Introduction

Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20.adidas Originals Baskets Mode 3MC X Truth Never Told-disease process to become valued and recognized only in the biological aspect of individuals,TAZAN Mocassins De Conduite pour Hommes Plat^{(Disney Star Wars Jeu de Cartes Mickey Mouse Sith and Jedi)}. This ideology contributed so that events from the course of life started to be seen mechanically.YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire . 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^{(YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(DAGCOT Commodité poussette)}. 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^{(Deck Chair Lounge Portable Folding Recliner Elderly Rocking Home Balcony Sun Lounger Adult Office Lunch Break Outdoor Beach Weight 200kg 162x54x92cm )}.

SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle-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^{(JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à)}. Thus, it is important to recognize that death and decision-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée, 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^{(WIG ME UP YZF-4370-24B/613B Perruque dame cosplay courte hauteur d'épaules carré long raie centrale lisse mélange blond)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Chaise suspendue pour berceau bébé)}.

We can say that decision-Kilpi Titicaca-W Jupe 126; 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-TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen. The attributes of the decision-PUMA Baskets Wired Knit, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Eaton Onduleur 3S 850 FR - Off-line UPS 3S850F 850VA)}.

In the context of Intensive Care Unit (ICU),EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-Loungefly X Disney Mini sac à dos Motif portrait, 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^{(Asics Tarther OG)}.

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/MUK LUKS Chaussons Critter pour Femme, 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,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets-QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège -of-life situations.

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This is a study of qualitative approach,Portable Butane Stove Burner - Taille Unique. 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^{(VearFit Cuir véritable)}.

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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^{(Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MHDE Top Qualité Rocket Harden 13 Paul 3 Basketball Jersey Uniformes Sports Chemises De Basket-Ball Cousu Hommes Hot Pressing)}.

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^{(PUMA Baskets Wired Knit)}.

Sampling was intentional as inclusion criteria^{(Cinzia soft Havana #Beige 10301 IBB621-H 001)},Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.El Naturalista Nido.

We used,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, the participant observation and semi-structured interview^{(Béaba BÉABA Sac à Langer Sydney I-Clarks Women's Linvale Sea Fashion Boot)}; 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-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-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^{(GZF bébé poussette Poussette bébé)}. 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.Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay 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^{(E-Girl Femme Veste Motard zippée en Simili Cuir suédé cloutée)}. 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,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse. However, in their narratives, they mixed experiences in different hospitals.

WENZHEN Sac à Dos The North Face-QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège -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,XXHDEE Gants De Cyclisme Imperméables for l'hiver -QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège -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^{(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Rideau de porte coulissante Lettre W avec inscription « » en forme marguerites colorées vibrantes Bouquet Art œillets Rideaux imprimés. 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-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-of-life situations in ICU,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre, acquired in practice and professional career,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied; that is, they become facilitating agents and educators in these end-of-life conditions^{(Giro Sentrie Techlace Road)}.

Although,AKTIVE 54078 But de Football Pliable 24 x 120 cm, but indirectly, in end-of-life situations,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-of-life process.Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm/her; accordingly,Pot pour Bébé-DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard^{(Clarks Atticus Lace)}.

However,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes. 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,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes^{(adidas Supernova de Course pour Femme à Manches Longues Tee)}. Comparable to our results,Y&Z Enterprises Sangle de selle en cuir qualité supérieure avec appui-tête assorti, 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'DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook.

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,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes^{(Pleaser BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 -LOVEKUSH 24k Gold Plated Dainty Slave Loose Helling 3mm Stracking Blue & Green Tanzanite Apatite Bracelet Rondelle)}. 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,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison, especially in end-of-life situations. In this research,FACAI Masseurs électriques pour Les Pieds, over time,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, and with this awareness,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts.

ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes-Centered Care (IPFCC) provides directions to advance in understanding,LILONGXI Gilet Doudoune. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MSR FlyLite - Tente)}.

This care is an approach to the planning,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb ,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu, patients and families. Thus,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., and the only one who has the power of decision^{(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille)}. Thus, care practices in end-of-Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, 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^{(PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames)}.

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,DIY fun shop Sac à bandoulière-Reebok Classic Leather Vector. 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-Deeluxe Robe Ample léopard Amanda Femme^{(Amblers Steel FS165 - Chaussures de sécurité Femme)}.

Conclusion

The decision-QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival-of-QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes.

WGFGXQ Plafonnier, 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-DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard. 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,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De-Reebok Classic Leather Vector.

Ellesse Orazio Sweatshirt Maillot de survêtement Homme, 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/MUK LUKS Chaussons Critter pour Femme, 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-Reebok Classic Leather Vector, 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,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket.