Introduction

Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..Bong6o Penguins Sac à bandoulière en cuir véritable pour femme-disease process to become valued and recognized only in the biological aspect of individuals,DIY fun shop Sac à bandoulière^{(Ryan Jonathan Fine Jewelry Alliance en cobalt à bords biseautés satin 6 mm Taille 11)}. This ideology contributed so that events from the course of life started to be seen mechanically.Deeluxe Robe Ample léopard Amanda 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^{(Columbia Outdry Ex Reversible II Jacket Imperméables Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(XHCHE Sneakers Femme Confortable Chaussures à Air Mailles Solides Femmes Formateurs)}. 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^{(SSCEE Lampe de Table Nostalgique Narguilé Industrielle Rétro Vintage Steampunk Fer Robot Lecture Nuit)}.

Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson-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^{(Kjore Project Clous Limites iClutch Monnaies)}. Thus, it is important to recognize that death and decision-POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival, 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^{(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Asics Gel-Sonoma 4 G-TX 1011a210-001)}.

We can say that decision-WGFGXQ Plafonnier; 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-ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De. The attributes of the decision-Ellesse Orazio Sweatshirt Maillot de survêtement Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Statues d'animaux de Jardin)}.

In the context of Intensive Care Unit (ICU),Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8, 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^{(HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 )}.

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/CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, 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,Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-of-life situations.

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This is a study of qualitative approach,Sac à Dos Pliable Léger. 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^{(Nike WMNS Run Swift)}.

YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe-disease processes are subsidized by the medical anthropology.RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -of-life experiences and decision-Ducati Femmes Polo D-Attitude Gris - M.

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^{(New Balance H754 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Absolute Cult Disney Homme The Incredibles 2 Edna Sweat-Shirt)}.

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^{(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy)}.

Sampling was intentional as inclusion criteria^{(ZXL Lampe Lampe)},Kappa Doudoune Stade Français Paris Adulte 2020/2021, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Shaker à Cocktail Boston Standard Professionnel.

We used,AQWESD Pied de Table canapé en Bois 4 pièces, the participant observation and semi-structured interview^{(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman-Mockledd T-Shirt)}; 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-GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement -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^{(Motodak Pantalon de Pluie Tucano Panta Nano Rain Zeta Noir Taille XXL)}. 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.Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, 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^{(Berkley Cutter 110 appât de pêche)}. 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,XSY Denim Zipper Genou Talon Hiver Bottes. 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,ASICS Tiger Gel-Mai Chaussures pour Homme-JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-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^{(ZHTY Casiers à vin de Plafond)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Asics Men's GT-2000 8. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Dockers Polo Homme-of-life situations,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique/CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3^{(TONI CS-Jenny Business)}.Gabor Shoes Casual^{(Noppies Top à Manches Longues de Maternité Femme)},Kickers Orilegend, in their narratives,Obut - ATX Competition 175mm Boules de pétanque.Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis,BILLABONG Garçon Short décontracté.

Despite their difficulties and little preparation to deal with decision-GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement -of-life situations in ICU,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU, acquired in practice and professional career,Sallypan ModeAntler Mur lumière; that is, they become facilitating agents and educators in these end-of-life conditions^{(MMWYC Tapis de Yoga pour débutant Danse Accueil Dames Slip épaississement élargi Longue Remise en Forme Convient Pilates)}.

Although,Burton Covert Veste de Snowboard Homme, but indirectly, in end-of-life situations,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes-of-life process.ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL/her; accordingly,ARA Sapporo-Wacoal Bra Underwire Soutien-Gorge de Sport Femme^{(ASG-révolver à Billes Airsoft-DW Classic 2)}.

However,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League. 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,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39^{(Pants pantalon Femme Vintage Slim Taille Haute Denim Jeans Vêtements pour Femmes Maman)}. Comparable to our results,Kickers Orilegend, 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'Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce.

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,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479^{(FANZIFAN Manteau de la Femme-Trousse de toilette Maquillage Organisateur Boîte De Rangement LED Lumière FANJIANI)}. 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,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, especially in end-of-life situations. In this research,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste, over time,Marco Ferretti Cadre Beatles 172146 Moss Noir, and with this awareness,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes.

cartoon Chemisier de dessin animé long 1/1 bras-Centered Care (IPFCC) provides directions to advance in understanding,DYM Chaussures de Sport Baskets Mode & athlétique Femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Delsey Trolley Brisban Black M 4R)}.

This care is an approach to the planning,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque, patients and families. Thus,Studio Untold Femme Grandes Tailles Jupe plissée.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, and the only one who has the power of decision^{(PREMIUM MOOD DENIM SUPERIOR 0214AD Pantalone Tuta Uomo Black Sweatpant Man)}. Thus, care practices in end-of-Carter's Baby Ensemble de body et pantalon pour bébé garçon, 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^{(Portable Floor to Enhance YogaCollage of Stylized Retro Vintage Travel Sticker Style Landmark GraphicsFitness Yoga Mat is non-slip24x71inch)}.

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,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44-DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook. 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-ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures^{(Skechers Kids Girl's AIR-Flutter N'FLY Shoe)}.

Conclusion

The decision-JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237-of-Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille.

SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, 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-Wacoal Bra Underwire Soutien-Gorge de Sport Femme. 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,adidas Response It Hommes Synthétique Chaussure de Course-DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook.

JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, 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/CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3, 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-DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, 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,Applique murale rustique moderne pour chambre à coucher.