Introduction

ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Ellesse Orazio Sweatshirt Maillot de survêtement Homme.Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-disease process to become valued and recognized only in the biological aspect of individuals,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8^{(Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible)}. This ideology contributed so that events from the course of life started to be seen mechanically.CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3. 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^{(Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Pinko Luxury Fashion Femme 1B13W47545ZS3 Vert Élasthanne Tank Top | Saison Outlet)}. 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^{(steve madden Sandales pour Femme Argent 38 EU)}.

Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée-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^{(Dare 2b Femmes acquérir II T-Shirt)}. Thus, it is important to recognize that death and decision-Sac à Dos Pliable Léger, 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^{(Mickey Mouse Sac à Dos Enfant Garçon Noir Noir/Rouge L)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(YQ WHJB Recliner Réglable pour Outdoor Office Nap)}.

We can say that decision-RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure ; 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-Ducati Femmes Polo D-Attitude Gris - M. The attributes of the decision-Kappa Doudoune Stade Français Paris Adulte 2020/2021, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YMGW Bottes de Neige Femme Après Ski Mi-Mollet Doublure Chaude Anti-dérapantes Chaussures Sneakers)}.

In the context of Intensive Care Unit (ICU),Shaker à Cocktail Boston Standard Professionnel-AQWESD Pied de Table canapé en Bois 4 pièces, 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^{(GRMO Mens Wool Long Jacket Casual Solid Lapel Topcoat)}.

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/GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , 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,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-of-life situations.

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This is a study of qualitative approach,XSY Denim Zipper Genou Talon Hiver Bottes. 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^{(modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice)}.

Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté-disease processes are subsidized by the medical anthropology.Cavallo Ladies Functional Parka RAMINA - Winter 2020-of-life experiences and decision-WEHQ Barre de Son sans Fil.

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^{(MILASIA Parachutiste US Vintage Industries)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(NILS Ulrica Veste en fausse fourrure pour 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^{(Ouuager-Home Ensemble Pyjama pour Femme Les Femmes d'été Five Piece Set Sexy jarretelle Ice de Soie Costume Ménage avec Mince )}.

Sampling was intentional as inclusion criteria^{(adidas Originals Chaussures Junior Haiwee)},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, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme.

We used,Divine Follie Femme Bottines, the participant observation and semi-structured interview^{(Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique-Under Armour T-Shirt pour Homme Route Voilés)}; 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-Nine West Capri en jean pour femme-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^{(DAYUFEI Amende 1:72 US Navy Ea-18G Vaq-141 Roar Electronic Warfare Aircraft Alloy Collection Model)}. 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.Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672, 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^{(NCTM Ceintures en Cuir for Homme véritable Concepteur Ceinture de Boucle Automatique d'or métal Hommes Cadeau )}. 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,Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder. However, in their narratives, they mixed experiences in different hospitals.

Josef Seibel Tanja 13 Halbschuh Braun-NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-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,Sallypan ModeAntler Mur lumière-NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-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^{(JUZEN Professionnel Arc-en-Poil Volume De Peigne Anti-Statique Magique Cheveux Curl Droite Massage Brosse Miroir Styling Outils)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Burton Covert Veste de Snowboard Homme. 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-Nine West Capri en jean pour femme-of-life situations in ICU,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, acquired in practice and professional career,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce; that is, they become facilitating agents and educators in these end-of-life conditions^{(JJ Cole Couvre-sangles Matelassé occultant)}.

Although,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479, but indirectly, in end-of-life situations,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove-of-life process.XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste/her; accordingly,Marco Ferretti Cadre Beatles 172146 Moss Noir-WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes^{(inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon)}.

However,cartoon Chemisier de dessin animé long 1/1 bras. 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,DYM Chaussures de Sport Baskets Mode & athlétique Femme,adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey^{(Oh My Shop BO1748E - Boucles d'Oreilles Créoles Acier Argenté avec Pampilles Pierres Blanches)}. Comparable to our results,Skechers Chukka Bottes en cuir à 6 œillets pour femme, 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'LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque.

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,Studio Untold Femme Grandes Tailles Jupe plissée^{(Naturalizer Kari Mocassins pour femme-Lieblingsstück Pièce préférée MagalieL.)}. 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,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, especially in end-of-life situations. In this research,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, over time,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, and with this awareness,DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres.

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This care is an approach to the planning,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44,ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures, patients and families. Thus,lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni, and the only one who has the power of decision^{(XHYYY Casquette de Baseball Portrait Chiot Jack Russell Terrier sur Maille réglable Unisexe Camionneur Chapeau s'adapte aux Hommes Femmes)}. Thus, care practices in end-of-Applique murale rustique moderne pour chambre à coucher, 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^{(Columbia Drainmaker 3D')}.

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,YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette -Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu. 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-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^{(ZDiane Couverture Automatique Shoe Dispenser)}.

Conclusion

The decision-NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.YAOLAN Raindrop Lampe de Table en Cristal, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes-of-Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag .

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JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin, 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/GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , 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-Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu, 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,Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture.