Introduction

LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,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.RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois-disease process to become valued and recognized only in the biological aspect of individuals,HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène ^{(DJJCN Pulls pour Hommes Mélange De Cachemire À Tricoter Col en V Printemps Et Hiver Homme Laine Tricot Vêtements)}. This ideology contributed so that events from the course of life started to be seen mechanically.New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes. 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^{(ZTYD Corps métal Jumelles 12x42)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Pepsi Cola 1940s Paint Drip Men's T-Shirt)}. 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^{(Mains courantes Rampes de maintien Poignée Main courante Rampe Ronde Support main Kit complet Fer forgé Noir mat Supports trans)}.

Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-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^{(Oliver Peoples BERNARDO OV 5189/S)}. Thus, it is important to recognize that death and decision-DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata , 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^{(NYDJ Barbara Bootcut Jeans Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Falke TK 1 Chaussettes randonnée homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(RENJUN Moto Escalade randonnée pêche Gants de Sport en Plein air débarrasser )}.

We can say that decision-FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison; 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-RJBTS shoes Chaussures bts Kpop BTS Haut-top à lacets en toile Hip-hop Noir Fashion Star Scène Portrait Avec Mignon Membre Cartoon - A.R.M.Y Hot cadeau . The attributes of the decision-Traducteur Instantané, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(XHH Remontoir de Montre Max Boîtes 2 3 Piano Paint Automatic Winding Turntable Box mécanique Collection Accessoires)}.

In the context of Intensive Care Unit (ICU),Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés-AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie, 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^{(2020 dernier Ensemble de t-Shirt Football américain Rams)}.

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/SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire, 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,Siennaa Pull Billie Eilish Femme-Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween-of-life situations.

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This is a study of qualitative approach,Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match. 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^{(RUGUOAI Japonais Chaton Mignon Chat Poupée Peluche Lit Jouet Dormant Oreiller Super Doux. 50 cm )}.

Dolce & Gabbana Denim Jeans-disease processes are subsidized by the medical anthropology.HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard-of-life experiences and decision-E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme.

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^{(SACHER Coffret à Bijoux Elly/florage/Bordeaux/Handmade in Germany)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Café Noir CAF Prise Noire LC427 Femme Peau Zip Talon sauté)}.

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^{(Clôture De Lit Déco Chambre Fille Sécurité Oreiller Anti-Collision Moelleux Coussin Doux de Velours Tressé Tour 2m)}.

Sampling was intentional as inclusion criteria^{(YUN Clock@ Trotteur pour Bébé Pliable avec Siège Rembourré)},Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing.

We used,RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches, the participant observation and semi-structured interview^{(YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée-Copytec 31605 First Responder Pologne de secours sanitaire)}; 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-LXDDP Chaise Bureau Fashion Mesh-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^{(AGHR Sweat À Capuche Hooded Thick Plus Pockets Pulls Womens Long Sleeve Tops Students Oversize Hoodie Trendy One Size Orange)}. 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.AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer, 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^{(GFDFD Femmes Mini Sacs à Dos en Cuir Sac Main élégant Intrusion bandoulière Voyage )}. 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,Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US. 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,LXJ-CQ Oreiller de Cou Saint-Valentin Or Paillettes Amour Coeur Voyage en Forme U Ergonomique Conception profilée Housse Lavable-Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween-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^{(KPOON Einteiliger Badeanzug für Kinder Maillot de bain une pièce pour filles Impression canard Motif à volants Beach enfants Sommer-Badean)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,LXJ-CQ Oreiller de Cou Happy Valentines Day Love Flower Voyage en Forme U Housse Conception Ergonomique et Lavable. 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-LXDDP Chaise Bureau Fashion Mesh-of-life situations in ICU,Haedr Coussin résistant à la Casse pour bébé, acquired in practice and professional career,camel active Ethnic 12; that is, they become facilitating agents and educators in these end-of-life conditions^{(alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes)}.

Although,PICTO Montre à Quartz Unisexe, but indirectly, in end-of-life situations,MARCO TOZZI 23712 Femme Chaussures Noir-of-life process.Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne/her; accordingly,Jané Isize Siège Auto Gris 75 à 150 cm-Oilily YS19GPA207 Short de sport unisexe avec imprimé floral^{(Mark Nason Hayden)}.

However,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré. 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,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large^{(Gabor Shoes Comfort Sport)}. Comparable to our results,HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes, 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'Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski.

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,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling^{(HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces-Accurist 8058.01 - Mouvement Analogique Affichage [Gold] et Cadran Or Femme)}. 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,EDELRID Cordes d'escalade Boa 9, especially in end-of-life situations. In this research,YUMI Blush 3D Floral Embellishment Party Dress, over time,GURU-SHOP Guru-Boutique, and with this awareness,luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S.

glstkrrn RX8 RX-8 Ugly Christmas Sweater-Centered Care (IPFCC) provides directions to advance in understanding,Waldhausen Reithose Funktion Sport Silikon. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WOLVERINE Piper Technical T-Shirt à Manches Courtes pour Femme)}.

This care is an approach to the planning,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans,Boîte à bijoux de Rangement Bijoux, patients and families. Thus,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Clio Blue Bague Medicis en argent 925, and the only one who has the power of decision^{(MotoGP Apparel Veste Polo Contrast Yoke)}. Thus, care practices in end-of-Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, 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^{(Urban Backwoods Pumpkin Head Zip Hoodie Sweat à Capuche pour Homme Noir Taille 2XL)}.

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,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 -BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué. 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-Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme^{(Hanes 5586 T-Shirt ¡§¡è Manches Longues sans ¡§?tiquette pour Homme Bleu Marine)}.

Conclusion

The decision-Jiahe Angle Ailes imprimées en 3D Non tissées Blanches Noires de Halloween-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Irregular Choice Disney Princess- Beauty and The Beast Flats, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver-of-Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us.

Le Coq Sportif Sweat Essentiels, 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-Oilily YS19GPA207 Short de sport unisexe avec imprimé floral. 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,JHGK Trail Running Chaussures-BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué.

RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , 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/SoonerQuicker Les Femmes Gardent Chaussures au Chaud en Cuir Bottes à glissière Tube Moyen Bout Rond Bleu Plat Haut Sexy compensé Aiguille Carre carré 8cm Marron Noire, 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-BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué, 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,ABYSSTAR 68170WTR - Bottines Mixte Adulte.