Introduction

CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3.Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-disease process to become valued and recognized only in the biological aspect of individuals,Sac à Dos Pliable Léger^{(Columbia Bahama Vent PFG Veste pour homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe. 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^{(adidas Baskets Originals POD-S3.1 pour homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(MY NAME IS PHARAOH Chaussures Plates pour Femmes)}. 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^{(HLIGHT 3PC LED Cabinet Placard Light Stick Tactile lumières Batterie Lampe-Poussoir Cuisine Powered Blanc Puck éclairage )}.

RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -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^{(Deutsch Sulla Pilot IW Bracelet de montre en cuir pour homme Noir 22 mm)}. Thus, it is important to recognize that death and decision-Ducati Femmes Polo D-Attitude Gris - M, 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^{(Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Kappa Doudoune Stade Français Paris Adulte 2020/2021. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière)}.

We can say that decision-Shaker à Cocktail Boston Standard Professionnel; 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-AQWESD Pied de Table canapé en Bois 4 pièces. The attributes of the decision-GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Lee Pantalon de caleçon pour femme Coupe décontractée)}.

In the context of Intensive Care Unit (ICU),Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-XSY Denim Zipper Genou Talon Hiver Bottes, 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^{(Gowell Naruto Sasuke Anime Cosplay Chaussures Toile Chaussures)}.

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/Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, 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,Cavallo Ladies Functional Parka RAMINA - Winter 2020-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts-of-life situations.

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This is a study of qualitative approach,WEHQ Barre de Son sans Fil. 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^{(Reebok Chaussures Zig Elusion Energy)}.

Yuahwyehe Android 10 Autoradio Stéréo Ecran De Voiture Radio pour Volkswagen VW Passat B7 2010-2020 Support GPS Sat Nav Bluetooth RDS Mirror Link TPMS Amplificateur Carplay-disease processes are subsidized by the medical anthropology.Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme-of-life experiences and decision-Divine Follie Femme Bottines.

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^{(Mammut Ultimate Veste V So – )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(In:sole Insole Sexy Talon Haut)}.

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^{(Boburyl Les Femmes Tassel Châle Up Wrap Hiver Filles Automne écharpe Couleur Motif Cape Blanket)}.

Sampling was intentional as inclusion criteria^{(B/H Orthopédique Pantoufles)},Nine West Capri en jean pour femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672.

We used,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, the participant observation and semi-structured interview^{(Ali's Fightgear protège-Tibias Arts Martiaux Noir Taille S-Tom Ford Lunettes de Soleil Mixte)}; 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-Josef Seibel Tanja 13 Halbschuh Braun-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^{(Zjcpow Sacs à Main Femmes en Nylon Drapé Design Pochette Rétro Petit Sac bandoulière Dames Rose fourre-Tout Bolsa)}. 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.Columbia Outdry Ex Reversible II Jacket Imperméables Femme, 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^{(Blundstone Classic 1316)}. 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,Canne Pliante bâton de Marche pour Les béquilles âgées. 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,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts-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^{(Deerhunter Strike Gilet Motif Feuille)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ARA Sapporo. 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-Josef Seibel Tanja 13 Halbschuh Braun-of-life situations in ICU,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, acquired in practice and professional career,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste; that is, they become facilitating agents and educators in these end-of-life conditions^{(Under Armour UA Volley Ensemble de volley pour garçon)}.

Although,Marco Ferretti Cadre Beatles 172146 Moss Noir, but indirectly, in end-of-life situations,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes-of-life process.cartoon Chemisier de dessin animé long 1/1 bras/her; accordingly,DYM Chaussures de Sport Baskets Mode & athlétique Femme-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey^{(Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm)}.

However,LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque. 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,Studio Untold Femme Grandes Tailles Jupe plissée,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap^{(KTYX Mignon Porte-clés Voiture Pendentif Créatif Poupée Cercle )}. Comparable to our results,adidas Originals Baskets Mode Falcon Women, 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'DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge.

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,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire^{(ECCO Biom Vojage-APOO Vintage noir marine homme bretelles en cuir véritable sangles clips Designer bouton bricolage Suspensorio pantalon)}. 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,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres, especially in end-of-life situations. In this research,TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, over time,Carter's Baby Ensemble de body et pantalon pour bébé garçon, and with this awareness,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44.

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This care is an approach to the planning,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237,Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, patients and families. Thus,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en, and the only one who has the power of decision^{(AQWD Noragami Sweat À Capuche Impression 3D Motif Coloré Pull Décontracté Manches Longues Col Rond Poche Hommes Et Femmes Couples Personnalité Mode)}. Thus, care practices in end-of-YAOLAN Raindrop Lampe de Table en Cristal, 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^{(1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante )}.

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,AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes-WRJY Poussette pour bébé Poussette. 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-Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag ^{(Eider Sloane Jkt W)}.

Conclusion

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Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture, 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-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey. 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,Ourui Montres Bracelet-WRJY Poussette pour bébé Poussette.

FEZD Jersey Pistons 0# Drummond Jersey, 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/Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté, 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-WRJY Poussette pour bébé Poussette, 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,GFPR Arithmétique Abacus Comptage.