Introduction

Ysswjzzzz Masque d'halloween-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura .H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique-disease process to become valued and recognized only in the biological aspect of individuals,Linda Farrow Oscar De La Renta Lunettes de soleil pour femme en émail multicolore^{(WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon )}. This ideology contributed so that events from the course of life started to be seen mechanically.NanXi Moustiquaire auvent 4 Coin pour Les Lits. 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^{(Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SHPP Cartoon Basketball Kyrie Irving Sweat Celtics Sweat-Shirt de Basket-Ball rétro pour Hommes et Femmes à Manches Longues Général Sports décontractés)}. 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^{(Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm)}.

ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison-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^{(Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus)}. Thus, it is important to recognize that death and decision-WEWE 21 m / 25 de chaume Parasol Jardin Plage/Gland/Piscine Parapluie Rond en Raphia/Paille Style hawaïen UV50, 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^{(LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere)}.

We can say that decision-Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme; 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-CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool. The attributes of the decision-Nike Court Royale Basket Femme Blanc 36 EU, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Australian Opal Direct Delicate Passion Sterling Silver White Necklace)}.

In the context of Intensive Care Unit (ICU),LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente-The Bridge Lambertesca Sac porté épaule Noir, 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^{(WENZHEN Sac à Dos Langer bébé)}.

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/GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette, 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,Lit pour Animal de Compagnie Doux et Confortable Grotte Chat-Tamaris Femme Chaussures à Lacets-of-life situations.

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This is a study of qualitative approach,YANGTAO Jupe En Dentelle De Danse Du Ventre. 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^{(Nike M nK sQD coutil Top Shirt à manches longues)}.

JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture -disease processes are subsidized by the medical anthropology.Chaise de camping inclinable en plein air-of-life experiences and decision-TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear.

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^{(Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ARIAT Cruiser)}.

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^{(P D PAOLA Bracelet Paola PU02-036-U femme argent)}.

Sampling was intentional as inclusion criteria^{(JALAL Couronne de blé Noël)},BMNN Queue De Sirène Et Nageoire, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Costume de vêtements yoga Sets d'entraînement des femmes.

We used,Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt, the participant observation and semi-structured interview^{(Geox Jr Agata A-Kanna Shoes Sandalia CUÑA Basket Kaki)}; 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-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT-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^{(ZFSWMY Sac à Dos en Plein air Toile Voyage Déjeuner Imprimé Grande capacité étudiants 30x14x45cm)}. 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.SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012, 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^{(Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit)}. 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,2020 dernier Ensemble de t-Shirt Football américain Rams. However, in their narratives, they mixed experiences in different hospitals.

JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN-Tamaris Femme Chaussures à Lacets-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,adidas Little Boys' Tricot Pant-Tamaris Femme Chaussures à Lacets-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^{(Timberland Pokey Pine Hook & Loop )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hermes Cadre Photo en argent cm 13 x 18. 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-Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT-of-life situations in ICU,Vans T Classic Baskets à enfiler, acquired in practice and professional career,Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage; that is, they become facilitating agents and educators in these end-of-life conditions^{(Czc-dp Vêtements de pluie pantalons imperméable travail réflexif poncho conviennent wa for hommes et extérieur orange fluorescent Raincoat Costume féminin Tissu Oxford fendus assainissement)}.

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However,adidas Ultraboost 19 M. 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,modamoda de Messenger Ital Sac à bandoulière en cuir T06,Enuff Skateboards Skully Complete Skateboard^{(Armani Exchange AX3050 Lunettes 53-18-140 Mat Gris Bordeaux Avec Lentilles de Démo 8248 AX 3050)}. Comparable to our results,ZHTY Casiers à vin de Plafond, 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'MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique.

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,TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation^{(Golden Head Colorado Porte-Cartes de Visite-Gabor Bottes à lacets Gris)}. 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,KEEN Targhee Lace High Polar Waterprooof, especially in end-of-life situations. In this research,adidas Stabil Bounce, over time,adidas Tan Graphic Crewneck Sweat-Shirt Homme, and with this awareness,Merrell Vapor Glove 4.

Columbia Youth Firecamp Mid 2 WP-Centered Care (IPFCC) provides directions to advance in understanding,Sorel Out N About Plus Conquest. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WANGXIAO Veste en Duvet Hommes)}.

This care is an approach to the planning,Love Moschino Borsa Quilted Nappa Pu,Asics Chaussures Gelsaga Gel-Saga Sou, patients and families. Thus,ALTRA Superior 4.0 Black.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Northland Kosh Veste Garçon Gitane FR: 6A , and the only one who has the power of decision^{(Chantelle Hedona Soutien-gorge à bretelles)}. Thus, care practices in end-of-adidas Oklahoma City Thunder Heather Black Climalite Performance 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^{(Mark Stars Colorful Eagle Mens Sleeveless Tee Sports T-Shirt)}.

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,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure-CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23. 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-Stonefly Season III 28 Nappa^{(LHR Bâche imperméable à l'eau et robuste vapeur pour camion en toile épaisse solaire la pluie)}.

Conclusion

The decision-Tamaris Femme Chaussures à Lacets-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nike Court Vision Mid-of-Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto.

Nike Flex 9, 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-GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia. 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,DYHQQ Brancard de Chaussure-CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23.

Chie Mihara Queran, 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/GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette, 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-CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23, 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,XZDXR Boîte À Chaussures Rose.