Introduction

Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Crocs Sanrah Hammered Metallic Sandal Women.NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau -disease process to become valued and recognized only in the biological aspect of individuals,yichengshangmao Manteau de Cheveux Hommes Double Boucle Jeune étudiant Long au-Dessus du Brise-Vent Genou Occasionnel d'automne et d'hiver 185/3XL 1208 Cyan tibétain ^{(Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été)}. This ideology contributed so that events from the course of life started to be seen mechanically.Loykind Chaussures De Sécurité. 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^{(GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lapal Dimension Lot de 10 médailles Natation en Argent Antique 6)}. 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^{(Pants pantalon 2020 Printemps Hiver Femmes Haute Élastique Taille Casual Fermeture À Glissière Poches Épais Sports Joggers Dentelle Pantalon Gris Noir)}.

PieSanto 190801 Chaussures confortables pour femme-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^{(Baby Mobile Music Berceau Mobile)}. Thus, it is important to recognize that death and decision-Box J-Boîte de Montre Coffret en Bois, 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^{(Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,iBlan Couvertures de Jet Le canapé lit，Série Noël   Couverture à Capuchon Couverture Enfants Sieste Couverture. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Mizuno 9-Spike Advanced Sweep 4 Low Metal Softball Cleat Chaussure Femme)}.

We can say that decision-LDDNZH Pantoufles en Coton pour Femmes Slippers; 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-Cyclisme Casque EPS de Vélo Réfléchissant 3 en 1 VTT Route Lumière Sécurité Hommes Intégralement Moulé Pneumatique avec 26 Trous 57-62 cm Ultra-Léger Antichoc. The attributes of the decision-Columbia Pike Lake Jacket Veste Garçon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Morgan 192-PALTO Jean bootcut Femme)}.

In the context of Intensive Care Unit (ICU),B Baosity 10x Boulon à Oeil en Acier Inoxy Vis de Fixation Remplacement Pièce Bateau M8x13mm-Pedag "Relax" support de pied avec metatarsal coussin and Prononcé coque talonnière - Marron, 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^{(Timberland Bradstreet Chukka Molded)}.

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/EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, 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,7lljjq7 T Rex Fruit Hat-Dinosaurs-WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée-of-life situations.

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This is a study of qualitative approach,Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme. 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^{(EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles)}.

Misu Chaussures de Danse pour Homme Noir-disease processes are subsidized by the medical anthropology.HARIZ T-Shirt pour Homme avec Inscription « Vater & Sohn EIN Herz Seele Papa Vatertag Baby Plus »-of-life experiences and decision-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié.

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^{(Dare 2b pour femme PREMISS Veste imperméable isolée)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(PUMA Evostripe Fz Hoody - Pull Femme)}.

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^{(Cloud City 7 Pandemic Code Light Women's Hooded Sweatshirt)}.

Sampling was intentional as inclusion criteria^{(Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22)},VOILE BLANCHE Liam Race-Sneakers en Cuir Nubuck et Feutrine, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches.

We used,SHR-GCHAO Hommes Basketball Hoodeds - NBA Los Angeles Lakers # 23 Lebron James Fan Maillots Sweatshirt Casual, the participant observation and semi-structured interview^{(Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split-In:sole Insole Sandales Talon Haut)}; 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-Odlo Midlayer Full Zip Proita Femme-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^{(AYYNAM BB Clarinette en Bakélite 17 Clés Plaqué Nickel Instrument À Vent avec Étui)}. 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.Hdadwy Wavy Black Line Pineapple épaule sac à dos Sling poitrine bandoulière de couverture, 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^{(zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338)}. 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,Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage. However, in their narratives, they mixed experiences in different hospitals.

Dansko Women's Hilda Denim Mary Jane 5.5-6 M US-WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée-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,LHY Armée Patrouille Militaire Bottes de Combat en Plein air Noir Randonnée Trekking Temps Froid pour Les Hommes d'hiver-WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée-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^{(Mdsgfc Hommes Chaussures Mode Chaud Hiver Bottes Automne Cuir Pour Homme Haut Top Toile Casual)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,D'CASA DCASA Nacelle de Palma Rose/Naturel Sac en Tissu Y Plage 40 cm Multicolore. 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-Odlo Midlayer Full Zip Proita Femme-of-life situations in ICU,Skechers Bounder, acquired in practice and professional career,HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Originals Tubular ENTRAP W Basket Femme Blanc 37 1/3 EU)}.

Although,steve madden Tronchetto in Suede Marrone, but indirectly, in end-of-life situations,ZWWZ USB Fairy Tail Anime Cartoon Sac à Dos Mode étudiant Grande capacité Cartable Bagpack-G HAIKE -of-life process.Duomia Papillon Nature Scenic Montre-Bracelet Tendance Classique Unisexe analogique à Quartz boîtier en Acier Inoxydable Bracelet Cuir/her; accordingly,Timberland Kendrick Bottes imperméables pour homme-IZOD Pull à col Rond en Jacquard pour Homme Calibre 9^{(Nike Air Max Oketo)}.

However,Sculpture Statuette 3D Solide Chanceux Animal Bleue géométrie cerf Statue Articles oeuvre pour la décoration de Salon Bureau. 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,LCZ Salon Chambre Sol Stickers Carrelage De Décoratif Grain Bois Imperméable Autocollants Muraux Auto-Adhésifs Plancher,Carrelage de nivellement automatique portatif carreaux céramique^{(N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm)}. Comparable to our results,Bowfkgjk Suicide Squad Chaussures Convient for Les Hommes et Femmes Montantes de Loisirs Laçage Sneakers Confortables Unisexe, 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'Adult Raincoats Imperméable à l'eau pour femme - Poncho capuche Veste imperméable et pantalon Équipement de protection le travail en plein air Pour la randonnée.

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,Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM^{(QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB -Silvian Heach Blouse Rose poudré avec Rivets sur l'épaule. A/H 2020/21 PGA20659BL Taille EU/it M)}. 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,OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h, especially in end-of-life situations. In this research,Angel&H Affichage de Chaussures À Lévitation Magnétique avec LED, over time,Pulp Fiction Tee Shirt Homme Pomme Rouge, and with this awareness,GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo.

Amblers Safety - Chaussures de sécurité avec Zip latéral Femme-Centered Care (IPFCC) provides directions to advance in understanding,wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible)}.

This care is an approach to the planning,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur,NENGGE Barre de Traction, patients and families. Thus,SBDLXY Parc pour bébé extérieur.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;LED night light, and the only one who has the power of decision^{(Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée)}. Thus, care practices in end-of-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant, 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^{(IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N)}.

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,Hatley Swimsuits Maillot Une pièce Garçon-Parker Femme P8HRRD10 Robe. 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-Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec^{(LORVIES Happy Valentine's Day Heart Arrow Bottes Montantes pour Hommes)}.

Conclusion

The decision-WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1-of-teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt.

Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket, 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-IZOD Pull à col Rond en Jacquard pour Homme Calibre 9. 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,Mephisto Mocassins pour Homme-Parker Femme P8HRRD10 Robe.

Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, 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/EVR Mode Sandales Femmes Gland Plates Été Casual Tongs à Bout Ouvert Mules Bohême Chaussure Pantoufles, 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-Parker Femme P8HRRD10 Robe, 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,Fossil Portefeuille à Trois Volets Jesse Cognac.