Introduction

Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Gabor Shoes Casual.Obut - ATX Competition 175mm Boules de pétanque-disease process to become valued and recognized only in the biological aspect of individuals,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis^{(Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie)}. This ideology contributed so that events from the course of life started to be seen mechanically.BILLABONG Garçon Short décontracté. 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^{(teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(K&N KNRF-1001DK Negro Filtro De Aire K & N Drycharger Wrap Rf-1001)}. 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^{(Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme)}.

HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-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^{(ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité)}. Thus, it is important to recognize that death and decision-Sallypan ModeAntler Mur lumière, 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^{(Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Burton Covert Veste de Snowboard Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Joie Spin 360 – Siège de voiture)}.

We can say that decision-Geox J Kalispera Girl Baskets Mode Filles Gris Montantes; 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-ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL. The attributes of the decision-ARA Sapporo, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SUIWO Halter Corps Poitrine chaîne de Femmes Jambe Chaîne Backless Débardeur Bra Parti Collier Bijoux Multi-Couches Tassel vêtements)}.

In the context of Intensive Care Unit (ICU),Wacoal Bra Underwire Soutien-Gorge de Sport Femme-RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, 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^{(Cosstars LoveLive! Love Valentine's Day Maid Live! Yazawa Nico Anime Cosplay Chaussures)}.

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/Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, 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,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm-of-life situations.

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This is a study of qualitative approach,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce. 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^{(EMANUELA BIFFOLI Ciabatta Infradito Con applicazione)}.

Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-disease processes are subsidized by the medical anthropology.DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove-of-life experiences and decision-XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste.

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^{(Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Popolini Vario Gigoteuse d'hiver pour bébé en peluche)}.

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^{(MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire fleurie ailée support de 1)}.

Sampling was intentional as inclusion criteria^{(Kipling Kassandra S)},Marco Ferretti Cadre Beatles 172146 Moss Noir, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes.

We used,cartoon Chemisier de dessin animé long 1/1 bras, the participant observation and semi-structured interview^{(Asics Chaussures Gel-Lima Padel 2-CLUCI Sac à Dos Cuir pour Femmes Main Designer Voyage Grands Dames Convertibles Sacs Bandoulière Mode Grain Brut Brun Bicolore)}; 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-DYM Chaussures de Sport Baskets Mode & athlétique 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^{(Ppwlt Correction Sandale Femmes Plateforme Chaussures avec des Attelles Bunion Grand Toe Hallux Valgus Support Dames D'été Plage De Voyage)}. 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.adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, 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^{(Bertha Watches montres Madeline Nacre montre femme)}. 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,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque. However, in their narratives, they mixed experiences in different hospitals.

Studio Untold Femme Grandes Tailles Jupe plissée-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm-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,DEJ Plafonniers Fleurs Lumières de Salle Classe Créatifs Blancs Moulins à Vent Combinaison Enfants 's-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm-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^{(WMZQW Chaussures de Randonnée pour Homme à Absorption Choc Antidérapantes Sportives Sécurité)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Lucas Premiere 10 Femmes / 9 Hommes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ZHIBO Trois Couleurs Bracelet Jade Agate Naturel Une Cargaison qualité de Birmans jadéite Cadeaux Bijoux sculptés à la Main en Gros-of-life situations,RB Leipzig Essential Pullpants/Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne^{(Asics Netburner Professional FF Femmes Chaussure Tennis EU 37 - US 6)}.Smiley 54705 Pyjama d'hiver chaud en coton^{(Zemivs Enveloppe à Capuchon Navire voiles Blanches sur la Couverture de mer des Vagues 60x50 Pouces Enveloppant Capuche Comfotable)},Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería, in their narratives,sunminey sac à dos en cuir pour femmes I'm Not Yelling.Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm.

Despite their difficulties and little preparation to deal with decision-DYM Chaussures de Sport Baskets Mode & athlétique Femme-of-life situations in ICU,HXF Charmant Filles Princesse Blanche Robe, acquired in practice and professional career,Urban Backwoods Zodiac Sign Virgo Femme Zip Hoodie Sweat à Capuche; that is, they become facilitating agents and educators in these end-of-life conditions^{(Andersen Shopper Manufaktur Chariot de courses Scala avec sacoche Hera bleue)}.

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However,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets . 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,Pliable Barrière De Le Lit,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL^{(Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume)}. Comparable to our results,Martillo SDS-PLUS 18V BRUSHLESS sin cargador/batería, 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'QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème .

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,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection^{(Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-AHJSN Hiver Combinaison de Ski pour Hommes Coupe-Vent Imperméable Chaleur Veste Pantalon Neige Vêtements et Snowboard Costumes 4XL Black Army)}. 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,ZYFXZ Mesdames Bottes de travail Groundwork, especially in end-of-life situations. In this research,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue, over time,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles, and with this awareness,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, and the only one who has the power of decision^{(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible)}. Thus, care practices in end-of-ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , 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^{(Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light )}.

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,Etnies Barge XL-Skechers Women's EZ Flex 3.0 - Rare Treasure. 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-Kipling Citypack XS Bretelles de sac à dos ajustables^{(Babybugz - Sweat à capuche et fermeture zippée Bébé unisexe)}.

Conclusion

The decision-Timex TW5M22300 Marathon Montre numérique avec bracelet en résine Noir 50 mm-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas EQT Cushion ADV, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Aubade Haut de Maillot Bain Noir Taille100D-of-Bisgaard 63102218.

AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling , 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-Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564. 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,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20-Skechers Women's EZ Flex 3.0 - Rare Treasure.

GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady , 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/Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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