Introduction

Chaise de camping inclinable en plein air-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear.BMNN Queue De Sirène Et Nageoire-disease process to become valued and recognized only in the biological aspect of individuals,Costume de vêtements yoga Sets d'entraînement des femmes^{(ECCO Xpedition III)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt. 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^{(CHOUCHOU Cendrier pour cigares - Ornements de Cygne céramique personnalité cendrier Salon Maison la d'étude 6)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Xiaokeai Collier avec Pendentif Améthyste Boucles d'oreilles Clavicule chaîne Dames en Argent Sterling Classique Saint Valentin Cadeau 925 Colliers Courts)}. 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^{(Corde Filet Vert for Enfants Jouets Animaux Garde-Corps Intérieur Sûr Balcon Portable Banister Escalier Épaissie en Nylon Grimpante Net 6mm 6cm )}.

Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT-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^{(Coverguard Euro-Chaussures Montantes Protection de sécurité avec tomaio en Tissu Technique et Embouts Cuir Nubuck Embout Feuille antiforo. S1P HRO catégorie.)}. Thus, it is important to recognize that death and decision-SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, 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^{(WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,2020 dernier Ensemble de t-Shirt Football américain Rams. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Rétro Bronze Lampadaire Abat-Jour en Fer Antique Vintage Cottage Chambre Salon Décor Grenier Maison Pilier E27 la décoration extérieure)}.

We can say that decision-JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN; 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-Invicta Giubbotto Uomo Royal 4431699U. The attributes of the decision-Reinders Fille Pantalons de Jogging, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Adicreat Filles Mignonne Robe Sans Manches Col Rond Imprimé Casual Été)}.

In the context of Intensive Care Unit (ICU),HUA JIE Tapis De Yoga-Logo Wedac Massage U en Forme d'oreiller, 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^{(Clarks Women's Ada Mist Sandal)}.

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/N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm, 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,Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible-WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-of-life situations.

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This is a study of qualitative approach,Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD. 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^{(Etnies Barge XL)}.

Baldinini Trend 669329 Chaussures en cuir pour femme Bleu-disease processes are subsidized by the medical anthropology.Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise-of-life experiences and decision-Sac de rangement moulinet pêche portable.

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^{(ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Maserati Montre pour Homme)}.

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^{(Rowe Barrière de Sécurité Qualité bébé et Pet Gate to-Banister-rétractable sécurité Large Tailles régulières barrière Solide clôture Porte Enfant)}.

Sampling was intentional as inclusion criteria^{(Beco Maillot de Bain 2 pièces pour Femme Bonnet c Power of Nature)},GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap .

We used,LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales, the participant observation and semi-structured interview^{(Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-Volcom Sweat Too Tone Fleece Noir Homme -)}; 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-Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver-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^{(Nicole Miller Serrure à Bagages approuvée TSA)}. 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.Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver, 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^{(Clio Blue Bague Medicis en argent 925)}. 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,GQY Bagages - Valise Tissu léger Sac à roulettes Grande capacité . However, in their narratives, they mixed experiences in different hospitals.

B/H Orthopédique Pantoufles-WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-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,Enuff Skateboards Skully Complete Skateboard-WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-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^{(Docooler Sourcingbay Portable Réchaud de Camping)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique. 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-Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver-of-life situations in ICU,Sorel Out N About Plus Conquest, acquired in practice and professional career,Love Moschino Borsa Quilted Nappa Pu; that is, they become facilitating agents and educators in these end-of-life conditions^{(Gabor Bottes Chelsea pour femme Semelle amovible)}.

Although,Asics Chaussures Gelsaga Gel-Saga Sou, but indirectly, in end-of-life situations,ALTRA Superior 4.0 Black-of-life process.Sperry Top-Sider Femmes Bottes/her; accordingly,Merrell Yokota 2-Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir^{(LED Dessins animés Lumière décorative avec télécommande bleu violon design Plafonnier Dimmable lampe de plafond Chambre d'enfant Kindergarten restaurant The Living Room Éclairage Chambre)}.

However,adidas Superstar. 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,Northland Kosh Veste Garçon Gitane FR: 6A ,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt ^{(AiMei Men's Classic Notched Collar Button-Zipper Front Wool Blend Midi Pea Coats)}. Comparable to our results,adidas Little Boys' Tricot Pant, 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'Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure.

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,Stonefly Season III 28 Nappa^{(WWTTE Sequin V-Cou Robe Banquet annuel de soirée-Fred Perry Polo Homme)}. 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,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, especially in end-of-life situations. In this research,Nike Court Vision Mid, over time,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, and with this awareness,Nike Flex 9.

DYHQQ Brancard de Chaussure-Centered Care (IPFCC) provides directions to advance in understanding,Chie Mihara Queran. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D)}.

This care is an approach to the planning,XZDXR Boîte À Chaussures Rose,Nike Air Max 97 Essential, patients and families. Thus,TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, and the only one who has the power of decision^{(Escabeau escabeau escabeau)}. Thus, care practices in end-of-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420, 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^{(SMKMI Smiffys Licenciado oficialmente Costume Elvis American Eagle)}.

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,Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal-Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore. 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-JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's^{(LAURA VITA HECBINO 02)}.

Conclusion

The decision-WJSW Applique parete industriale nera Lampaparete a braccio oscillante in Metallo regolabile per interni Con interruttore e cavo 1-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Esprit Sweater Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG-of-lquide Album Photo Bricolage.

Dickies Performance Chino Pantalon plat pour homme, 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-Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir. 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,NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour-Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore.

Dickies Temp-iq Performance Cooling T-shirt à manches longues pour 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/N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm, 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-Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore, 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,JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40.