Introduction

LIXIAOLAN Randonnée Pédestre Bottes d'homme De Neige d'hiver Marche en Cuir Chaussures Sport Antidérapante Homme Peluche Doublure Sport-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,YXZQ Lanterne Murale extérieure Traditionnelle.Under Armour Girls' Fleece Big Logo Twist Hoody Sweat-Shirts à Capuche Garçon-disease process to become valued and recognized only in the biological aspect of individuals,Asics Gel-Kinsei OG Blanc Bleu 1021A117.400^{(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium)}. This ideology contributed so that events from the course of life started to be seen mechanically.Mountain Equipment Randonee Gant Homme. 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^{(LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas Deerupt Runner)}. 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^{(Skechers Femmes Chaussures De Sport A La Mode)}.

Under Armour Essential-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^{(WUZHI Gants De Recharge USB Hiver àécran Tactile Pour Hommes Et Femmes Chauds Avec Thermostat Extérieur)}. Thus, it is important to recognize that death and decision-WOCTP Outdoor bag, 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^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}.

We can say that decision-Clarks Kinzie Light; 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-Floris van Bommel Pompon Casual DarkBlue Suede. The attributes of the decision-The North Face Women's Aphrodite Motion Capri, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Doreen Dalton Tapis de Yoga Confortable en Velours)}.

In the context of Intensive Care Unit (ICU),mingliang Bottes Tactiques pour Hommes-EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales, 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^{(Adidas Condivo d'entraînement pour homme Pantalon )}.

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/EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons, 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,EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures-adidas Vs Pace-of-life situations.

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This is a study of qualitative approach,EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures. 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^{(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants)}.

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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^{(Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Yingm Chausse-Pied Homme Adulte Hommes et Femmes Fit Pull Manche en Bois Longue Facile à Porter déchausser Portez des Chaussures Portable)}.

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^{(ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917)}.

Sampling was intentional as inclusion criteria^{(Naturino Karrie Baskets hautes en tissu léopard)},MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Regatta Pack It Jkt Iii Veste imperméable Homme.

We used,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode, the participant observation and semi-structured interview^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe )}; 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-Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm-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^{(Bruce Field Pantalon Yoni fuselé Laine Barberis Canonico 110's)}. 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.MILASIA Parachutiste US Vintage Industries, 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^{(Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag)}. 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,Anastasia Beverly Hills - Veste Courte rembourrée pour Femme. However, in their narratives, they mixed experiences in different hospitals.

Peak Mountain Doudoune Femme ARES-Marine-XL-adidas Vs Pace-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,Cherokee Haut coloré coupe enveloppée CK608-adidas Vs Pace-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^{(Guess Short Dress)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,adidas Originals Ozweego. 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-Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm-of-life situations in ICU,arena WPWSK Carbon Maillots de bain Femme , acquired in practice and professional career,Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental; that is, they become facilitating agents and educators in these end-of-life conditions^{(Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la )}.

Although,Waldläufer Mocassins pour Femme Beige Cement Stein Silber, but indirectly, in end-of-life situations,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille-of-life process.Accueil Accessoires Housse de Couette Ensemble Quatre pièces en Coton lavé Style Nordique imprimé Simple draps hypoallergéniques Anti-Rides épais La literie/her; accordingly,WWTTE Noir irrégulière Jupe Longue Sortie Halloween Costume Cosplay Show Sorcellerie Robe-Amandas Silver Boutique Pour enfants en argent sterling creux Pendentif Croix sur une Chaîne^{(Musto Veste légère Crew - Homme)}.

However,WWTTE Sequin V-Cou Robe Banquet annuel de 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,WWTTE Yoga serré Snakeskin Leggings 2V ,Reebok Royal Dashonic 2^{(Pare-Chocs Diffuseur Lèvres)}. Comparable to our results,adidas Originals Midiru Court Mid W, 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'F Fityle Kit de Outil Monter Démonter Axe Vélo.

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,Sperry Top-Sider Men's^{(AJH Bidet pulvérisateur Ensemble Outil hygiène personnelle Multifonctionnel-Pistolet de pulvérisation Toilette Robinet Pistolet propul-Mr.Zhang's Art Home Men's shoes Chaussures pour Hommes Pointu d'or étape Coiffure styliste discothèque Bottes)}. 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,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée, especially in end-of-life situations. In this research,EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé, over time,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806, and with this awareness,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs , and the only one who has the power of decision^{(GBY Sac à bandoulière pour femme - main tendance)}. Thus, care practices in end-of-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, 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^{(Skechers Stamina-classy Trail)}.

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,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8. 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-Pepsi Welcomes The World Women's Hooded Sweatshirt^{(Skechers Sandales)}.

Conclusion

The decision-adidas Vs Pace-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Jost Bergen X-Change , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA-of-Rösle 25356 de pellets de Bois Hickory 9 kg Sac.

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emanuel ungaro Ungaro - Ceinture en cuir pour homme, 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/EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons, 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-TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8, 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,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme.