Introduction

ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Under Armour Rival Fleece Homme Sweat à Capuche Noir.NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit-disease process to become valued and recognized only in the biological aspect of individuals,Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme^{(XXLYY E27 Lampes de poteau chemin traditionnel étanche Clôture extérieure européenne Lampe pilier colonne clôture en aluminium Vintage porte antirouille Ip68 Mur j)}. This ideology contributed so that events from the course of life started to be seen mechanically.SNDWAY Télémètre Laser télémètre monoculaire de Chasse. 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^{(Casque Activ 2 – Casque de vélo)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Confortable Repose-Pieds Portable Selle Tabouret en Cuir Vintage Tapissé Canapé Chaussure pour Salon Chambre Convient Bureau Blanc)}. 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^{(WFQGZ Chaussures Décontractées Coussin d'air De Sport Hommes Lacets Respirant Entraîneur Marche Maximum)}.

Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats-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^{(OOPP Jouets pour Le Bain de pêche magnétiques en Bois)}. Thus, it is important to recognize that death and decision-Palladium Pampa Hi M Bottines pour femme - Vert foncé., 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^{(KEECARLY Portable Pop Up Camping Tente instantanée Toilettes confidentialité Douche Fit for l'extérieur Dressing Toilette Bain Herbe Verte)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(2 Pcs Ensemble Housse De Siège Pour Enfant Bouquet Mariage Frais Ross Fleurs Voiture Suv Compatible pour Airbags Universal Fit Voitures Camions et SUVs Housses P)}.

We can say that decision-Molly Bracken Manteau Droit à Chevron; 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-Jiger Women Small Cell Phone Purse Crossbody. The attributes of the decision-Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SASA Sandales à Talons Hauts Femmes 2020 été Nouveau Poisson Bouche Double Boutonnage Stiletto Sauvage)}.

In the context of Intensive Care Unit (ICU),FRWANG Hommes Été Sandales Respirant Tongs Pantoufles-Will's Vegan Shoes WVSport Bottes de randonnée 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^{(Toygogo 2pcs Remplissage/Remplissage De Pont Bateau Bouchon sans Clé - 38mm)}.

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/WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration, 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,Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation-GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage -of-life situations.

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This is a study of qualitative approach,zawming Diamond Painting 5D DIY strass peinture maçonnerie magique brodé Cross Stitchmagic Kit Home Decor Autocollant mural garçon-60x90cm C1338. 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^{(WEHQ Café de Presse française)}.

Ballyzess Chaussons Homme Sandales Pantoufles Pour Hommes D'Été À Fond Mou Antidérapantes Et De Plein Air Décontractées Chaussures Plage-41-disease processes are subsidized by the medical anthropology.Rideaux d'ombrage vénézia décoration italienne avec des vieilles maisons-of-life experiences and decision-MIBKLPG Femmes Chic Oversize Robe Longue Col en V Droite Chandail Femme Casual Lâche Tricot Une Taille Gruau.

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^{(1944 Zodiac Apparel for Men Women Birthday Gift Horoscope Pisces T-Shirt)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Kobay Blouson Homme Manteau Hiver Chaud Trench-Coat Long Bouton de survêtement)}.

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^{(Maui Jim Lunettes de soleil 798 Onshore)}.

Sampling was intentional as inclusion criteria^{(NQI Griffin Motor City #23 Maillot de basket-ball pour homme et femme)},SXSE Costumes pour Filles Loisirs Enfants Papillons Chemises à Manches Longues Pantalons Mode Vêtements De Sport Enfants, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.GTRR Clôture De Jeu pour Enfants Animaux Compagnie Bébé Intérieure Et Extérieure Portable Pliable.

We used,Lee Short Homme, the participant observation and semi-structured interview^{(Story of life Mode Chaussures En Cuir Hommes Imprimé Casual Pointues À Bas Top Personnalisé Respirante Mocassins Bullock Sculpté De Mariage-WRESTLING MASKS UK 2 MASQUES - SIN CARA & KALISTO THE LUCHA DRAGONS ENFANT EMERALD VERT)}; 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-Nautica Montres Bracelet NAPFRB008-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^{(adidas Fef St Tee - Maillot Homme)}. 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.GIRLSIGHT personnalisé Montre Homme Mode étanche Montre-Bracelet Diamant 648. Happy Motif Bling de, 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^{(WTFYSYN Chaussures diabétiques à Pantoufle Extra Large)}. 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,UST 30-Day Heritage Green Long-Lasting/Water-Resistant LED Camping Lantern. 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,GJNVBDZSF Lavabo de Camping-GYC 6 Rouleaux de Bande Guirlande Ballon 16 Pieds et Points Colle décoratifs pour Les décorations fête Mariage -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^{(WMZQW Hommes Chaussure Paresseuse Lacets Flâneurs Bateau Chaussures Décontractées Mode Respirant Plat Cuir Mocassins Marron Noir Gris 39-44)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh. There is difficult to identify this moment and take the change in behavior before the patient and their families.

P448 John Sneaker blanc et rouge-of-life situations,JHGK Haut-Top Chaussures De Basket-Ball Couple/WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration^{(Cult Sabbayh 3136 Low Leather #black CLE104310)}.Wguili Jouet interactif Mini Parking avec 6 Mini-1 for 2 Ans garçon et Une Fille Gliding Piste Enfants Voiture Jouets d'enfants Race Track idéal pour Les^{(Kipling Preppy Sac d'École)},Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus, in their narratives,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme.Lola Cruz Bottines,Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches.

Despite their difficulties and little preparation to deal with decision-Nautica Montres Bracelet NAPFRB008-of-life situations in ICU,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22, acquired in practice and professional career,Olga Berg Pochette Femme Doré Ob2028; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ana Silver Co. Garnet)}.

Although,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, but indirectly, in end-of-life situations,SPYDER Chambers GTX Veste pour homme L Volcan-of-life process.AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil/her; accordingly,Yoga Design Lab Serviette de Hot | Douce-LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats^{(WEM Plafonnier LED carré ultra-mince moderne à intensité variable avec télécommande 3000K-6000K Éclairage pour enfants de chambre coucher Acrylique Abat-jour blanc Garçon Fille Chambre L)}.

However,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir. 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,Melluso 06330,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux^{(LXUA Mesdames Châle Automne et Hiver géométrique Colorimétrie sauvage Tassel chaud épais Cape for les femmes Double face Polyvalent Casual souple )}. Comparable to our results,Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus, 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'Oreiller.

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,EUEUEING-VI Cl □ tor l St mulator G SP t Vibr Dult S x T y C uplets - VIBR ting P nties for Fem de la n Silicone Material^{(Mephisto Rainbow Chestnut Mens Shoes-Nike Air Max 270)}. 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,Nyrgyn 3D Homme Short de Bain Bermuda Séchage Rapide Exercice Shorts Motif imprimé en Swimming Tunks Surfant, especially in end-of-life situations. In this research,Helga Kreft Kreft90012 Police Mobil Puzzle , over time,La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, and with this awareness,Zhik Hybrid Skiff Suit 2020.

DazzlingRock Collection 0-Centered Care (IPFCC) provides directions to advance in understanding,Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(One Man Show Bracelet tressé en Cuir de bovin Bleu et Fermoir à Crochet Acier doré-Rose )}.

This care is an approach to the planning,Kangol antique Sac fourre-tout Marron Fourre-tout de voyage,Adrun 9202 Chaussures de sport légères pour femme, patients and families. Thus,QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JDHFKS Montre Bracelet en Acier Inoxydable Femmes Montres Diamant Lady Montre-Bracelet à Quartz Mode Robe Femme Cadeau Cadeau, and the only one who has the power of decision^{(Paredes SP5042 NE-MA43 Chaussures de sécurité Hammer S3 Taille 43 Marron-Noir)}. Thus, care practices in end-of-SSLONG Pantalon de Balle Respirant à séchage Rapide pour Hommes Broderie Bucks Basket-Ball Alphabet n ° 34 Le Version Ville n'est Pas Facile déformer et s'estomper, 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^{(YAOLAN 5D Diamant Peinture kit Complet)}.

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,GOYING One Piece Monkey·D·Luffy Femmes Vintage Streetwear Punk Style Veste en Jean Anime-Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap. 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-LZJN Veste d'hiver pour femme avec boutonnage long et matelassé^{(Think! Comoda_3-000089)}.

Conclusion

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Microphone À Condensateur Kit, 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-LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats. 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,Couvre Volant Artificiel en PU Noir Cousu à la Main-Botong Flat Cap for Men Autumn Winter Real Leather Male Beret Patchwork Black Brown British Style Men's Ivy Cap.

ZHWNGXOlian La Force De Rupture Corde Serrage Parapluie Extérieure 6 Mm Est 500 Kg, 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/WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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