Introduction

Minoura AB-100-4.5 Powder Coated Water Bottle Cage-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,RUNGUANG LIGHTS ACB518K Roulement à billes 40 x 51.UMOOIN 2020Dog Imprimer Housse de Couette Animal Style Literie avec Taie Single Double King -disease process to become valued and recognized only in the biological aspect of individuals,UMOOIN 2020Animal Style Parrot Designs Housse de Couette Ensembles/Réversible Quilt Easy Care Anti-Allergiques Souple et Lisse avec taies d'oreiller^{(LIEOAGB Sac à dos en cuir PU pour femmes Vintage Shopping Bag Portable Rucksack Casual Travel Satchel For Ladies)}. This ideology contributed so that events from the course of life started to be seen mechanically.Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave. 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^{(Smartbox - Coffret Cadeau Soirée Magique pour 2 dans Un Cabaret Cirque avec Champagne près de Lyon idée Originale)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(GORE WEAR C3 Active - Pantalon Homme)}. 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^{(Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches)}.

HROYL Chaussures de Danse Latine pour Femme Tango Cha-Cha Pratique Salsa Fête Mariage Chaussures-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^{(PEARL IZUMI X-alp Elevate)}. Thus, it is important to recognize that death and decision-YAOLAN 5D Diamant Peinture kit Complet, 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^{(Burton AK Gore CYCLIC Hose 2021 Forest Night)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(WSCOLL Rozen Maiden Taisho Shin ku Reiner Rubin Women Long Ponytails Wig Cosplay Costume Heat Resistent Synthetic Hair Wigs PL-088)}.

We can say that decision-GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU; 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-FANZIFAN Manteau de la Femme. The attributes of the decision-YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Tommy Hilfiger Sweat-Shirt Logo)}.

In the context of Intensive Care Unit (ICU),Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers-YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe , 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^{(Ellesse Orazio Sweatshirt Maillot de survêtement Homme)}.

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/GCX Imperméable Poncho imperméable for Femmes en extérieur, 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,Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt-Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-of-life situations.

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This is a study of qualitative approach,Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel. 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^{(SQlab 610 Ergolux Active 2.0)}.

Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass-disease processes are subsidized by the medical anthropology.SugarPocket Leggings de yoga pour femme-of-life experiences and decision-Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small.

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^{(VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XHYYY Sac pour Ordinateur Portable Tartan Scottish Plaid Material Pattern Texture 15-15.4 Pouces Laptop Case)}.

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^{(Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless )}.

Sampling was intentional as inclusion criteria^{(Finn Comfort 3563145003 Chaussures à Lacets pour Femme Crème)},XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille , who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 .

We used,GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes, the participant observation and semi-structured interview^{(Frieed Robe pour femme Couleur unie Mode sexy Manches bouffantes Halter Coupe basse plissée-Gabor Femme Ballerines)}; 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-LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex-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^{(Brax Feel Good Style Shakira S)}. 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.Reebok Chaussures Aztrek, 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^{(Columbia Youth Firecamp Mid 2 WP)}. 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,FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos. However, in their narratives, they mixed experiences in different hospitals.

Bobux Zap-Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-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,Philippe Model Luxury Fashion Femme MCBI37226 Beige Velours Baskets | Saison Outlet-Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-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^{(Impala ROLLERSKATES - Midnight)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,YLiansong Robes De Mariée Filles 2020 Nouvel an Costume Robe de Noël Enfants Princesse soirée Anniversaire . 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-LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex-of-life situations in ICU,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, acquired in practice and professional career,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym; that is, they become facilitating agents and educators in these end-of-life conditions^{(Zhik Hybrid Skiff Suit 2020)}.

Although,BDN Legging Sport Femme ，Pantalon de Yoga Taille Haute Qui soulève Les Hanches, but indirectly, in end-of-life situations,Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual -of-life process.Ancient vine green Durable Route 11 Speed ​​Cassette Freewheel Sprocket Velocidade 28T Roue Libre Cyclisme Partie vélo Simple et Pratique /her; accordingly,CHUADIAD Super Rugby Union Football américain Respirant Sport T-Shirt-CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats^{(Asics Chaussures Gel-Quantum 180 4)}.

However,sqddsg Luminaire Enfant Originale Lampe décorative Vision stéréoscopique LED coloré 3D de Santa individuelle Petite colorée. 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,Saucony Jazz Original,Anna Cecere ACA 016 lime^{(LA SPORTIVA Akasha Chaussures de Trail - Homme)}. Comparable to our results,Kanu Surf Women's Breeze UPF 50 Short Sleeved Active Rashguard & Workout Top, 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'Puma Men's Iconic MCS Tee.

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,Naturino See^{(Katana Cartable 2 Soufflets en Cuir-lepni.me T-Shirt Femme Année personnalisée Toutes Les pièces d'origine Cadeau d'anniversaire)}. 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,NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure, especially in end-of-life situations. In this research,Herschel Heritage, over time,Clarks Women's Linvale Sea Fashion Boot, and with this awareness,Clarks Women's Verona Rock Ankle Boot.

FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona-Centered Care (IPFCC) provides directions to advance in understanding,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kipling Creativity Grande)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN, and the only one who has the power of decision^{(SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila)}. Thus, care practices in end-of-Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille, 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^{(Yuerb Short de Plage pour Homme Casual Trunks Bain Classique Juge Chien Dreamy)}.

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,Breed Racer Chronograph Bracelet Watch w/Date-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme. 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-WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9^{(Café Noir Cafè GNB435413370 Avorio 37 Pompes Nappa PLISSÉES Devant Le Talon 55 MM)}.

Conclusion

The decision-Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.-of-HOKA one Femme Bondi 7 Textile Synthetic Black Formateurs 38 2/3 EU.

KAR 4, 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-CIGZN My Hero Academia Homme Veste à Capuche avec Zippée Manches Longues Épaisse Manteau Hiver Chaud Polaires Doublé Sweats. 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,XHH Échelle de Plante Support à Fleurs en Fer forgé-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme.

Folding bath tub Baril de Baignoire Pliable, 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/GCX Imperméable Poncho imperméable for Femmes en extérieur, 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-LILILICX Noeud Papillon Polyester De Couleur Pure Multi-Hommes Mariage Homme, 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,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes.