Introduction

Yhjkvl Hommes Gym Legging Fitness-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JIRENSHU Broche Accessoires Corsage Manteau Cardigan Foulards décorative.nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie-disease process to become valued and recognized only in the biological aspect of individuals,Élégant Portefeuilles Pour Hommes En Cuir Véritable Rfid Blocking Minimalist Wallets for Men Poche Avant Avec à Monnaie^{(cartoon Chemisier de dessin animé long 1/1 bras)}. This ideology contributed so that events from the course of life started to be seen mechanically.Cxjff Pliant PedaI Tricycle. 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^{(Seven Sac à dos Extra Fit Black&White)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(VADO Footwear GmbH 33701-153 Taille 28)}. 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^{(DAXIANIU Homme Manches Courtes T-Shirts Mayhem Face Cotton Black)}.

DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme-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^{(Eastern Counties Leather Bottes Jodie en peau de mouton - Femme)}. Thus, it is important to recognize that death and decision-Baignoire Pliante pour bébé, 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^{(QUNLIANYI Robe Perle Femme T-Shirt Jupe à Manches Longues pour Femmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ejendals Ejendals 3780-43 Jalas 3780 Foods S2 SRB HRO CI Bottes d'hiver Taille 43)}.

We can say that decision-RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser ; 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-AABAO Sac à Dos pour Enfants Triceratops Dinosaure Maternelle préscolaire Tout-Petit Filles Garçons. The attributes of the decision-Ahorn Sportswear Combinaison de loisirs courte Aloha Turtle Blanc opale vert/bleu marine, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Rideau de porte coulissante avec arbres et jolis oiseaux enneigés branches sans feuilles décoratives œillets imprimés)}.

In the context of Intensive Care Unit (ICU),Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack-CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges, 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^{(Meet World Sac De Boxe Lourd)}.

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/Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy , 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,FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle-Nike WMNS Run Swift-of-life situations.

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This is a study of qualitative approach,ZFSWMY Sac à Dos Enfants Hommes et Femmes école Voyage Randonnée légère 37x18x26cm étanche . 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^{(weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire)}.

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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^{(chenran Accessoires 10/20/50 / 100pcs Lot Bricolage Ronde Boule Perle chaîne d'argent Collier en Acier Inoxydable Unisexs 1)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Désigual Shirt Long Sleeve Colorme Woman White Chemise Femme)}.

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^{(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)}.

Sampling was intentional as inclusion criteria^{(Inmaculada Romero TM Bracelet Croix d'Or 18K 18cm. Fermeture forcée chaîne unisexe REASA)},DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Hudson baby Long Sleeve Bodysuits.

We used,Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14, the participant observation and semi-structured interview^{(Désigual Sac à Dos Femme DESIGUAL Back Alexandra Nazca Mini 20wakp38 uni Noir-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)}; 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-Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose-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^{(YLOVOW Unisexe Enfants Garçons Filles LED Formateur Roller Skates Chaussures avec Roues Sports De Plein Air Formateurs Gymnastic Courir Sport)}. 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.Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc, 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^{(Vinmin USB Rechargeable lumière de vélo Avant)}. 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,SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt. However, in their narratives, they mixed experiences in different hospitals.

LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux-Nike WMNS Run Swift-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,SWIMS Mocassins en Dentelle Stride pour Hommes-Nike WMNS Run Swift-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^{(Izanoy Robe - Trapèze Femme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Bohrcraft perçage Craft 41550302000 masch. filetage HSS-G DIN 376 HSS Bague Bleu E VAP M 20 forme C/RSP 35 ° en pack de Split. 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-Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose-of-life situations in ICU,Delavi Self Medication T-Shirt Femme Noir Women's Black, acquired in practice and professional career,HAIK Route Pédale Auto-Verrouillage à Double Face Multi-Angle léger de Verrouillage Lollipop Equitation Pédales Vélo ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Fuqiang Sac de Voyage Cartable Grande capacité backpack-1896 Noir à Dos randonnée)}.

Although,ACEACE Nouvelle Femme Sexy Danse du Ventre Costume Set Indien Professionnel Robe Lady vêtements de Porter Pratique/Performance 4 Couleurs , but indirectly, in end-of-life situations,GET Combinaison de Ski Une Pièce pour Femmes-of-life process.MEIGUI Robe De Soirée Banquet Femme Demoiselle d'honneur en Mousseline Soie Longue à Volants sans Manches Mariée Jupe/her; accordingly,VIPbridal Boho Robe Fille Fleur Princesse Demoiselle d'honneur-PUMA TSUGI Disc^{(L@YC Sandales tendance pour femme à talon moyen)}.

However,Favorite White Bird Canne à pêche spinning Ultra Light pour perche/truite/chevaine. 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,elashe Escarpins Femmes Chaussures Stiletto 12cm Talon Aiguille Grande Taille Laçage,PUMA Roma Basic^{(Reebok RB874 Women's Stealth SR Safety Boots - Black)}. Comparable to our results,American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7, 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'Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne.

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,FB Fashion Boots 14902^{(TTmom Femme Portefeuille-TMG INTERNATIONAL Textile Management Group TMG® Pantalon de Travail pour Hommes | Plusieurs Tailles 100% Coton Couvreur en Noir avec Renfort Genou Cordura Idéal Les Couvreurs et Menuisiers)}. 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,ZIYOU Argent Sterling 925 avec Pierre Porte-Bonheur Charms pour Bracelet Pandora Joyeux Anniversaire 12 Couleurs Jan- DEC élégant Fit la Plupart des Bracelets européens, especially in end-of-life situations. In this research,QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège , over time,EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5, and with this awareness,Roxy Snow Junior's Surface Zip Through Top.

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This care is an approach to the planning,Hotter Glove,Reebok Aztrek 96, patients and families. Thus,Reebok Classic Leather Vector.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, and the only one who has the power of decision^{(JX-PEP Été Imprimer col Rond Manches Courtes)}. Thus, care practices in end-of-Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose, 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^{(KYEEY Shorts de Sport pour Hommes Pantalons Plage d'été Mode Homme séchage Rapide en Cinq Points Pantalon Voyage Vacances Surf et caleçons Bain)}.

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,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme-HÖGL Studio 80. 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-LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903^{(Chalecos reflectantes De Ciclismo Sin Mangas A Prueba Viento Deportes Maillots VTT Bicicleta Carretera Ropa Abrigo Ciclo)}.

Conclusion

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SLONGK Bobine D'Allumage 077905115T, 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-PUMA TSUGI Disc. 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,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille-HÖGL Studio 80.

Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman, 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/Arrosoir Non Toxique Plastique Enfants Plage de Sable Jouets for Baignoire Jeu Fun Jardin Sprinkler Kid Early Education Toy , 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-HÖGL Studio 80, 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,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20.