Introduction

Vince Camuto Femmes Sandales À Talon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Love Moschino BORSA QUILTED NAPPA PU.Craghoppers Pantalon Anti-Moustique Clair - Femme-disease process to become valued and recognized only in the biological aspect of individuals,adidas pour Homme Athletics Team problème Bomber^{(YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes)}. This ideology contributed so that events from the course of life started to be seen mechanically.Craft Ideal - Bas de Cyclisme Homme Noir 2020 Cuissard Long VTT. 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^{(GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JJSFJH Boot Sèche-Linge)}. 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^{(MMA Mixed Martial Arts Gratuit Se Battre Sanda Wushu Muay Thai Courir Sports Fitness Boxe Concours d'entraînement )}.

Catimini Gilet Bébé Fille-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^{(RBTT Kubb finlandais Jeu Pilier en Bois Roi et Soldat à l'intérieur des Jeux de Plein air pour Adultes Enfants Stranpark Pique-Nique Aire Jardin Classique la Maison)}. Thus, it is important to recognize that death and decision-Kate Spade New York KATE SPADE LUCYANN 2 0807 Noir, 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^{(LAA Queues de Sirène Filles Queue De Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(huayao Huayao Peinture murale en acrylique pour décoration de la maison 60 x 75 cm)}.

We can say that decision-Guess FLOP24 FAM10 Bottes Femmes; 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-Timberland Bradstreet Chukka Molded. The attributes of the decision-Morgan Trench GINGER Beige T36 Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(UELEGANS 2PCS Queue de Billard 57 po pour queues 20 oz avec Embouts 13 mm)}.

In the context of Intensive Care Unit (ICU),Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté-hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière, 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^{(Ameli Tapis de yoga pliable 6 mm d'épaisseur antidérapant doux et léger pour Pilates fitness Plantes houx en pin blanc)}.

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/Callaghan 14804 Enfiler Femme, 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,Mizuno Wave Paradox 5-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-of-life situations.

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This is a study of qualitative approach,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag. 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^{(Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis)}.

Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme-disease processes are subsidized by the medical anthropology.BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip-of-life experiences and decision-Nike Air Max 95 Essential.

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^{(Nine West Sac à dos en nylon et cuir synthétique noir Dimensions : 30 x 25 13 cm.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(laanc Femmes de Haute Qualit¨¦ Nuptiale 15 Rang¨¦ES Cristal Nig¨¦ria Beads African Wedding Jewellery Sets)}.

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^{(Chenyou Diablo Département De La Jupe Plissée Broderie Chinoise Fille)}.

Sampling was intentional as inclusion criteria^{(Dickies Performance Chino Pantalon plat pour homme)},Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.PUMA Ekstra.

We used,adidas Originals Tubular Defiant Femmes Chaussures de Course, the participant observation and semi-structured interview^{(glstkrrn RX8 RX-8 Ugly Christmas Sweater-Wanssheng Halloween Robe Médiévale Cosplay Costumes pour Femmes Palais Carnaval Fête Déguisement Princesse Femme Vestido Grande Taille Noble Livraison Gratuite)}; 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-FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin-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^{(HKUCO Plus Mens Replacement Lenses for Costa Zane Sunglasses - 3 Pair)}. 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.Swarovski Femme Acier Collier statement 5493366, 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^{(ALTRA Paradigm 4.5 Chaussure de course sur route pour femme)}. 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,HJHSH-couronne Couronne de mariée coréenne Bijoux Accessoires Cheveux Mariage Golden Round Artificielle Zircon Chapeaux. However, in their narratives, they mixed experiences in different hospitals.

Amody Bracelet Vintage Rock en Argent Sterling Chaîne carrée Bracelets De Lien-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-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,AlokHnvj Banbag Simple De Canapé Paresseux-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-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^{(Clarks Chaussures Whiddon Vibe pour Hommes)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LJYY Uniforme de Tai Chi Costumes d'arts Martiaux Traditionnels en Mousseline Soie Kung Fu avec Impression Porcelaine Bleue et Blanche. 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-FRWANG Homme Plage Tongs Lacets Sandales Bout Ouvert Respirant Occasionnels Pantoufles Été Piscine/Randonnée/Hopital/Jardin-of-life situations in ICU,Festnight Femmes Vestes à Capuche entièrement zippées Sweat Sport Raglan nches Longues Poches Workout Running Exercice Gym Track Casual Tops Activewear, acquired in practice and professional career,Yoga Studio Rouleau adhésif Oeko-Tex 20 m pour tapis de yoga; that is, they become facilitating agents and educators in these end-of-life conditions^{(DANIELE ALESSANDRINI F632KL1614000 flâneurs Homme)}.

Although,ERTYP Maillots de Bain Grande Taille pour Femmes Bikini Deux Ensembles Pièces Haute Plus Size for la Natation Volleyball Plage Ensemble, but indirectly, in end-of-life situations,Columbia Homme - Manches Courtes T-Shirt athlétique-of-life process.FEUER1 Sweat-shirt à capuche Bleu marine/her; accordingly,Reebok 2020 NHL Draft Flex Fit Hat pour homme -Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant^{(IUBBKI sac à langer dos amour bébé sacs pour maman papa grande capacité belle avec matelas et de biberon)}.

However,MotoGP Apparel Veste Polo Contrast Yoke. 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,Brax Pantalon Femme,UGHUIHG Queen B Collage Beyonce^{(FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon)}. Comparable to our results,LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure, 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'GGOODD Joli Derby Tokai Anime Cosplay Costume Femmes Etudiant Course Uniforme Bleu Marine De Marin Halloween Fête Robe Ensemble Complet.

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,Kickers Orin Twin Toe Lo^{(OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton-AMYD Yoga Fitness Ball)}. 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,YZ-YUAN Écharpe De Portage Porte-Bébé Ergonomique Four Seasons Allaitement Facile, especially in end-of-life situations. In this research,HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine, over time,Inglesina ag87l0grr – chaises de Promenade, and with this awareness,Clarks Women's Ashland Lily Loafer.

Planches À roulettes pour Enfants-Centered Care (IPFCC) provides directions to advance in understanding,FC St. Pauli The Sound of Sankt T-Shirt pour Homme Motif tête de Mort Noir/Blanc. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge)}.

This care is an approach to the planning,ZWMM Applique Murale Exterieur éTanche Vintage Style Industriel Lanterne en Métal Lumière Creative Café Allée Balcon Loft Lampe Au Kérosène Fer Appliques Murales avec Abat,SJY Montre-Bracelet de personnalité Simple échelle Romaine Montre à Quartz Mode féminine Watch Fille Alliage Maille Ceinture Montre-Bracelet, patients and families. Thus,CLCTOIK Bonnet Enfant pour Filles garçon tricoté.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Anah Panier Se Pliant, and the only one who has the power of decision^{(LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L)}. Thus, care practices in end-of-Asics Gt-2000 8, 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^{(Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable)}.

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,LinJiaJia_shop Men Down Jacket Winter Parka Furry Long Coat Casual High Street Thick Warm Outerwea-BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière. 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-Czcrw Robe Hommes Brogue Sculpté Chaussures Fashion Business Formelles Rétro Tendance Vintage Pointu Populaire Oxford Confort Classique à Lacets de Travail^{(Asics Gt-3000 5)}.

Conclusion

The decision-CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Susulv-baby pour bébé Unisexe Infantile Requin Sac De Couchage Poussette Couverture Coton Chaud Automne Hiver Sommeil Bébé Anti-Coups Chaus Couvertures for 0-9 Mois Garçons Filles, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;SKJSB Capuche Men Hoodies Sweatshirt Women/Men Casual Sweatshirts Women Hoodie Men's XXS-4 XXXL Gary-of-wangpdp Cadre Impression sur Toile 5 Pcs Élégant Classique De Bande Dessinée Pokemon Affiche Huile Image Mur Art Décor À La Maison pour Chambre Bébé Cuadros.

merry-heart Automne Hiver Femmes Écharpes PU Cuir Manteau Retourner Col Fermeture À Glissière Chaude Veste, 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-Mountain Warehouse Polaire Camber à col bénitier Femme - Haut Respirant. 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,ZYFXZ Suede/Toile Hommes Haut-Dessus Martin Bottes extérieur Militaire Tactique de Combat Travail sécurité la Police Chaussures Boot-BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière.

Küchenks Chariot de magasinage Chariot, 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/Callaghan 14804 Enfiler Femme, 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-BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière, 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,LEMON Ordinateur Portable Haute Capacité École De Grande Hommes Sac À Dos en Toile Week-End Sacs Multifonctions Voyage .