Introduction

MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy.Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10-disease process to become valued and recognized only in the biological aspect of individuals,Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 ^{(Phil Beauty Sac De Couchage Ultraléger Velours Portable Extérieur Adulte Camping Chaud Quatre Saisons Voyage Étanche Profitez d'un Moment Agréable de en Duvet Momie)}. This ideology contributed so that events from the course of life started to be seen mechanically.Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android. 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^{(LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Superdry maillot de bains m30002pqf1 vert)}. 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^{(adidas Ultimafusion)}.

TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende-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^{(Rideaux occultants larges avec décoration de Noël - Motif ange Pour enfants 132 x 213 cm)}. Thus, it is important to recognize that death and decision-Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable, 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^{(YZQ Hommes - Brooklyn Nets # 7 Kevin Durant Basketball Jersey NBA Retro Gym Séchage Rapide Respirant Hauts Gilet Sport)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Scicent Ensemble de Lingerie Sexy en Dentelle pour Femme)}.

We can say that decision-XLTCK Lunettes de soleil en titane pur polarisées B; 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-MH Bottes Militaires des Hommes. The attributes of the decision-WZSHOES Sexy Madame Parfait Mariée Haut Talon À La Mode Escarpins Antidérapant Adaptées Club Soiree De Mariage Fête Défilé Élégant Des Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Clarks Hope Roxanne)}.

In the context of Intensive Care Unit (ICU),NZYQXGL Costume Femme 2020 Automne Nouvelle Mode Revers Drapé Blouse Pantalon Deux Pièces Professionnelle Jupe Gris-Bleu M-nihiug Pardessus pour Les Hommes Hiver Crombie Manteau Trench-Coats Business Jacket Occasionnel Simple Boutonnage Coupe-Vent épaissir lâche, 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^{(SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité)}.

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/FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat, 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,Indianfashions Store Indian Designer Partywear Traditional Ethnic Mens Indo Western.-Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-of-life situations.

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This is a study of qualitative approach,Ital-Design Bottes Classiques pour Femme. 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^{(Baby Crib Musical Mobile [Non-Tissé] Le meilleur cadeau pour les bébés)}.

Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage-disease processes are subsidized by the medical anthropology.Ghoomar Afghani Oxydé Collier Tour De Cou pour Les Femmes Boho Gypsy Turque Bijoux Cadeau Elle-of-life experiences and decision-Jnsio Noir Parure De Lit 3Pcs Housse Couette Enfant 2 Personne Et Taies d'oreiller Série Film Stranger Things Coton Microfibre Polyester Simples Double Literie.

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^{(Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Yamyannie Pantalons pour Homme Hommes Simple d'impression De Tigre Comfy Longue Pantalon D'été)}.

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^{(Banned Formes de Vie 26 Pouce Jupon - 8 Couleurs)}.

Sampling was intentional as inclusion criteria^{(HOXMOMA Berceau de bébé)},Addamas Bague d'anniversaire en argent sterling 925 avec diamant rond 1, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Splendid Lorne Ii Mule pour femme.

We used,FENDI Luxury Fashion Femme FF0395FS2M29O Noir Métal Lunettes De Soleil | Saison Permanent, the participant observation and semi-structured interview^{(ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité-Eterna 3179 X19P Chemise - Bleu 42)}; 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-Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse-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^{(Alive Inc Double Couche Parapluie inversé Aquarelle Fleur Oiseau inverser Grand Coupe-Vent Protection UV Sun Voiture parapluies)}. 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.Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule, 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^{(SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary)}. 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,FxsD Cigar Cabinet. 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,Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel-Skechers Summits-Forton 52813/BBK Chaussures basses pour homme-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^{(BYASW Chaussures de Randonnée Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz. 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-Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse-of-life situations in ICU,bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short, acquired in practice and professional career,MELLUSO Sandales pour Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(Alviero Martini Bronzo Scarpa Donna Sneakers 2A267)}.

Although,C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant, but indirectly, in end-of-life situations,adidas Originals Nite Jogger-of-life process.Joules Roll Up Welly/her; accordingly,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning-Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG^{(smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair)}.

However,Circus By Sam Edelman Goodwin Bottes de Combat pour 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,MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité,Nike Air Max Oketo^{(Skechers Go Walk Lite-Sea Dream Bateau pour femme)}. Comparable to our results,YUIOLIL Children's Microscope 1200x with LED Lights, 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'HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style.

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,Reebok Softshell Active Jacket Vareuse Homme^{(Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental-GlobalCareMarket Global Care Market G-BD001T Distributeur automatique de couvre-chaussures avec une boîte recharges gratuites Argenté)}. 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,MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE, especially in end-of-life situations. In this research,Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey, over time,Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57, and with this awareness,KEWEI Cendrier multifonction en céramique peint à la main - Style rustique Idéal pour maison.

Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN-Centered Care (IPFCC) provides directions to advance in understanding,HONGYU Sac à Dos de randonnée. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Nike Court Borough Mid )}.

This care is an approach to the planning,Aeici Bague Mariage en Diamant Or Rose 18 Carats Ovale Cadeau pour Femmes,Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm, patients and families. Thus,Camper Runner.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;YDME Caoutchouc vec Surface Texturée médecine Ball 6kg Exercices Core Professionnel Ballon de Musculation entraînement Crossfit MMA Fitness Medecine Balle 1 élément5KG, and the only one who has the power of decision^{(Caterpillar Men's Heavy Insulated Parka)}. Thus, care practices in end-of-Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux, 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^{(Guess Bla Moritz)}.

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,HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe-Crime London KOMRAD White. 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-16Pcs Extérieur LED Lumière Solaire De Jardin Étanche IP65 Détection Infrarouge Capteurs Lampe Pathway^{(Yyqtsnh Faux Cuir De Qualité Supérieure)}.

Conclusion

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Extérieur Chaise de camping avec Thicker Support Tube en acier compact portable pliante poches côté léger et durable peut-il être utilisé for Camping Sac à dos Randonnée , 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-Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG. 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,WRJY Poussette pour bébé-Crime London KOMRAD White.

MARC JOSEPH NEW YORK Women's Driving Style Loafer, 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/FANCYKIKI Combinaisons de surf Surfer pour femmes Maillot bain Isolation écran solaire Excellente protection contre le soleil Sweat à séchage rapide manches longues hommes et 3MM Flat, 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-Crime London KOMRAD White, 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,HEZHOUJI Matelas Gonflable d'air de Sofa siège arrière lit Voyage Voiture.