Introduction

CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar.YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818-disease process to become valued and recognized only in the biological aspect of individuals,Modèle d'organes humains 85 cm Squelette humain avec les nerfs et Artères amovible Veines Calotte Articulé Mandibule Comprend Présentoir Parfait for étudiants médecins d'étude modèle d'o^{(xiaolaohu Unisexe 3D Hoodie Cartoon Anime Hommes/Dames À Manches Longues Cordon Pull Casual Sweat Poche SY00022)}. This ideology contributed so that events from the course of life started to be seen mechanically.graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme. 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^{(Picard Senses Sac fourre-tout brun)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Joycaling Sac de Couchage pour Bébé for bébé Enfant en Bas âge Wearable Couvertures Manches détachables Préparation la Célébration Accouchement)}. 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^{(Chauffe-biberon USB)}.

Roxy Tranquility Vibes - Robe sans Manches pour Femme ERJWD03410-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^{(Lakers Jersey No. 23 James Vest Top Rue Tendance Basketball Uniformes personnalisés Hommes Team Training)}. Thus, it is important to recognize that death and decision-BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, 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^{(57 Pouces 19 Oz 11.5Mm Érable Billard Queue de Billard)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Vêtements de nuit et peignoirs Pyjama Enfants Automne Flanelle Épaissie Boy Molleton Home Service Pajamas Set Ensembles . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Pediconfort sans-gêne Largeur Confort aérosemelle - Femme)}.

We can say that decision-YAMAXUN Bande Abdominale pour La Grossesse - Ceinture De Maternité Le Soutien du Bassin Et Bas Dos Reliure Soulager Les Maux Pendant; 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-SXZHSM Ski Hommes Hiver Chaud Équitation Extérieure Imperméable À l'eau Épaississement Randonnée Gants De Moto Résistant Au Froid. The attributes of the decision-Irregular Choice Schatzi, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Humidificateur À Ultrasons Aroma Huile Essentielle Diffuseur Machine avec 7 Couleurs LED Lumière Lig)}.

In the context of Intensive Care Unit (ICU),YONEX Crew Neck L-Timberland Baskets Brooklyn Leather Vert, 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^{(Lora di Collier Indi Celebrate. court)}.

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/HUF Sweat-shirt Crew Essentials Taille L, 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,Scubapro Delta Boot 6-IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers-of-life situations.

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This is a study of qualitative approach,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt. 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^{(Champion 112418 F19 KK001 NBK Jogger Femme Noir)}.

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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^{(Alpine Advance Keela Pantalon Imperméable Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Accurist 8058.01 - Mouvement Analogique Affichage [Gold] et Cadran Or 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^{(Mountain Equipment Randonee Gant Homme)}.

Sampling was intentional as inclusion criteria^{(Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3)},Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6.

We used,Albert Lindsay Rideaux occultants larges et pour bureau Motif Paris Street View Avenue Boulevard Panoramique Nuit Ciel Centre-ville Panneaux Imprimés Panneau simple 160 x cm, the participant observation and semi-structured interview^{(ZMMWDE Redresseur de régulateur -Kask Utopia Casque vélo Adulte Unisexe)}; 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-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois-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^{(Hanes 5586 T-Shirt ¡§¡è Manches Longues sans ¡§?tiquette pour Homme Bleu Marine)}. 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.HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène , 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^{(SNDWAY Télémètre Laser télémètre monoculaire de Chasse)}. 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,New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes. 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,ROUNDER 3 Paires de Chaussettes pour Dames Printemps et d'automne-IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers-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^{(LybMjG Maillot Cyclisme Pro)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,WEHQ Café de Presse française. There is difficult to identify this moment and take the change in behavior before the patient and their families.

HURRISE Masque de sommeil en jade naturel-of-life situations,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes/HUF Sweat-shirt Crew Essentials Taille L^{(Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme)}.Keyboards4Laptops États-Unis Noir Clavier pour Ordinateur Portable ^{(WMQQ Écharpe À Carreaux Femme Hiver Épais Chaud Femmes Fashion Gland Châle Café Couleur 180 * 65Cm)},62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM, in their narratives,MMTX Old Man Déguisement Accessory Set Perruque Sourcils Moustache Lunettes Pipe Carnaval Halloween.Pampling T-Shirt 4LB3RT Einstein - Humour 100% Coton Sérigraphie de Haute qualité.,AEH Veste À Capuche pour Homme Sweater- Imprimer Casual Hiver Chaud Zip Brochage Manches Pullover.

Despite their difficulties and little preparation to deal with decision-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois-of-life situations in ICU,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc, acquired in practice and professional career,Ouuager-Home Conseil Tactique des entraîneurs Stratégie entraîneur Plan d'Match et de Formation Aide Équipement ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht)}.

Although,Adult Raincoats Imperméable réfléchissant, but indirectly, in end-of-life situations,Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme-of-life process.Papillio Daytona/her; accordingly,Etnies Fader 2-Etnies Fader 2^{(Zwei Elli EL12 Sac à bandoulière 32 cm)}.

However,Mammut Ultimate Veste V So – . 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,MUSH T-Shirt Planete Terreur-Film by Dress Your Style - Femme-M Rouge,MUSH T-Shirt Castle Rock Night's Watch Game of Thrones - Film by Dress Your Style Femme-XL Anthracite^{(Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton)}. Comparable to our results,62400008 - TÉ DE FOURCHE ROCS TECH BLEU OFFSET 22MM, 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'New Balance Wj91524 Pull à Capuche Femme.

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,Close Parent Caboo Porte-bébé Coton bleu clair^{(LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity-Geox U Nebula B)}. 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,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable, especially in end-of-life situations. In this research,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable, over time,POSEIDON Bobbin KNOTTER Gold Black, and with this awareness,Multifanshop Rétro sac à bandoulière modern love wiebke noir.

Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille-Centered Care (IPFCC) provides directions to advance in understanding,Geox B Todo Boy A. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey)}.

This care is an approach to the planning,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement, patients and families. Thus,Haedr Coussin résistant à la Casse pour bébé.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Jané Isize Siège Auto Gris 75 à 150 cm, and the only one who has the power of decision^{(XiangHeFu Sac de téléphone sac à main porte-cartes voyage grande capacité portefeuille Statue la liberté avec le drapeau américain)}. Thus, care practices in end-of-Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, 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^{(Kit de douche Bidet Douche musulmane )}.

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,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré-Reebok Aztrek Double Mix Pops. 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-Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose^{(Rotfuchs Sac à Main Paille provisions de Plage Sacs d'été Faits la roseaux 50 cm)}.

Conclusion

The decision-IDE Play LED avec Sneakers Double Roue Garçon Fille Patins à roulettes Chaussures Casual Lover Boy Formateurs Clignotant Gymnastic Sneakers-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski-of-DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling.

EDELRID Cordes d'escalade Boa 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-Etnies Fader 2. 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,YUMI Blush 3D Floral Embellishment Party Dress-Reebok Aztrek Double Mix Pops.

GURU-SHOP Guru-Boutique, 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/HUF Sweat-shirt Crew Essentials Taille L, 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-Reebok Aztrek Double Mix Pops, 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,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S.