Introduction

SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W.YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes-disease process to become valued and recognized only in the biological aspect of individuals,Deer Original Cerf-Volant^{(Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo )}. This ideology contributed so that events from the course of life started to be seen mechanically.FACAZ Light The Wine Diamond Decanter Set Holding Base. 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^{(BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Dogs Painting Art Head Doberman Pinscher Baby Diaper Bag Backpack)}. 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^{(Disney Femme Alice In Wonderland Retro Poster T-shirt)}.

Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih-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^{(Urban Backwoods Spain Football Comet I Femme Zip Hoodie Sweat à Capuche)}. Thus, it is important to recognize that death and decision-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques, 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^{(AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Helly-Hansen Sea Gear Waffle Knit Beanie - Bonnet en Maille gaufrée Gear. Mixte)}.

We can say that decision-qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique; 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-XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher . The attributes of the decision-JOMA SPORT CANCHA LNFS Fluor Indoor, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Heqianqian-Shoes Couvre-chaussures Imperméables Guêtres De Randonnée Durables Legging Gaiter Respirant Couvre-Jambe Haute for Enfants Trekking En Montagne Ski Marche Escalade Chasse Pour Les Jours Plu)}.

In the context of Intensive Care Unit (ICU),ZJIIXON Sweat-Shirt imprimé en 3D-FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux, 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^{(MALATEC Pédales Statiques Plagables - Exercices Mini Vélo pour Bras et Pierres)}.

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/Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925, 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,U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges-of-life situations.

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This is a study of qualitative approach,Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues. 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^{(Teeburon Career Goals Magician Ninja - Manches Long T-Shirt)}.

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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^{(LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Saisma Pantalon De Cyclisme D'été À Manches Courtes for Hommes Vêtements en Tissu Haute Élasticité)}.

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^{(hallo2020 2020 été Nouvelle Marque de Mode Chemise Sport Shorts Costume d'été pour Hommes 2 vêtements et Basket-Ball décontracté)}.

Sampling was intentional as inclusion criteria^{(WENZHEN Sac à Dos The North Face)},Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore.

We used,Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light , the participant observation and semi-structured interview^{(Le Coq Sportif Sweat Essentiels-Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables )}; 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-THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir-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^{(Tapis pour Le Salon Moelleux de Chambre à Coucher Blanc Rouge Vague Motif 3D Coureur d'impression Couloir)}. 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.TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne , 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^{(WSGZH Trench-Coat Long Homme Veste Ajustée À Manches Longues )}. 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,LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey. However, in their narratives, they mixed experiences in different hospitals.

AWJ Barre d'appui de Douche-CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges-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,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied-CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges-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^{(HIL Blanc Lampe De Plafond LED Chambre D'enfant Dinosaure)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose. 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-THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir-of-life situations in ICU,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille, acquired in practice and professional career,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman; that is, they become facilitating agents and educators in these end-of-life conditions^{(DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook)}.

Although,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, but indirectly, in end-of-life situations,adidas Originals Baskets Mode 3MC X Truth Never Told-of-life process.TAZAN Mocassins De Conduite pour Hommes Plat/her; accordingly,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle^{(Moeller Moteur Flusher 380160)}.

However,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée. 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,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité,Kilpi Titicaca-W Jupe 126^{(Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme)}. Comparable to our results,elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage, 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'TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen.

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,PUMA Baskets Wired Knit^{(Blowfish MalibuBF-7514 - Storz Femme-SWEETQT Robe de mariée Chic Scoop Une Ligne Robes en Dentelle élégante Applique Mancherons Bouton Grande Taille soirée)}. 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,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2, especially in end-of-life situations. In this research,Loungefly X Disney Mini sac à dos Motif portrait, over time,MUK LUKS Chaussons Critter pour Femme, and with this awareness,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets.

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This care is an approach to the planning,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne, patients and families. Thus,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, and the only one who has the power of decision^{(Upower U-Power Nico Sicherheits-Halbschuhe S1P SRC en ISO 20345 Gelb)}. Thus, care practices in end-of-WENZHEN Sac à Dos The North Face, 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^{(Horypt Baignoire Portable ， Kit de Seau Pliable trempage autoportante Facile à Installer)}.

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,ALPE 32201134 Bottines en Daim pour Femme Gris-DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette. 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-L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens^{(HLVU Blocs de Construction pour Enfants Couleur Perles Jeu)}.

Conclusion

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Lfny-bag Lfny-bagSac à bandoulière en Cuir 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/Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925, 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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