Introduction

weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr.Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme-disease process to become valued and recognized only in the biological aspect of individuals,HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces^{(Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet. 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^{(EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Nike SB Portmore)}. 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^{(LetsBuyGold Bague Artisanale )}.

TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W-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^{(Le Coq Sportif Lausanne Pro Short Enfant Fille)}. Thus, it is important to recognize that death and decision-YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes 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^{(VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Deer Original Cerf-Volant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire)}.

We can say that decision-FACAZ Light The Wine Diamond Decanter Set Holding Base; 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-Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih. The attributes of the decision-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lundhags Tool Bag L Forest Green 2020 l'ordre des bagages)}.

In the context of Intensive Care Unit (ICU),KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne-qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique, 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^{(bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short)}.

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/XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher , 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,JOMA SPORT CANCHA LNFS Fluor Indoor-RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser -of-life situations.

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This is a study of qualitative approach,ZJIIXON Sweat-Shirt imprimé en 3D. 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^{(ThirtyTwo Shifty Boa '17 Bottes de Snowboard)}.

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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^{(ZHANGYY Ceinture de Correction Jambe réglable)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Fanuosu Gants de Sport en Plein air ILM ATV BMX MX VTT Cyclisme Dirt Bike Doigts Complets Moto Motocross Sports Hommes Femmes Quatre Saisons pour Hommes/Femmes~ |)}.

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^{(Reinders Fille Pantalons de Jogging)}.

Sampling was intentional as inclusion criteria^{(lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée)},Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité.

We used,Pediconfort sans-gêne Largeur Confort aérosemelle - Femme, the participant observation and semi-structured interview^{(Tamaris Femme Chaussures à Lacets-Primadonna 0461810 Deauville Body à Armatures)}; 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-yunyu Montre de Poche pour Homme-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^{(Haoshangzh55 Sac À Dos Sports Basketball Lakers L.A. Les Fans De Basket-Ball Polyester Extérieur Étudiant Magasin Hommes Et Femmes)}. 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.Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme, 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^{(Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver)}. 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,My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore. 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,Lee Men's Performance Series Extreme Comfort Khaki Pant-RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser -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^{(Magnifiquement Moustiquaire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Asics Chaussures Gel-Quantum 90 pour Femmes. 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-yunyu Montre de Poche pour Homme-of-life situations in ICU,LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile, acquired in practice and professional career,WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air; that is, they become facilitating agents and educators in these end-of-life conditions^{(LILL Parc Bébé Barrière Enfant Clôture sécurité Accueil Haute qualité Non Toxique Matériel Portable Assemblée Maisons Terrain de Jeux )}.

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However,adidas Originals Baskets Mode 3MC X Truth Never Told. 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,TAZAN Mocassins De Conduite pour Hommes Plat,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire ^{(aipipl Boîte aux Lettres Murale)}. Comparable to our results,MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe, 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'SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle.

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,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée^{(Hudson baby Long Sleeve Bodysuits-MXueei Lit Pliant Multi-Function Chaise Pliante de Plage Loisirs Longue Recliner Ultra Léger Support métallique roulement Poids 150kg Tissu Oxford)}. 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,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité, especially in end-of-life situations. In this research,Kilpi Titicaca-W Jupe 126, over time,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen, and with this awareness,PUMA Baskets Wired Knit.

EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-Centered Care (IPFCC) provides directions to advance in understanding,Loungefly X Disney Mini sac à dos Motif portrait. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(ELEVENTY 67464 Giubbotto First Class Giubbino Giacca Uomo Jacket Men)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;El Naturalista Nido, and the only one who has the power of decision^{(Joules Golightly Imperméable Femme)}. Thus, care practices in end-of-YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, 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^{(Kilpi Titicaca-W Jupe 126)}.

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,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche . 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-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume^{(Flyup Guitar in Blank Empty Room Women Leather Backpack for Travel Shopping Casual Laptop Fashion Bag Sac à Dos Femme en Cuir)}.

Conclusion

The decision-RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;WENZHEN Sac à Dos The North Face-of-ALPE 32201134 Bottines en Daim pour Femme Gris.

L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens, 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-TK Total Three 3.1 Accelerate Crosse de hockey 2020/20. 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,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille-ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche .

CP CALMA PROJECT Sac à bandoulière pour femme, 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/XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher , 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-ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche , 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,Macron Home Jersey White/Red 19/20 Red Star Belgrade.