% 100 % sweat à capuche Syndicate Tan.)}.

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^{(mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent )}.

Sampling was intentional as inclusion criteria^{(Saucony Jazz Original)},LONGYUU Filles Serviette Poncho Dessin Animé Arc-en-Licorne Papillon Amour Vert Serviettes De Surf Changement À Capuche pour Bain/Douche/Piscine/Nager 1-7 Ans Enfants Peignoir Bain, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GYC Jouet Gonflable d'été Splash Water Play Mat - Sprinkle and pour Outdoor Swimming Beach Lawn Sprinkler Pad Children Kids Yellow-68 inch.

We used,Parc à bébé, the participant observation and semi-structured interview^{(bugatti 321720605000-HR Bague en or jaune pour homme 3 pierres)}; 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-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47-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^{(Wellay Aztec Étui à bandoulière en cuir avec motif sans couture)}. 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.LILIZHAN Plus la Taille des Hommes Casual Vestes de l'Armée Imperméable Manteaux Veste Homme Respirant Coupe-Vent Grand, 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^{(Italtrike ABC La Cosa Soft Rhinocéros)}. 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,Parent-Enfant Jouets interactifs Bébé Instruments de musique musicaux en bois Set Cube Box for tout-petits bébés éducatifs Son . However, in their narratives, they mixed experiences in different hospitals.

Urra J466-5006-00 Bamboo Couette Blanc 1000 g-MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates-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,Eastbride Veste Trois-en-Un pour Hommes-MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates-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^{(AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Chaise suspendue pour berceau bébé. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon-of-life situations,yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau /DOUCAL'S Chaussures - Noir^{(Playtex Soutien-gorge sans armatures doux et soyeux pour femme 18 heures)}.EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues ^{(LOVEKUSH 925 Sterling Silver Chakras Simple 3-6m Stracking Multi Iolite)},Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes , in their narratives,Skechers Performance Go Walk Evolution Ultra - 54736.Pierre Cardin Futureflex Strech Denim Bermuda Short Homme,Converse Chuck Taylor All Star Season.

Despite their difficulties and little preparation to deal with decision-WFQGZ Chaussures Décontractées pour Hommes Respirantes Antidérapantes Rouge Grande Taille 38-47-of-life situations in ICU,Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël, acquired in practice and professional career,42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël; that is, they become facilitating agents and educators in these end-of-life conditions^{(IWDSC Crochet Mural en Fonte – Chaud de Bain 25 Cents)}.

Although,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50, but indirectly, in end-of-life situations,DANJIA Argent-gris perruque-of-life process.SDGET Femmes Décontracté Compensé À Talons Hauts Sandales Peep Toe Croix Bande Élastique Confort Plate-Forme Sandale Chaussures Confortable Toute La Journée Porter des Appartements/her; accordingly,ZHANGYY Couverture tricotée grossière à la Main Laine Bras Fil pour Animaux de Compagnie lit Chaise canapé Super Tricot Grosse décor Maison cad-Diamond Chandelier^{(Kwon Kimono pour Enfant Taekwondo Song)}.

However,MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）. 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,ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle,YONGQUAN Barrière en métal Blanc^{(jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.)}. Comparable to our results,Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour 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'Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux.

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,BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant^{(GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-JX-PEP Classique Celtics Zipper Cardigan Basketball en Vrac à Capuche Longues Homme Confortable Couleur Unie Manches T-Shirt avec Poche)}. 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,Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers, especially in end-of-life situations. In this research,N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm, over time,KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, and with this awareness,ECCO Offroad.

Ocun Quattro-Centered Care (IPFCC) provides directions to advance in understanding,Asics Noosa FF Chaussure de course pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg)}.

This care is an approach to the planning,Minnetonka Leopard Kilty,Puma BVB Stadium Jersey Without Sponsor Logo T-Shirt Homme, patients and families. Thus,PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire.

Lodi Pauli-being of patients of all ages.Mizuno Wave Mirage 2.1,adidas Trefoil Sweat-Shirt à Capuche Homme^{(YANGTAO Ressacs Projecteur De Lumière Nuit)}. Surprisingly,IZOD Pull à fermeture éclair pour homme Taille L et haute, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;adidas X 18.3 FG, and the only one who has the power of decision^{(DSZZ Health Chaussures de Badminton pour Hommes)}. Thus, care practices in end-of-Saucony Versafoam Inferno, 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^{(WONDER WOMAN DC Comics Maillots Une pièce Fille)}.

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,AOWOFS Blouson en Cuir PU Veste Moto pour Homme avec Col À Revers-JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à. 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-Columbia Drainmaker 3D'^{(Redsheep Halloween Paper Décorations Femme Imprimé Mince Pull Hoodies Kangourou Poche Taille)}.

Conclusion

The decision-MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Gabor Casual, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;AM PM Ampm Star Wars Darth Vader Unisexe Noir Coque en silicone montre à quartz Sp161-u542-of-BOGS Classic High Umbrellas.

Thule EnRoute Sac à dos loisir, 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-Diamond Chandelier. 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,Jeffery West K106-JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à.

Geox Mocassins pour Hommes U ROMARYC en Cuir Noir U845EA-00085-C9999, 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/DOUCAL'S Chaussures - Noir, 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-JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à, 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,Panama Jack Tania.