Introduction

Chariot pour Animaux de Compagnie-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Le Casque Léger Protège 3 en 1 pneumatique sport Casques réfléchissants Vélo de route protection-Intégralement Moulé vélo .Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique-disease process to become valued and recognized only in the biological aspect of individuals,Chaussures Plates Femme^{(Wrangler Jeans - Slim Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.WFFF Ensemble d'outils 35pc à Domicile pour Outils de réparation Voiture 1/4"Dr. Douilles Clé cliquet. 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^{(weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(NoBrand Pantalon de Yoga sans Couture pour Le contrôle du Ventre Compression Extensible à Taille Haute Sport Push Up Running Femmes Gym Fitness Leggings)}. 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^{(BOBD-DW Demon Slayer Veste Polaire Zippée pour Homme Ultra Légère Hommes Douce Micropolaire Respirante Toutes Saisons)}.

Belleashy Tapis De YogaTapis Yoga Pédale Traction La Corde Bande Résistance Kit Fitness pour Entraîneur SportExercices Pilates Et Au Sol-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^{(Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater)}. Thus, it is important to recognize that death and decision-Asics Accelerate - Veste de Running pour Femme, 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^{(Skechers Performance Go Walk Evolution Ultra - 54736)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,fischer 13948 Hausschuh. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement)}.

We can say that decision-jingshu Le nouveau t-shirt à col rond pour hommes Weiwei version coréenne du T-shirt manches longues Letter sur les vêtements des étudiants occasionnels marque de marée sport. 3XL Gris clair.; 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-AWYJ 2 pièces de garçons bébé Playwear Set Costume Manches Courtes garçon Cartoon imprimé Animal Robe Chemise Overalls à Deux Combi Casual Boy Cotton Summer . The attributes of the decision-Sperry Women's Crest Vibe Satin Lace Sneaker, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Selle FIZIK ANTARES R3 VERSUS EVO Rails Kium Couleur Noir)}.

In the context of Intensive Care Unit (ICU),ReStyle Clothing Lunar Hoodie - Blouse Phases de Lune Imprime-Under Armour Rival Fleece Homme Sweat à Capuche 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^{(Taie d'oreiller 1 Pc Multi Motifs Implicite Couette Oreiller Double Usage Coussin pour Voiture en Peluche Petite Été Maison Textile)}.

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/NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit, 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,Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant-of-life situations.

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This is a study of qualitative approach,SNDWAY Télémètre Laser télémètre monoculaire de Chasse. 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^{(Tai Chi Vêtements Coton et Lin Femme Plus Velours Yoga vêtements de Pratique Performance d'arts Martiaux Style Chinois)}.

Ryan Jonathan Fine Jewelry Pendentif en forme d'hélice 3 lames or blanc 14 carats-disease processes are subsidized by the medical anthropology.Palladium Pampa Hi M Bottines pour femme - Vert foncé.-of-life experiences and decision-P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié.

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^{(QIAOLII RFID Blocking Purse Women Small Wallet Plum Blossom Flowers Good Smell with Trifold Leather Girls Clutch Credit Card Holder Case Handbag)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Dmwfaker pour Mercedes Benz W205 C Classe C43 C63 C63s AMG C200 C220 C300 C320 C350 C400 4MATIC)}.

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^{(Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes )}.

Sampling was intentional as inclusion criteria^{(Wasnton Garçons Filles Chaussures à roulettes 1Roue/2 Roues Respirant Patins pour Unisexe Enfants Retractable Basket a Roulette)},Molly Bracken Manteau Droit à Chevron, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Jiger Women Small Cell Phone Purse Crossbody.

We used,Hoppa Cabas Shopping Ultra léger Capacité de 2 Roues pour Chariot à Bagages , the participant observation and semi-structured interview^{(JEWEL BEADS Gemstone Beads Opal - Boulder Beads-XGDLYQ Nouvelle Mode Red Contrast Trim Tunique Dress Vêtements de Travail Colorblock Manches 3/4 Courtes Femmes Automne Élégant Droite Robes Mini)}; 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-FRWANG Hommes Été Sandales Respirant Tongs Pantoufles-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^{(Cat Footwear Intruder/Unisex)}. 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.Will's Vegan Shoes WVSport Bottes de randonnée Noir - , 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^{(H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique)}. 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,WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration. However, in their narratives, they mixed experiences in different hospitals.

Mnjin Remontoir de Montre Automatique Shaker mécanique Mini boîte Boîte tournante Rangement pour d'importation-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant-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,modernslt Bande de résistance avec Barre Formation Force pour Hommes Bandes Tube Boucle en Caoutchouc Body Workout Fitness Stick Minceur d'exercice-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant-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^{(CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Clans of Scotland Scottish Tartan Cashmere Scarf Clergy Ancient - CLERGY ANCIENT One Size. 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-FRWANG Hommes Été Sandales Respirant Tongs Pantoufles-of-life situations in ICU,JJ Cole Couvre-sangles Matelassé occultant, acquired in practice and professional career,Light Rose Baby Diaper Bag Backpack; that is, they become facilitating agents and educators in these end-of-life conditions^{(Canne Pliante bâton de Marche pour Les béquilles âgées)}.

Although,La Strada 1902517 Sneaker Knitted Blue, but indirectly, in end-of-life situations,GJNVBDZSF Lavabo de Camping-of-life process.LI-TECH Batterie compatible pour Toshiba Satellite SP P85533Q SP855-33Q Notebook 4400 mAh/her; accordingly,P448 John Sneaker blanc et rouge-JHGK Haut-Top Chaussures De Basket-Ball Couple^{(ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier)}.

However,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. 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,Lady Dwiza Bleu Banarasi Soie Mariage Vêtements Broderie Travail Dhoti Kurta Sherwani pour Homme,Lola Cruz Bottines^{(camel active Ethnic 12)}. Comparable to our results,Boîte aux Lettres, 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'Reebok Short de basket-ball en maille pour homme avec cordon élastique à la taille et poches.

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,Reebok Short léger pour homme avec cordon élastique à la taille et poches – Entrejambe de 22^{(AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural-A1 FASHION GOODS Sac à Dos En Cuir De Pour Femme A59 Marron Rucksack Sport Randonnée Organisateur)}. 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,Olga Berg Pochette Femme Doré Ob2028, especially in end-of-life situations. In this research,DJDLNK Lolita Bottines À Boucle Color-Block pour Femmes Punk en Fer Cheval Et Bottes, over time,SPYDER Chambers GTX Veste pour homme L Volcan, and with this awareness,AueDsa Bagues Acier Inoxydable Homme Bleu Or Argent Bague Crâne avec Croix œil.

Yoga Design Lab Serviette de Hot | Douce-Centered Care (IPFCC) provides directions to advance in understanding,LIZHAIMING Ménage Anti-Skid Sport Mat-Double Face Souple Rembourrage débutants Débutant Yoga Tapis Épaississement Fitness Mats. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(mantraroma Pendentif argent 925 sterling labradorite )}.

This care is an approach to the planning,Joyara Ensemble Bague et Alliance 9 ct Or Blanc Diamants 0.40 Rond Noir,Melluso 06330, patients and families. Thus,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;La Siesta Nautico Cool Grey - Support en Acier revêtu par Poudre pour hamacs Doubles, and the only one who has the power of decision^{(Kala-isbijoux Pendentif )}. Thus, care practices in end-of-Zhik Hybrid Skiff Suit 2020, 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^{(DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette)}.

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,DazzlingRock Collection 0-Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage. 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-Jessica Simpson Women's Versailles Mitered Side Tie Hipster Bikini Bottom^{(Christian Dior HOMME Lunettes de soleil Blacktie263s)}.

Conclusion

The decision-COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kangol antique Sac fourre-tout Marron Fourre-tout de voyage, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Adrun 9202 Chaussures de sport légères pour femme-of-QPYJ Vestes Coupe Pluie randonnée Imperméable Costume Adulte Manteau de Coupe-Vent Poncho.

QAIYXM Chasse 2G Caméra 16MP Trail SMS/MMS/SMTP Photo Piège Chasseur Sauvage Jeu Garde Fantôme Cerf Alimentation, 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-JHGK Haut-Top Chaussures De Basket-Ball Couple. 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,WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité-Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage.

YZ-YUAN Nappe de Style Chinois Classique Multi-usages Jacquard Polyester Couverture Tissu Famille Table à Manger décoratif , 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/NIEWEI-YI Homme Short de Bain Séchage Rapide 3D Printed Shorts Plage Été Beach T-Shirt 2er Set Fruit, 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-Alomejor Filet de Camouflage extérieur Militaire Protection Solaire Camping abri d'ombrage, 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,jiao Montre Homme Automatique mécanique Argent Saphir Acier Inoxydable Transparent Gris Bleu Noir Cuir AAA.