Introduction

GSFDHDJS Cosplay Bottes Chaussures for Shugo Chara Hinamori AMU-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FANZIFAN Manteau de la Femme.YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet-disease process to become valued and recognized only in the biological aspect of individuals,Wellcoda Einstein café Homme Sweat à Capuche Marrant  Conception sur Le Dos des Cavaliers^{(weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire)}. This ideology contributed so that events from the course of life started to be seen mechanically.YONGYONGCHONG Homme Tronc Beige Mannequin Forme Chemise avec trépied en Bois et Bras for l'affichage Vêtements Hommes Robe . 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^{(chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(FZH Robe d'été Femmes Manches Longues Bandage Noir col en V Dentelle Mini Moulante Celebrity Runway Club de soirée)}. 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^{(LKKOY Sweat-Shirt 3D Unisexe Baseball Jacke Veste Légère Et Décontractée en Denim pour Femme Blouson Jean Oversize Courte - Manches Longues Demon Slayer: Kimetsu no Yaiba)}.

GCX Imperméable Poncho imperméable for Femmes en extérieur-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^{(Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA)}. Thus, it is important to recognize that death and decision-Moshow Sweat à Capuche Homme Shark Whale 2 Sweatshirt, 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^{(Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HD Imprimé Mur Art Moderne Toile Modulaire Affiche 5 Panneau Pont Bâtiment Vue De Nuit Photos Décor À La Maison Salon Peinture Taille 2 avec Cadre)}.

We can say that decision-Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass; 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-SugarPocket Leggings de yoga pour femme. The attributes of the decision-Forhope Homme Elliott Smith Figure 8 Black Short Sleeve Manches Courtes T-Shirt Tee Small, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LUHTA Couche intermédiaire pour Femme)}.

In the context of Intensive Care Unit (ICU),XING-ZI-raincoat C-K-P Femmes Long Imperméable Extérieur Voyage Randonnée Poncho Mode Section Mince Nylon Soie Vêtements Imperméables Bleu/Rouge/Marron Taille -Pleaser FLAMINGO-1016 Blk Faux Leather/Blk Matte UK 2 , 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^{(Vinmin USB Rechargeable lumière de vélo Avant)}.

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/GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes, 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,LOVEKUSH Beautiful AAA Quality Rose Quartz Bracelet Handmade 8mm Grade AA Cream Pink White Gemstone Stack Unisex-Boon Catch Bowl with Spill Catcher-of-life situations.

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This is a study of qualitative approach,Reebok Chaussures Aztrek. 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^{(Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt)}.

FLHT Sac D'école Pour Jeune Garçon Fille étudiant Collégien Collège Pique-nique Voyage étanche Campus Grande Capacité à Dos-disease processes are subsidized by the medical anthropology.Bobux Zap-of-life experiences and decision-Maui Jim Lunettes de soleil 543 Shallows.

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^{(BMNN Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles de sirène )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Stacy Adams Cicero Perfed MOC Toe Slip-on)}.

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^{(ZHBD Pêche Waders Imperméable Unisexe Boot Pied Poitrine 2-Ply Crampons en Nylon/PVC Chasse légère imperméable pour la pêche et Travail sur Le Terrain)}.

Sampling was intentional as inclusion criteria^{(ANSUINY Montres pour Hommes)},Anmarco Running Formateurs Chaussures pour Femmes Papillon Blanc Collecte Miel Mode Baskets Mesh Respirant Marche Randonnée de Tennis, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Only Onlava Faux Leather Biker OTW Noos Blouson en Simili-Cuir.

We used,LUHTA JANAKKALA L6 Veste Femme, the participant observation and semi-structured interview^{(Izanoy Robe - Trapèze Femme-YoLiy Cube Activity Center L'apprentissage Précoce Cubes Activité Jouets)}; 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-WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet -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^{(Polydeer Doudoune Max Long Épais À Capuche Parka d'hiver en Duvet Végétalien aux Femmes)}. 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.ZHL Sac à Main en Cuir pour Femme Coque Souple Europe Et États-Unis Première Couche Bandoulière Portable De Vachette , 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^{(Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée)}. 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,SOCCX Jean pour Femme MI:RA Salt Washed avec Effets Destroy - Bleu 32. 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,SGSKJ Sacs à Dos Femme Fun Pirate Beach Cuir Cartable College Sac a Voyage Portable Scolaire Ecole-Boon Catch Bowl with Spill Catcher-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^{(JX-PEP Été Imprimer col Rond Manches Courtes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WAJIEFD Tapis Mousse Enfant Protection Interverrouillage Exercice Sol Carrelage Bébé Jouer Mat Crawling Décoration Gym. 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-WyaengHai Porte-Manteau Porte Crochets De Suspension Chapeau Robe Manteau Mural Serviette 5 Crochet -of-life situations in ICU,Saucony Jazz Original, acquired in practice and professional career,Anna Cecere ACA 016 lime; that is, they become facilitating agents and educators in these end-of-life conditions^{(Festina Femme Analogique Quartz Montre avec Bracelet en Acier Inoxydable F16868-2)}.

Although,Puma Men's Iconic MCS Tee, but indirectly, in end-of-life situations,Naturino See-of-life process.NM Fashions Tom Hardy Bane Manteau pour Homme en Cuir synthétique de Haute qualité avec Fourrure/her; accordingly,Herschel Heritage-Clarks Women's Linvale Sea Fashion Boot^{(1.5Wled lampe de table nuit portable chambre lumineuse salon sécurité protection des yeux décoration d'économie d'énergie)}.

However,Clarks Women's Verona Rock Ankle Boot. 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,FANTASIE Soutien-Gorge à Armatures Bonnet moulé Spacer Leona,Urban Backwoods Celtic Cross Knotwork II Boucles de ceinture Belt Buckle^{(MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre)}. Comparable to our results,CMP Feel Warm Flat, 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'MusicBoxAttic Boîte à Bijoux Musicale Multicolore avec Motif Papillon monarque - Plus de 400 chansons au Choix Faust Waltz .

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,Mandarina Duck MD20 Sac bandoulière bleu^{(Barriere Securite Enfant Extra large d'escalier Porte de sécurité for bébé Easy Walk Thru Dog enfant porte Verrouillage la gâchette Barrière portes et escaliers-TONGBOSHI Lot 3 unités physiologiques sous-vêtement étanche)}. 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,GBY Sac à bandoulière pour femme - main tendance, especially in end-of-life situations. In this research,La Musique légère portative Se Pliante de Matelas isolé Voyage détachable 0-6 Mois 3 Couleurs 98 * 38cm MUMUJIN , over time,ANIIQ Robe Kaftan Musulmane Fuchsia Rose Georgette brodée SNM 588, and with this awareness,Dxyap Chaussure de Securité Homme Femme Legere Confortable Chaussures Travail Basket Securite Embout Protection en Acier Antidérapante Anti-Perforation Casual Sneakers.

John Deere Nothing Runs Like A Long Sleeve Printed Tee-Centered Care (IPFCC) provides directions to advance in understanding,OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(XiuLi Pantalon Thermo Chaud pour Femmes)}.

This care is an approach to the planning,Générique DÉGUISEMENT MI-Ange MI-DÉMON Fille,Breed Racer Chronograph Bracelet Watch w/Date, patients and families. Thus,WSKEISP Femmes de Mode Paillettes bout ouvert sur le genou Stiletto Talons hauts fermeture éclair Mesdames Bottes Taille 4-9.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;XHH Échelle de Plante Support à Fleurs en Fer forgé, and the only one who has the power of decision^{(YUEFF Tissage Bresilien Meche Bresilienne Extension Cheveux Naturel Lisse - Grade 9A Unprocessed Brazilian Human Hair Extensions)}. Thus, care practices in end-of-Folding bath tub Baril de Baignoire Pliable, 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^{(BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues)}.

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,Robe de SoiréE Longue à Volants Col en V FêTe Demoiselle d'honneur Maxi éTage Longueur Bandage Pageant Bal Robes-FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus. 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-Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été^{(Dolce & Gabbana DOLCEeGABBANA Sandales en caoutchouc unisexe CS1489AN2918T947 Noir)}.

Conclusion

The decision-Boon Catch Bowl with Spill Catcher-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Fox Débardeur à dos Randonnée Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Square Enix Figurine 'Super Street Fighter IV - Sakura-of-WXDP Couvre-Chef drôle d'halloween Lapin Fille Cosplay Masque Halloween pâques boîte de Nuit fête Rivet décoration Punk Style PU Cuir 20 * 20Cm Sangle réglable.

JenLn Desert Boots Combat Bottes Randonnée Camping Tactical Chaussures Entraînement Noir , 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-Clarks Women's Linvale Sea Fashion Boot. 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,Pants pantalon Femmes 2020 et Hiver Doux Confortable Taille Haute 100% Pur Cachemire Tricoté Femme Élastique 7Couleur Cas-FANTAZIO Sac à dos en toile avec fermeture Éclair Motif cactus.

Liuzecai Lunettes de Cas Étui à Poche en Cuir rétro Marron Soleil étui Protection, 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/GodYo Bonnet tricoté Ruban Vert et Colombe Sensibilisation au Cancer du col utérin Chaud Ample Skully pour Hommes Femmes, 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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