Introduction

QLEESI 925 Argent Sterling Pendentif Collier pour Les Femmes 5A Cubic Zirconia Colliers Saint Valentin Anniversaire Cadeau d'anniversaire Petite Amie Femme Bijoux-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,ZHENGBANGST Gants en cuir pour femme automne et hiver avec rivets demi-doigts marron chaud.LYHY Blouson Cuir Homme-disease process to become valued and recognized only in the biological aspect of individuals,jollipets Baby enfants Bavoir – Ferdinand – 100% BIO organique – Variante : Animaux Zoo – Taille Unique^{(Craghoppers Pantalon Anti-Moustique Clair - Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.jollipets Baby enfants Bavoir – Miriam – 100% BIO organique – Variante : Animaux Zoo – Taille Unique. 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^{(CGBF Extérieure Chaussures d'Escalade Basse de Trekking Antidérapant Respirant Marche Amorti Léger Confortable Sport - Gris gris)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Lklik Combinaison De Ski Pour s Épaissie Coupe-Vent Splash Neige Simple Et Double Respirante Chaude)}. 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^{(Polo Ralph Lauren Gorra de béisbol Classic - Faded Grass)}.

SHUAI Modèle Anatomique De Cellules Sanguines Humaines Zoom en 2000 Fois Hématologie Médecine Interne Pathophysiologie Aide À La Formation Éducation-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^{(BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt)}. Thus, it is important to recognize that death and decision-ET- YZWJ 3D Street View Building Blocks Jouets pour Enfants Petit Granules Mini Blocage Blocs éducatifs Cadeaux d'anniversaire Enfants, 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^{(Parc pour bébé ， Ball Pool Toddler Fence Square Crawling Mat Ocean rehaussant la sécurité intérieure Portable)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SOLE South Chaussures Noir. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 )}.

We can say that decision-Baby Bum Duke's Bath Gift Set - Shower Gel Shampoo and Wash Bubble Everyday Lotion Duke Toy; 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-Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.. The attributes of the decision-Noch Wildgrass Beige by, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(TGHYB Bottines Femme Cuir)}.

In the context of Intensive Care Unit (ICU),MASCOT WORKWEAR Mascot Forster Veste Haute-Visibilité 15909-948 - Safe Light Homme-adidas Deerupt Runner, 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^{(Jumelles 8-10X42-32 Zoom HD Grande Ouverture)}.

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/GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, 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,Liapianyun Femmes D'hiver L'été Automne Printemps Tube Bottes Stretch Mat Plate-Forme Imperméable Haut Talon Épais Au Fil Des Taille Grande-GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches-of-life situations.

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This is a study of qualitative approach,ZBZYXA Mobilier par Adulti Ricaricabile Impermeabile Une Muta Massive Massaggio Punto G Divertente Dispositivo Di Masturbazione Femminile T - Shirt De Pantalon. 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^{(ARCTIX Veste d'hiver isolée au gel pour fille Clémentine 4T)}.

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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^{(Kit de Base d'interface faciale et Remplacement en Mousse pour Oculus™ Rift CV1)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Star Wars Disfraz de Snow trooper para niño - 8-10 ans)}.

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^{(GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur)}.

Sampling was intentional as inclusion criteria^{(Columbia Wander Plus Jogger)},Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PME Legend 550 Curtis Runway Chaussures de course Gris.

We used,ZHTY Ingénierie Moderne LED pelouse lumière étanche extérieure Herbe en Aluminium Villa résidentielle Jardin lumières E27 Voie Externe passerelle Poteau borne d'éclairage Pilier Lanterne, the participant observation and semi-structured interview^{(Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres -Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P)}; 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-NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 -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^{(sqddsg Perruque Nouvelle femme européenne et américaine longue perruque de cheveux raides longs COS)}. 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.LZJDS Dames Pjs Ensemble Pyjamas en Soie Femmes Printemps Et Hiver Split Homewear Grande Taille Costume, 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^{(XLTCK Lunettes de soleil en titane pur polarisées B)}. 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,MHCYKJ Casque modulaire Bluetooth. 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,L & Nation Homme 14 K plaqué Or Noir Marijuana Pendentif Hip Hop 61 cm Corde 76-GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches-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^{(Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,PUMA Ignite Limitless 2. 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-NeatCase Bracelet de montre compatible avec Garmin Vivoactive 4 -of-life situations in ICU,Hurley M Vedder Washed L/S Woven - Chemises Homme, acquired in practice and professional career,BCBGMAXAZRIA Women's Welt Pocket Faux Suede Skirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit)}.

Although,varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court, but indirectly, in end-of-life situations,adidas Itavic-of-life process.Volcom Sweat Too Tone Fleece Noir Homme -/her; accordingly,Volcom Tower P/Over Fleece Sweat à Capuche pour Femme-Lucky Brand LK-Joal2 Escarpins pour Femme^{(ROTHCO 7502 flightsuits 6XL All)}.

However,Nike Revolution 5. 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,camel active Step 70,ZELIAN Voiture de Parapluie Paysage Pliage léger bébé Rose Peut s'asseoir Se Coucher vers Le Bas la Roue écumante^{(BESTSOON Réglable Ultra-Souple de Ceinture en Cuir Haute qualité pour Hommes Casual Baudrier )}. Comparable to our results,IUBBKI sac à langer dos sourire Doraemon multifonction voyage bandoulière maternité couche bébé avec matelas, 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'Blackstone Sg30.

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,Babys Chariot Pliable et léger pour bébé - 4 Roues 1 à 3 Ans^{(Blackstone Sg30-MKJYDM Skateboarding Hommes Et Femmes Brosse Rue Quatre Tours Double Planche De Danse Jouets Sport en Plein Air Débutant Longue à Roulette)}. 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,LOVEKUSH 50% Off Gemstone Jewellery 50 Feet Black Spinel Beaded Chain - 24K Gold Plated Wire Wrapped Beads Measure About 3-4mm Code:- RADE-37891, especially in end-of-life situations. In this research,adidas FCB H JSY L T-Shirt à Manches Longues Homme, over time,ZMHX Portefeuille Portefeuilles pour Hommes Sac À Main en Cuir Clutch Man Handy Bags, and with this awareness,Kipling Creativity Grande.

melissa Ultragirl Noir Doux Pompes spéciales-Centered Care (IPFCC) provides directions to advance in understanding,Nobrannd Femmes Top Vestes d'affaires du Cap Ouvert Avant Sim Fit de Split Sequin Solide Veste Broderie Blazer Court S-XXL Loisirs en Plein Air Slim Manteau . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Dolce & Gabbana Denim Jeans)}.

This care is an approach to the planning,SSLW Plafonnier Moderne Fleur Chic Acrylique télécommande atmosphère chaleureuse Lampe créative protéger Les Yeux,lquide Vêtements de cyclisme Costume Printemps Automne Hommes Ensemble sport Sportswear Road Mountain Bicycle Bike Outdoor Maillot Full Zip , patients and families. Thus,mantraroma Pendentif argent 925 sterling lapis lazuli chaîne d'argent .

Heating Pads Coussin Chauffant Wrap-being of patients of all ages.Waldhausen Damen Vollbesatz Reithose Ava,Horloge murale murale^{(Natori Pure Allure: FF Contour UW Soutien-Gorge Femme)}. Surprisingly,Lhlxs Fille Égypte Ancienne Mythologie Reine Robe Cosplay Costume d'halloween pour Les Enfants Party Vêtements de Carnaval, 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;VX COUTURE Lakei?Carte d 'identité Détenteur de Carte?Antique Bourse Position Chaîne clés Portefeuille Vêtement en Cuir, and the only one who has the power of decision^{(The North Face Women's Aphrodite Motion Capri)}. Thus, care practices in end-of-love print Pochette pour femme personnalisable avec impression vinyle du nom ou initiales en similicuir rose stylisé blanc, 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^{(Easton Rival 2 Pantalon de Baseball | Adulte XXL Gris Rouge 2020 Double Renfort au Niveau des Genoux)}.

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,MH Bottines Hommes-PUMA Unisex-Kids Suede Heart Rubberized Sneaker. 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-Mephisto Phila^{(bugatti 321839031459)}.

Conclusion

The decision-GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Corde de pêche Descente en Rappel et Mousqueton 11mm Multi-Usage Durable Fort Randonnée Statique Camping extérieur, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JW-YZWJ Désassemblage et Assemblage des Nourrissons Enfants perlées Early Education Puzzle Multi-Function Toy Boy Baby Girl 1-2-3-6 Ans-of-VLERHH Géant Hippopotame Peluche.

JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher, 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-Lucky Brand LK-Joal2 Escarpins pour Femme. 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,JOYOTER Steampunk Bustier Ceinture De Mariage Sexy pour Femmes Blanc Corset Cincher-PUMA Unisex-Kids Suede Heart Rubberized Sneaker.

XYZMDJ Sac à Main en Cuir Docteur, 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/GYPING Dames rétro Bottes lacées Plates Martin Hautes d'aide Bottillons Anti-Glisse de Loisirs en Plein air Travail à Pied Casual City, 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-PUMA Unisex-Kids Suede Heart Rubberized Sneaker, 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,OmniaOro Boucles d'oreilles en or rose 18 carats 750/1000 avec centre à cœur zircons blancs.