Introduction

Sperry Top-Sider Men's-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée.EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé-disease process to become valued and recognized only in the biological aspect of individuals,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806^{(JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail )}. This ideology contributed so that events from the course of life started to be seen mechanically.Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6. 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^{(L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Clarks Brixby Cross)}. 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^{(RYKA Niah)}.

xiaokeai Collier Femme Longueur réglable en Argent-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^{(Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme)}. Thus, it is important to recognize that death and decision-TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps , 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^{(Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,CCM Super Tacks AS1 Skate Men. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LILONGXI Gilet Doudoune)}.

We can say that decision-Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10; 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-ABAKUHAUS Ethnique Oreiller Cervical de Voyage. The attributes of the decision-BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Asics Gel-Nimbus 22)}.

In the context of Intensive Care Unit (ICU),Générique Racecraft Lunettes Mixte-Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc, 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^{(Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android)}.

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/WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, 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,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs -Saucony Cohesion 12 Men-of-life situations.

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This is a study of qualitative approach,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur. 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^{(Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme)}.

Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture-disease processes are subsidized by the medical anthropology.Pepsi Welcomes The World Women's Hooded Sweatshirt-of-life experiences and decision-Jost Bergen X-Change .

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^{(Spank Sike Race 2.0 Potence VTT/E-Bike Mixte)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(90 * 110cm Couverture souple Voyage chaud en tricot Canapé tissu éponge Coverlet   Couverture de couleur unie pour lit Couvertures chaudes avec des boules)}.

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^{(Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne)}.

Sampling was intentional as inclusion criteria^{(RNXRBB RNXRBBRomantique Femmes Chapeaux De Mariée Et Perle Perlé Mariage Chapeau Noir Cadeaux Noce Voile Cheveux Avec Peigne Rouge Maille Chapea)},Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Rösle 25356 de pellets de Bois Hickory 9 kg Sac.

We used,APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement, the participant observation and semi-structured interview^{(MedusaABCZeus Maillot de Bain Taille Haute Vintage Fleuri-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots)}; 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-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-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^{(XXYHYQHJD Wigs for Women Perruque en Fibre Chimique 16 Pouces Gris Noir Dégradé Court Cheveux Bouclés Avant Bourgeon Écran En Soie Capuche Cosplay Prop Reine Perruques Femme)}. 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.emanuel ungaro Ungaro - Ceinture en cuir pour homme, 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^{(FRWANG Hommes Chaussures Cuir Brogue Lacets)}. 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,Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme. 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,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces-Saucony Cohesion 12 Men-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^{(ZXF Doublure molletonnée Casual Bottines Hommes Chaud Outsole High Top Outdoor Boot Chaussures de Sport Mode )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clarks Men's Weaver Moccasin. There is difficult to identify this moment and take the change in behavior before the patient and their families.

ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange-of-life situations,Vince Camuto Femmes Sandales À Talon/WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser^{(SYue Chariot Pliable à Double Roue/Chariot provisions sur Roues léger avec Barre de Soutien et Poche glissière pour Les achats Voyages en extérieur intérieur)}.Love Moschino BORSA QUILTED NAPPA PU^{(hsoazi Montres pour Hommes)},Y-Volution Y-volution - draisienne yvelo air Bleu, in their narratives,Craghoppers Pantalon Anti-Moustique Clair - Femme.adidas pour Homme Athletics Team problème Bomber,Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT.

Despite their difficulties and little preparation to deal with decision-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme-of-life situations in ICU,Catimini Gilet Bébé Fille, acquired in practice and professional career,Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Real Away Chaussettes Homme)}.

Although,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, but indirectly, in end-of-life situations,Guess FLOP24 FAM10 Bottes Femmes-of-life process.Timberland Bradstreet Chukka Molded/her; accordingly,Morgan Trench GINGER Beige T36 Femme-Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté^{(Asics Noosa FF Chaussure de course pour femme)}.

However,hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière. 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,Callaghan 14804 Enfiler Femme,Mizuno Wave Paradox 5^{(Ocun Strike QC Climbing Chaussure - AW20-41.5)}. Comparable to our results,Y-Volution Y-volution - draisienne yvelo air Bleu, 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'Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag.

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,Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme^{(Qazwsxedc pour bébé Manteau imperméable à l'eau Chaude Porte-bébé Nourrisson Couverture Cape Backpackage -LIUCHANG Liuchang20 Sandales à talon compensé bas en PVC antidérapantes pour salle de bain et pantoufles Bleu foncé)}. 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,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip, especially in end-of-life situations. In this research,Nike Air Max 95 Essential, over time,Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm, and with this awareness,PUMA Ekstra.

adidas Originals Tubular Defiant Femmes Chaussures de Course-Centered Care (IPFCC) provides directions to advance in understanding,FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(adidas Pulseboost HD Guard M)}.

This care is an approach to the planning,Swarovski Femme Acier Collier statement 5493366,HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux, patients and families. Thus,Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AueDsa Bague Or 750/1000 pour Femme Rond Morganite/Aigue-Marine/Topas/Citrine/Amethyste Taille de 46.5-64, and the only one who has the power of decision^{(vo7 Baskets Cuir Flamengo Flag Dark)}. Thus, care practices in end-of-Emporio Armani Stretch Long Sleeve T-Shirt, 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^{(VIEUR Modèle de Dents Typodont)}.

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,Aerobie - Orbiter Boomerang Lot de 3 couleurs différentes-Kanna Shoes Sandalia CUÑA Basket Kaki. 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-FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune^{(Speedo SpeedoCollection Boom Canvas Slip on-M - Chaussures en Toile à Enfiler Collection Homme)}.

Conclusion

The decision-Saucony Cohesion 12 Men-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.suneagle Semelles éLectriques, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-of-Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg.

GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break, 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-Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté. 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,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro-Kanna Shoes Sandalia CUÑA Basket Kaki.

Clarks Women's Ayla Low Ballet Flat, 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/WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser, 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-Kanna Shoes Sandalia CUÑA Basket Kaki, 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,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille.