Introduction

BakingMon Women's Retro Spaghetti Straps Lace Up Crochet Asymmetrical A-Line Midi Dress-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié .BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau-disease process to become valued and recognized only in the biological aspect of individuals,Puma Pull à capuche Making The Cut pour femme^{(D555 Hommes - Pantalon Max Xtenda grande taille )}. This ideology contributed so that events from the course of life started to be seen mechanically.INTER-BIOS 5633 Sandales Bio CUÑA Rouge. 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^{(adidas Pro Adversary Low 2020)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(8 PM D8PM91G11 Jupes au Genou Femme)}. 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^{(Cinzia Soft Sandales pour femme Bronze Ip1alfa-pm - Marron 39)}.

Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm-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^{(Joules Roll Up Welly)}. Thus, it is important to recognize that death and decision-Munich Dash Premium 73, 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^{(ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DXJNI - Manteau imperméable pour Hommes et Femmes Repliable avec Poches cachées étanches Confortable Respirant la Livraison Police de Circulation Express ou travaux extérieurs Mant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sledgers Benedict - Chaussure Hommes Ajustable en Cuir Fait Main)}.

We can say that decision-Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée; 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-Zhengowen Porte-vélos arrière Porte-Bagages vélo en Aluminium Cargo Support réglable Pannier . The attributes of the decision-FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Fun Costumes Women's Push It Pop Star Small)}.

In the context of Intensive Care Unit (ICU),Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table -lepni.me Femme Débardeur sans Manche Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire, 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^{(Tappers & Pointers Chaussures de danse fille)}.

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/WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum, 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,Rideau de fenêtre hawaïen avec des arbres montagne-Heating Pads Coussin Chauffant Wrap-of-life situations.

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This is a study of qualitative approach,CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque. 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^{(DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements)}.

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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^{(ZTYD Corps métal Jumelles 12x42)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(adidas Maillot Rugby Hurricanes réplica Extérieur 2020/2021 Adulte)}.

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^{(Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans)}.

Sampling was intentional as inclusion criteria^{(Oliver Peoples BERNARDO OV 5189/S)},Asics Chaussures Gel-Lima Padel 2, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.BTYKJ Sandales compensées en Daim à Boucles 42 Noir.

We used,Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple, the participant observation and semi-structured interview^{(NYDJ Barbara Bootcut Jeans Femme-RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser )}; 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-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop -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^{(CBWZDJZDS Sac D'Isolation Portable Toile D'Aluminium Film Paquet Étudiant avec De Riz Boîte À Lunch Noir 24X16X21Cm)}. 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.N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour, 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^{(2020 dernier Ensemble de t-Shirt Football américain Rams)}. 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,Lloyd 547932 Bottines Femme 28-357-00 . 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,LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium-Heating Pads Coussin Chauffant Wrap-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^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ATOMIC Savor GT AMID Visor HD Casque Mixte. 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-Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop -of-life situations in ICU,FOBU Hommes Rétro Militaire Flight Jacket Zipper Casual Coupe-vent Vestes 6XL, acquired in practice and professional career,Hsj Minimaliste étanche Hommes Lightweight Chaussures de randonnée imperméable Anti-dérapant Bottines étanches; that is, they become facilitating agents and educators in these end-of-life conditions^{(GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage )}.

Although,LLSS Poussette pour bébé légère Landaus, but indirectly, in end-of-life situations,NYKK Pliant Eau Seau 20L Portable Water Container Porte Réservoir d'eau for Camping Randonnée Pêche Pique-Nique Barbecue Voyage en Plein air-of-life process.BLCC Ensemble complet de selle pour chevaux avec assise confortable et pratique/her; accordingly,Parcs pour Tout-Petits-CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris^{(Columbia Men's Granite Ridge Mid Waterproof Hiking Shoe)}.

However,Trespass Qikpac Female Jacket Vestes coupe-pluie 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,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3,Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4^{(Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas)}. Comparable to our results,Lzcaure Corset Femmes Sueur Perte De Poids Néoprène Entraînement Top Chemise Taille Entraîneur Trimmer Ceinture Body Shaper Cincher Zipper Minceur de des , 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'Reebok Workout Plus.

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,Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4^{(Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-Urban Backwoods Resyk Logo Zip Hoodie Sweat à Capuche pour Homme)}. 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,Josef Seibel Chance 39, especially in end-of-life situations. In this research,Geox B New Flick B, over time,Geox D Nebula C, and with this awareness,PUMA Chaussures de Glace Muse Femmes.

Dachstein Ramsau 2.0 Gore-TEX Chaussure-Centered Care (IPFCC) provides directions to advance in understanding,New Balance Fresh Foam Zante Pursuit. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Rideaux occultants au henné - Motifs fleurs de printemps Collection traditionnelle Monochrome Dos thermique Panneau simple 132 x 213 cm Pour enfant)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250, and the only one who has the power of decision^{(KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean)}. Thus, care practices in end-of-TEN POINTS Carina, 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^{(Waldhausen Damen Vollbesatz Reithose Ava)}.

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,DC Shoes Heathrow-Mephisto Phila. 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-Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron^{(ZHWM Boucles d'oreilles Pendantes Créoles Bijoux Fantaisie Femme Cristal De Swarovski New Rétro pour)}.

Conclusion

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Nike Magista Onda AG, 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-CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris. 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,Mizuno Tc-02-Mephisto Phila.

ECCO Biom Terrain, 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/WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum, 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-Mephisto Phila, 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,ECCO Xpedition III.