Introduction

Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39.Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce-disease process to become valued and recognized only in the biological aspect of individuals,Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479^{(SUWEN Sandales Plates pour Hommes)}. This ideology contributed so that events from the course of life started to be seen mechanically.DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove. 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^{(Guess Shawna Pebble Petit sacoche Cali)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Hoonmis Hommes Jeans Trous Effiloché Hiphop Déchiré Bleu Clair Maigre Stretch Slim Jambe Streetwear en Détresse Moto Biker Homme Denim Pantalon)}. 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^{(COAT Hommes Veste en Cuir Automne Et Hiver Personnalité Sauvage Lavage Machine Manteau Slim Collier Zipper Coupe-Vent PU pour Conduire Une Moto)}.

XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-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^{(Blackskies Streetwear Hoodie | Pull-Over Chandail Sweatshirt Hommes Sweat-Shirt Long à Capuche)}. Thus, it is important to recognize that death and decision-Marco Ferretti Cadre Beatles 172146 Moss Noir, 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^{(Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hicks & Brown Suffolk Fedora Vert olive )}.

We can say that decision-cartoon Chemisier de dessin animé long 1/1 bras; 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-DYM Chaussures de Sport Baskets Mode & athlétique Femme. The attributes of the decision-adidas Vegas Golden Knights 2020 Veterans Day Camo Authentic Practice Jersey, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(SANON Bâche de Tente Étanche Abri Camping Léger Anti-UV pour Le en Plein Air - Piquets Et Cordes Inclus.)}.

In the context of Intensive Care Unit (ICU),LJPHFF Rose Synthétique Femmes Vintage Moto Vespa Open Face Demi Moteur Scooter Casques Visière Hommes Casque-Studio Untold Femme Grandes Tailles Jupe plissée, 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^{(Columbia Pike Lake Jacket Veste Garçon)}.

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/Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, 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,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-adidas Originals Baskets Mode Falcon Women-of-life situations.

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This is a study of qualitative approach,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire. 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^{(Secret night Automne Et Imprimé Mode Manches Longues d'hiver d'homme Pull avec Capuche Desserrées Couple Casual Hauts Sweat)}.

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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^{(Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(NYANGLI Power Tower Chaise Romaine)}.

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^{(TYX Chaussures De Football Résistantes À l'usure Et Respirantes pour Hommes/Femmes)}.

Sampling was intentional as inclusion criteria^{(YAOLAN Raindrop Lampe de Table en Cristal)},WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures.

We used,lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, the participant observation and semi-structured interview^{(XHYYY Cache-Cou Masque Visage Pissenlit Vent sur Fond Noir Couvre-Chefs-Sculpture Statuette Iron Retro Music Band Figurine （Sit ） Tribe Style Métal Tambour Figurine Oeuvre pour la décoration de Salon Bureau)}; 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-Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237-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^{(adidas Tubular Shadow C)}. 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.Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille, 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^{(Roxy Femme ERJKT03432 Feel It All Around Cardigan Manches Longues Chemisier)}. 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,SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI. 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,Kiki Haltère intérieur 2pcs plaquent Haltères Set Poids for Fitness Gym Haltérophilie quipment Barbell Force Musculaire Exercice à Domicile-adidas Originals Baskets Mode Falcon Women-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^{(U.S. POLO ASSN. Men's Classic Polo Shirt)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Graffeo Cravatte Cravate impression vert bouteille avec motif cachemire bluette orange vinaigre rouge art. 4564. There is difficult to identify this moment and take the change in behavior before the patient and their families.

LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets -of-life situations,Pliable Barrière De Le Lit/Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap^{(SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts)}.Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL^{(ARA Courtyard)},WTFYSYN Building Stacking Learning Blocks, in their narratives,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème .Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection,ZYFXZ Mesdames Bottes de travail Groundwork.

Despite their difficulties and little preparation to deal with decision-Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237-of-life situations in ICU,2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue, acquired in practice and professional career,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles; that is, they become facilitating agents and educators in these end-of-life conditions^{(AOXQ T-Shirt 3D Coupe Active pour Une Chemise À Manches Courtes 3Dt Homme)}.

Although,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime, but indirectly, in end-of-life situations,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L-of-life process.EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite/her; accordingly,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm-IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes^{(Sac à langer dos - Snoopy Heart Multifonction Imperméable de voyage)}.

However,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité. 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,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable ^{(925SilverGiftShop Argent sterling 925 Nacre Pierre classique Maillon de chaîne forme ovale Boutons manchette)}. Comparable to our results,WTFYSYN Building Stacking Learning Blocks, 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'LDH Mi-Longueur Doudoune Femme Hiver.

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,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme^{(XYXH Longue Ondulée Perruque Blonde avec Bonnet De Perruque-IUBBKI Whoa bébé Kimmy Gibler sac à couches dos maman grande capacité élégant Durable étanche multifonction voyage)}. 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,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, especially in end-of-life situations. In this research,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , over time,Etnies Barge XL, and with this awareness,Kipling Citypack XS Bretelles de sac à dos ajustables.

adidas EQT Cushion ADV-Centered Care (IPFCC) provides directions to advance in understanding,Aubade Haut de Maillot Bain Noir Taille100D. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Asics Hyper LD 5 Synthétique Baskets)}.

This care is an approach to the planning,Bisgaard 63102218,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling , patients and families. Thus,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, and the only one who has the power of decision^{(Story of life Pointu Bottillons Affaires Martin Bottes En Cuir Véritable Boucle Chevalier Tendance Chaussures Montantes Pour Hommes)}. Thus, care practices in end-of-Champion Cropped Coaches Jacket Blouson de survêtement Femme, 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^{(Smiley 54705 Pyjama d'hiver chaud en coton)}.

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,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-Dockers Polo Homme. 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-Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater^{(Table de chevet pour enfants numérique réveil LED coloré veilleuse humeur alarme horloge carrée interrupteur tactile muet avec port charge USB voyage petit enfant cadeau Q10192)}.

Conclusion

The decision-adidas Originals Baskets Mode Falcon Women-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère-of-LIULINUIJ Boutonnière Au Dos.

LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864, 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-IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes. 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,RedJade Natalia Alianovna Romanova / Natasha Romanoff Black Widow Uniforme Jumpsuit Overall Bodysuit Outfit Cosplay Costume Femme S-Dockers Polo Homme.

FRWANG Manuel Cuir Chaussures d'affaires Homme Lacets Derby, 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/Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, 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-Dockers Polo Homme, 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,Skechers Uno-Night Shades.