Introduction

SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420.Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal-disease process to become valued and recognized only in the biological aspect of individuals,JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Esprit Sweater Femme. 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^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(boîte à musique SAP en Bois Cadeau de Noël avec des Cadeaux rotative Romantique Mode)}. 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 Condivo d'entraînement pour homme Pantalon )}.

ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG-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^{(HONGYU Cartable écolière 1-3-6 Grade Princesse 6-12 Ans Fille Jeune Enfant 4-5 Sac à Dos Super léger Tissu)}. Thus, it is important to recognize that death and decision-lquide Album Photo Bricolage, 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^{(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Dickies Performance Chino Pantalon plat pour homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille)}.

We can say that decision-NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour; 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-Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme. The attributes of the decision-JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Spricen Naruto Anime Hoodie Sweat à Capuche Homme Zippé Veste Sweatshirts Ado Garcon Cosplay Plus Épais Chaud Hiver Sweat-Shirt)}.

In the context of Intensive Care Unit (ICU),Fila Baskets Femme-Skechers Summits-Forton 52813/BBK Chaussures basses pour homme, 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^{(ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917)}.

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/Sanita Saskia Sport Flex Sandale, 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,CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-Sperry Top-Sider Femmes Bottes-of-life situations.

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This is a study of qualitative approach,SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila. 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^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01)}.

Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair-disease processes are subsidized by the medical anthropology.Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N-of-life experiences and decision-Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle.

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^{(Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZHHRHC Housse de Volant Voiture en Cuir Cousue à la Main)}.

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^{(Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag)}.

Sampling was intentional as inclusion criteria^{(Lunaer Ensembles de Pyjamas Noël Assortis à la Famille avec imprimé élan et Oreilles Hauts Pantalons Longs Vêtements Nuit)},Crime London KOMRAD White, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Onitsuka Tiger Baskets Corsair Unisexe-Adulte.

We used,Pandora Femme Vermeil Charms et perles - 788692C01, the participant observation and semi-structured interview^{(Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W)}; 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-MASCOT WORKWEAR Mascot Polo De Travail Crossover-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^{(Janine Design 65086-01 Davos Parure de lit en flanelle avec 1 housse couette 135 x 200 cm et taie d'oreiller 80 Rouge poudré)}. 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.Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python, 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^{(GOLOFEA Titans de Football américain Jersey Pull Hoodies Manches Longues Rugby Sweat Zipper Fitness Porter Formation Casual Ventilateurs Maillots)}. 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,DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8. 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,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir-Sperry Top-Sider Femmes Bottes-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^{(Pare-Chocs Diffuseur Lèvres)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode. 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-MASCOT WORKWEAR Mascot Polo De Travail Crossover-of-life situations in ICU,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day, acquired in practice and professional career,Modus Vivendi Chemise Jeans Manches Courtes Marine 12941; that is, they become facilitating agents and educators in these end-of-life conditions^{(SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles )}.

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However,SHOPAMZ Chaussure de Securité Homme Femmes. 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,YUIOLIL Children's Microscope 1200x with LED Lights,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur^{(GBY Sac à bandoulière pour femme - main tendance)}. Comparable to our results,Lumières de Partie, 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'WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond .

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,Legero Campania^{(Skechers Stamina-classy Trail-Kakadu Traders Australia Nordberg Veste softshell pour 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,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises, especially in end-of-life situations. In this research,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied, over time,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, and with this awareness,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt.

Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No-Centered Care (IPFCC) provides directions to advance in understanding,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel, and the only one who has the power of decision^{(Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou)}. Thus, care practices in end-of-Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz, 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^{(Nouxh Homme Femme Devil May Cry 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)}.

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,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet-Stonefly Season III 28 Nappa. 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-Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby ^{(AmanGaGa Beyblade Pullover Pull à Manches Longues Tout-Match Sweat Diluant Vestes Doux Manteaux Airy Sweats Capuche Unisexe Loisirs Outwear)}.

Conclusion

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WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le, 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-FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon. 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,bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short-Stonefly Season III 28 Nappa.

MELLUSO Sandales pour Femme, 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/Sanita Saskia Sport Flex Sandale, 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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