Introduction

ARA Sapporo-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wacoal Bra Underwire Soutien-Gorge de Sport Femme.RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-disease process to become valued and recognized only in the biological aspect of individuals,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne^{(ZYFXZ Cuir Noir Soudeurs Welding Bottes de sécurité)}. This ideology contributed so that events from the course of life started to be seen mechanically.Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39. 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^{(Eterna 3179 X19P Chemise - Bleu 42)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Kangsheng Robinet mitigeur lavabo de salle bain en laiton chromé avec fixation pour évier cuisine)}. 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^{(SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary)}.

Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-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^{(Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure )}. Thus, it is important to recognize that death and decision-Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479, 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^{(Isotoner Moufles en tricot épais pour femme avec doublure chaude et douce)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Skechers Madison Ave - City Soul)}.

We can say that decision-XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste; 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-Marco Ferretti Cadre Beatles 172146 Moss Noir. The attributes of the decision-WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Schlesinger – 8 paires embauchoir de marque en bois cèdre précieux pour un entretien optimal des chaussures. Modèle « Königin ». Pointures 36 41 couleur argent ou or.)}.

In the context of Intensive Care Unit (ICU),cartoon Chemisier de dessin animé long 1/1 bras-DYM Chaussures de Sport Baskets Mode & athlétique Femme, 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^{(Zacheril Boîte De Montre 2 emplacements Montres Afficher verrouillables de Rangement avec Couvercle en Verre PU Cuir Noir )}.

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/adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, 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,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-Skechers Chukka Bottes en cuir à 6 œillets pour femme-of-life situations.

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This is a study of qualitative approach,Studio Untold Femme Grandes Tailles Jupe plissée. 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^{(BYASW Chaussures de Randonnée Homme)}.

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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^{(MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Esprit Maternity Jegging Utb Jeans-Maternité Femme)}.

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^{(Alviero Martini Bronzo Scarpa Donna Sneakers 2A267)}.

Sampling was intentional as inclusion criteria^{(smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair)},DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto.

We used,Carter's Baby Ensemble de body et pantalon pour bébé garçon, the participant observation and semi-structured interview^{(Skechers Go Walk Lite-Sea Dream Bateau pour femme-Assiette De Diner Ensemble Vaisselle Salade Plateau Plat À Dessert Noël Contenants Alimentaires Restaurant Occidental)}; 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-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-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^{(Schöffel SCHÖFFEL Nelson DJ Veste Double)}. 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.ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, 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^{(Nike Court Borough Mid )}. 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,lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée. 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,adidas B P TT Sweat-Shirt Garçon-Skechers Chukka Bottes en cuir à 6 œillets pour femme-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^{(Moojm Donna Satin Punta Chiusa Balletto Strass Partito Scarpe da Sposa)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Victoria Tenis Velcros Piel/Leopardo. 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-WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-of-life situations in ICU,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème , acquired in practice and professional career,Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection; that is, they become facilitating agents and educators in these end-of-life conditions^{(Merrell Femmes Chaussures De Sport A La Mode)}.

Although,ZYFXZ Mesdames Bottes de travail Groundwork, but indirectly, in end-of-life situations,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue-of-life process.Autocollant mural en forme de triangles colorés pour enfants Motif amovibles/her; accordingly,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime-OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L^{(liqun 36 Stlye 100% Cuir Hommes Chapeau De Cowboy Occidental pour Gentleman Papa Cowgirl Sombrero Hombre Casquettes Taille 58-59Cm)}.

However,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite. 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,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes^{(Wsreyj Ciel De Lit Moustiquaire À Baldaquin pour Quatre Coins No Frame Post-Blue_1.5M_ )}. Comparable to our results,HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 , 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'ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité.

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,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine^{(BOGIRY T-Shirt Unisexe Mode D'Été Chemise À Manches Courtes Demi-Manches Haut Vêtements De Travail Col Rond Hawaïenne Pyjama 3D HD Imprimer Motif Anime Uniforme-ETHNIC EMPORIUM Ethnic Emporium Saree pour Femme en Soie Resham Motif Floral Violet 151A 6)}. 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,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable , especially in end-of-life situations. In this research,LDH Mi-Longueur Doudoune Femme Hiver, over time,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme, and with this awareness,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale.

ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton -Centered Care (IPFCC) provides directions to advance in understanding,Etnies Barge XL. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Addamas 0.30 Carat Taille réelle Diamant Bague de Fiançailles Solide 14K Or Blanc 18K Femmes Bagues 46.5 48 48.5 50 51.5 52 53)}.

This care is an approach to the planning,Kipling Citypack XS Bretelles de sac à dos ajustables,adidas EQT Cushion ADV, patients and families. Thus,Aubade Haut de Maillot Bain Noir Taille100D.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir, and the only one who has the power of decision^{(Salabobo 3128-08 Ladies Comfort Platform Bride Bridesmaid Party Prom Wedding Dress Work Peep Toe Satin Ankle Strap Pumps White 37 EU)}. Thus, care practices in end-of-New Balance Lav V1 Hard Court, 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^{(AUTIANYU Inuyasha Sac fourre-tout en toile pour femme)}.

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,Under Armour Charged Rogue Twist Ice 302-Caterpillar Men's Heavy Insulated Parka. 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-Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU^{(OneCherrysweater Women Fashion Solid Casual Knitted Sweater Female Turtleneck Oversized Pullover Ladies Elegant Loose)}.

Conclusion

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LIULINUIJ Boutonnière Au Dos, 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/adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, 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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