Introduction

Scubapro Delta Boot 6-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,BLAK TEE Homme Funny Born to Meme Slogan V-Neck T-Shirt.COOLCEPT Femmes Talons Hauts Compensé Bottes Stretch Zipper-disease process to become valued and recognized only in the biological aspect of individuals,COOLCEPT Sandale Femmes Ete Talons Bas Mules Transparent^{(DSQQ Tapis pour Salon Maison Épaisse Chambre Shaggy Moelleux Canapé De Sol Chevet Et d'enfants)}. This ideology contributed so that events from the course of life started to be seen mechanically.TANGNIU Ghost Blade Sweat À Capuche Imprimé en 3D Dessin Animé Coloré Couple Décontracté Respirant Zippé Garçon Fille Enfant Cadeau De Vacances Pullover. 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^{(Cartoon Lapin Télécommande Lampadaire simple Living Room Protection des yeux Salle enfants Lampe LED nuit Décoration facile à nettoyer étude Lumière )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Geox Fille Baskets)}. 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^{(adidas Originals Tubular Defiant Femmes Chaussures de Course)}.

Jouailla Bracelet motif ovale en argent 925/1000e rhodié oxydes de zirconium-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^{(Clarks Sharon Noel)}. Thus, it is important to recognize that death and decision-LUGINA SCHUHFABRIK GMBH 763001-200/032 Vivien Taille 6, 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^{(O'NEILL Bar-à-Plage Shorts Hybrides Chino pour Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,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. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Scarpa Mojito Casual Shoe)}.

We can say that decision-RUIRUIY Tapis Mousse Enfant EVA Verrouillage De Yoga Sport Salle Fitness Matelassée Grain Bois; 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-HXiaDyG Combinaison De Surf pour Homme Hommes » 3 mm monopièce Wetsuit Super Stretch Surfsuit Haut de Gamme étanche plongée Néoprène . The attributes of the decision-New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(YKXLM Femme&Fille Nouvelles Chaussures de Danse Confortable Jazz Salsa Sexy Filles Salle Bal Tango Latin Talons Hauts)}.

In the context of Intensive Care Unit (ICU),Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata , 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^{(Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt)}.

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/Falke TK 1 Chaussettes randonnée homme, 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,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison-CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme-of-life situations.

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This is a study of qualitative approach,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 . 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^{(YONEX Souliers Courts d'intérieur pour Femmes Power Cushion Comfort)}.

Traducteur Instantané-disease processes are subsidized by the medical anthropology.Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés-of-life experiences and decision-AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie.

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^{(Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Chariot de service ménage sur chariot trieuse blanchisserie des roues)}.

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^{(Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil)}.

Sampling was intentional as inclusion criteria^{(NFGHK Support Mural Antique étagère en Treillis à Un caractère avec 2 paniers Crochets Panneau de Couche pour Cuisine décoration la Maison Chambre)},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 worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Siennaa Pull Billie Eilish Femme.

We used,Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match, the participant observation and semi-structured interview^{(AXDNH Chaussures de Danse Femme-Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave)}; 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-Dolce & Gabbana Denim Jeans-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^{(HJKH Abiti estivi Robe d'été V-Cou Dentelle Bohemian Casual Imprimé Jumpsuit Jupe Courte à Manches Courtes Party Outing Out)}. 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.HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, 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^{(Gabor Femme Bottines)}. 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,E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme. 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,Etnies Fader 2-CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme-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^{(Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Mammut Ultimate Veste V So – . 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-Dolce & Gabbana Denim Jeans-of-life situations in ICU,POSEIDON Bobbin KNOTTER Gold Black, acquired in practice and professional career,Multifanshop Rétro sac à bandoulière modern love wiebke noir; that is, they become facilitating agents and educators in these end-of-life conditions^{(Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres)}.

Although,Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille, but indirectly, in end-of-life situations,Geox B Todo Boy A-of-life process.ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets/her; accordingly,BOLAWOO-77 Joggeurs Pantalon De Remise en Forme Au Comptant Hommes Mode Chic Slim Fit Sweatpants Sacs Coton Chino Les Vêtements Survêtement-Haedr Coussin résistant à la Casse pour bébé^{(ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket)}.

However,camel active Ethnic 12. 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,PICTO Montre à Quartz Unisexe,MARCO TOZZI 23712 Femme Chaussures Noir^{(Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479)}. Comparable to our results,N\A 15 Pouces poignée Flottant Ski Nautique Wakeboard Kneeboard Corde for Boating 3 Section Base Haute qualité, 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'Riposella 2611 Feutre de Laine Bouillie Verte Pantoufle tyrolienne.

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,Jané Isize Siège Auto Gris 75 à 150 cm^{(DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe-WENMIN LED Moderne Plafond Lumière Salon Salle À Manger Chambre Enquêter Lampe De d'enfant en Fer Noir Acrylique Lustres Blanche)}. 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,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral, especially in end-of-life situations. In this research,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, over time,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose, and with this awareness,adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large.

Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski-Centered Care (IPFCC) provides directions to advance in understanding,DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier)}.

This care is an approach to the planning,EDELRID Cordes d'escalade Boa 9,YUMI Blush 3D Floral Embellishment Party Dress, patients and families. Thus,GURU-SHOP Guru-Boutique.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Boîte à bijoux de Rangement Bijoux, and the only one who has the power of decision^{(LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré)}. Thus, care practices in end-of-W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage, 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^{(FSA SL-K Carbon Tige de Selle Mixte)}.

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,MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet-CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir. 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-mantraroma Pendentif argent 925 sterling turquoise chaîne d'argent ^{(XYDBB Bagage Cabine Frame Travel Trolley Valise Men Carry on Rolling Spinner Wheels Women Boarding Case 28"Noir)}.

Conclusion

The decision-CHUANGMEI Sac à bandoulière en Tissu Oxford Dos Multifonctionnel pour Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon-of-Clio Blue Bague Medicis en argent 925.

Boccadamo IK/GR04 - Collier Femme Bijoux Inkanto Trendy, 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-Haedr Coussin résistant à la Casse pour bébé. 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,L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 -CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir.

Ulla Popken Weiche Stretchhose Soft Peach Mony Pantalon Femme, 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/Falke TK 1 Chaussettes randonnée homme, 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-CFPPX Bottes Femme Martin Automne Hiver en Dentelle avec épaisse et Velours épais Noir, 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,Irregular Choice Disney Princess- Beauty and The Beast Flats.