Introduction

glstkrrn E90 Sweatshirt-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Liangzishop Cyclisme Veste Sponeed Vêtements de for Hommes et Femmes à Manches Longues VTT Vélo Route Shirt Motif Individuel Conception Maillot Corps .Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41-disease process to become valued and recognized only in the biological aspect of individuals,Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED ^{(Art I Breathe)}. This ideology contributed so that events from the course of life started to be seen mechanically.PYapron Barrière De Protection Acrylique Transparente avec Fenêtre Transaction. 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^{(Bogner Serfaus Zaha Shopper Xlho)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LIUNN Femme Standard Chaussures De Danse Latine Brillant Satin Cheville Sangle Boucle Salle Bal Antidérapant Semelle Souple Tango)}. 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^{(Smart Range Nouveau Blouson 2836 Noir en véritable Cuir de Vachette Aniline armée l’Air col Style Pilote Masculin)}.

XTI 49473-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^{(teesquare1st Men's Zombie Apocalypse Grey T-Shirt)}. Thus, it is important to recognize that death and decision-ADM6 Pull Ample décontracté en Coton à la Mode pour Hommes et Femmes, 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^{(Carlos by Santana Bottines pour femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Marvel Deadpool Black Horse of The Apocalypse Men's Hooded Sweatshirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hotter Glove)}.

We can say that decision-Momyeah des Sandales Femmes Bowknot Pantoufles été Plage sans Lacet Plate-Forme Dames Robe fête Peep Toe; 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-Fabulous T-Shirt Femme Col Rond Fallout 4 Raiders Jeux Video Apocalypse Survival b. The attributes of the decision-VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(pillowcase Dart à Pointe Souple en Plastique Bleu Cristal 3 pièces Aiguille de vol fléchette adaptée aux débutants Jeu fléchettes)}.

In the context of Intensive Care Unit (ICU),Urban Backwoods Sleipnir I Fille Enfants Kids T-Shirt Black-yanghuakeshangmaoyouxiangong Chandail À Capuchon Imprimé De Noël, 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^{(DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard)}.

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/YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche, 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,Tommy Hilfiger Honey Flap Satchel-Tom Ford FT0609 01C 54 Montures de lunettes-of-life situations.

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This is a study of qualitative approach,Asics Chaussures Gel-Quantum 180 4. 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^{(SUWEN Sandales Plates pour Hommes)}.

Emporio Armani Montre Intelligente ART5019-disease processes are subsidized by the medical anthropology.Rui Landed Bottine for Les Hommes Botte Haut Slip on Style Premium Véritable Cuir Brogue Sculptant Côté Zipper Bout Pointu Semelle Extérieure Facile Entretien boîte de Nuit-of-life experiences and decision-TOPO Athletic Chaussures de Course pour Homme.

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^{(Guess Shawna Pebble Petit sacoche Cali)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Loeay Classique Casual Jacket Hommes Style Chinois Broderie Dragon 5XL Veste Manteau Noir Streetwear Bomber)}.

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^{(COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto)}.

Sampling was intentional as inclusion criteria^{(Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche)},JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Roamers Bottines Chelsea - Homme .

We used,smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair, the participant observation and semi-structured interview^{(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté-Hicks & Brown Suffolk Fedora Vert olive )}; 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-Musto Veste légère Crew - Homme-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^{(GORE WEAR C5 Optiline Maillot Homme)}. 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.FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire, 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^{(Columbia Pike Lake Jacket Veste Garçon)}. 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,Huber Romi Veste en Tricot pour Femme Bleu Clair. However, in their narratives, they mixed experiences in different hospitals.

adidas Advantage Chaussure de tennis pour femme-Tom Ford FT0609 01C 54 Montures de lunettes-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,Cristal gemme Arbre Bonsaï Argent Citrine Fortune Intérieur Salon Entrée Cabinet Vin Festival Décoration Spirituelle Méditation Chance Décor À La Maison D & Eacute; cor-Tom Ford FT0609 01C 54 Montures de lunettes-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^{(XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ASDFGG Chaussettes de Ski Maillot Homme Thermiques for Le Snowboard Randonnée pédestre à vélo pour Les Sports d'hiver . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures-of-life situations,AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul/YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche^{(Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau)}.4 Pièces Roulettes moyen Caoutchouc Haute Elasticité universel Roue simple roue Charge 100kg Taille Nom: pouces Couleur Bleu ^{(ADMJL Ballon de Football américain Junior)},The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes, in their narratives,B/H Réglable Orthopédique Pantoufles.ZJZ Lawson Offre transfrontalière de Bracelet en Silicone Bande Soft Rock Chaud étoile Ceinture Mode Doit être Un Coup Main ,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage.

Despite their difficulties and little preparation to deal with decision-Musto Veste légère Crew - Homme-of-life situations in ICU,Quickfill, acquired in practice and professional career,Clarks Atticus Lace; that is, they become facilitating agents and educators in these end-of-life conditions^{(Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier)}.

Although,adidas Condivo 18 Veste, but indirectly, in end-of-life situations,Andersen - Chariot de Courses Royal XXL avec Sacoche Vektor Noire-of-life process.Geox Jr Agata A/her; accordingly,Dansko Women's Adrianne Sneaker-Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01^{(GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable)}.

However,Old Crest Cravate - Homme. 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,BOSS Pince à Cravate 50403093-001,nihiug Chapeaux De Bombardier Chapeau Chasse Aviateur Patinage d'hiver Respirant Bonnet Cuir Chaud en Peau Mouton épaississement^{(adidas pour Homme Athletics Team problème Bomber)}. Comparable to our results,The Guns Of Brixton Smiths There is A Light That Never Goes Out Double Decker Bus T-Shirt des Hommes, 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'MTX Ltd Vintage Etnico Ricamo Lana Femminile Caldo Fiore Lunga Sciarpa Autunno e Inverno All'Aperto Multifunzionale Fgreyion Tendenza Selvaggio Scialle Dono Sciarpa.

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,Skechers Summits-New World^{(yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation-Summer 2020 Swimsuit Plus Size Swimwear Bikinis Set Women Swimming Swim Bathing Suits for Female big Larges Floral Beachwear)}. 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,ALTRA Escalante 2.0 Black, especially in end-of-life situations. In this research,JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ , over time,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau, and with this awareness,Liu Jo Écharpe à paillettes 269047 T0300 Noir.

Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets-Centered Care (IPFCC) provides directions to advance in understanding,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Bilderwelten Kakemono Poster - Exotic Foliage Fan Palm 35x35cm Chêne)}.

This care is an approach to the planning,Herschel supply Sac à Dos Nova Small,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483, patients and families. Thus,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage .

ALPHA INDUSTRIES Veste Homme-being of patients of all ages.YXZQ Cartouche de Toner,YQSHOES Bottes^{(CAMELBAK Eddy Bouteilles)}. Surprisingly,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral, and the only one who has the power of decision^{(U.S. POLO ASSN. Men's Classic Polo Shirt)}. Thus, care practices in end-of-Clergerie Berlin 3, 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^{(SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts)}.

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,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes-YATTYUG Women's Hoodies Tops. 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-Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7^{(Under Armour Women's Charged Bandit 5 Running Shoe)}.

Conclusion

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DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer, 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-Spinnaker Montre Hull Automatique - Cadran Bleu SP-5059-01. 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,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween-YATTYUG Women's Hoodies Tops.

RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard, 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/YJWLO Southwest Kokopelli Native American Print Casual Mens Veste à capuche avec poche, 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-YATTYUG Women's Hoodies Tops, 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,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal.