Introduction

Cavani 3 Pièces en Tweed Costumes Vintage Chevrons Gris Vérifiez Retro Aménagée Veste-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Clarks Kinzie Light.Floris van Bommel Pompon Casual DarkBlue Suede-disease process to become valued and recognized only in the biological aspect of individuals,The North Face Women's Aphrodite Motion Capri^{(Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.mingliang Bottes Tactiques pour Hommes. 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^{(PUMA Roma Anniversario)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Nike SB Check Suede)}. 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^{(YPDM Peignoir)}.

EVR Femmes Sandales Couleur Unies Mocassins à Enfiler Classiques Casual Bout Rond Chaussures Mode Évider Frange Sneakers Sandales-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^{(ALPHA INDUSTRIES Veste Homme)}. Thus, it is important to recognize that death and decision-EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons, 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^{(MZXU Homme Pantalon de Loisir Mens Ethnique Style imprimé Taille élastique avec Cordon Serrage en Vrac Coton Sarouel Casual Doux )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,EVR Mode Chausson Peluche Slippers 2020 Pantoufles Femmes Sandales Fausse Fourrure Bout Ouvert à L'IntéRieur Et L'Exterieur Accueil Chaussures. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Puma Pull à capuche Making The Cut pour femme)}.

We can say that decision-EVR Pantoufle Femme 2020 Mode Chausson Peluche Chaud Slippers Indoor Furry extérieur Fourrure Sandal Bout Ouvert Accueil Chaussures; 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-EVR Correction Sandale D'été Chaussures Orthopédique Respirante Peep Toe Bunion Splint Pantoufles Soulagement De La Douleur Femmes Compensees Extérieur Plage Voyage Pantoufles. The attributes of the decision-Dare 2b Femmes acquérir II T-Shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Thetford Fäkalientank für C220)}.

In the context of Intensive Care Unit (ICU),Cherry Blossom Couverture légère et confortable pour le salon-MRATME Veste Femme vers Le Bas d'hiver à Capuchon Manteau Coupe-Vent de Montagne isolé Capuche Slim Fit Jacket Court-vêtement Chaud Oreille, 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^{(Clarks Linvale Emmy)}.

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/Regatta Pack It Jkt Iii Veste imperméable 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,AIYASHIWEI-SHOES Mode Confortable Sandales de Plage d'été for Hommes la Mode-TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8-of-life situations.

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This is a study of qualitative approach,Pepi Leti 685843716846 Couverture pour bébé Motif Minky Rose 100 x 75 cm. 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^{(Gabs & Studio Greta Sac à bandoulière en cuir 48 cm - Rose Pivoine)}.

MILASIA Parachutiste US Vintage Industries-disease processes are subsidized by the medical anthropology.Anastasia Beverly Hills - Veste Courte rembourrée pour Femme-of-life experiences and decision-Peak Mountain Doudoune Femme ARES-Marine-XL.

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^{(kfhakd Felpa Con Cappuccio Da Uomo A Maniche Lunghe Stampa Aquila Autunno Moda E Donna Hip Hop Casual Strada Cappotto Sottile-Picture_Color_M)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cath Kidston Jacquard Rose' Sac à main en toile cirée crème chaude)}.

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^{(Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport)}.

Sampling was intentional as inclusion criteria^{(SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021)},teesquare1st Men's Martin Luther King Jr - Darkness Grey Sweatshirt, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Filet de Camouflage De for La Chasse Tournage Pêche .

We used,NO LOGO X-Baofu, the participant observation and semi-structured interview^{(puseky Barboteuse - 0 à 24 mois Pour bébé -PUMA City Snow Boot S Wn's)}; 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-Smartwool PhD Lumière extérieure Micro-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^{(Tapis de yoga adhésif – 180 cm x 61 4)}. 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.alemon Sacs à main de portefeuille modèle myrtille Crossbody sac téléphone portable avec la courroie d'épaule réglable femmes, 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^{(Converse Jack Purcell)}. 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,Filet de sécurité pour enfants. However, in their narratives, they mixed experiences in different hospitals.

CHENDX Chaussures-TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8-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,Asics Gel-Sonoma 4 G-TX 1011a210-001-TENGGO Leo GT4000 1.8-3.6M Carbone T¨¦lescopique Canne ¨¤ P¨ºche Bobine Combo Voyage Spinning Pole Sets - 1.8-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^{(Einzigartige Edelsteine Superbe bague en argent sterling 925 multicolore Welo pour femme Taille 57)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,arena WPWSK Carbon Maillots de bain Femme . 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-Smartwool PhD Lumière extérieure Micro-of-life situations in ICU,WWTTE Sequin V-Cou Robe Banquet annuel de soirée, acquired in practice and professional career,WWTTE Yoga serré Snakeskin Leggings 2V ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Nike Vapor 12 Pro TF)}.

Although,Reebok Royal Dashonic 2, but indirectly, in end-of-life situations,F Fityle Kit de Outil Monter Démonter Axe Vélo-of-life process.Sperry Top-Sider Men's/her; accordingly,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée-EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé^{(OH MY BAG Sac porté épaule Cuir Femmes en véritable cuir fabriqué Italie - modèle ELLEN)}.

However,JOllify Nix pour Neela Sac de gym cadeau sac à dos en coton bpnix5806. 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,Dessin animé mignon ours forme Led lumière 3d nuit sommeil éclairage 7 couleurs tactile et télécommande Contro interrupteur 6,xiaokeai Collier Femme Longueur réglable en Argent^{(COOLMP Lot de 3 - Casquette aviateur Bleu Marine Enfant)}. Comparable to our results,e.s.motion Engelbert Strauss, 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'TWFY Sandales pour Hommes Extérieur Chaussons Deux Porter Méthodes d'intérieur d'été Plage Convient for Le Printemps .

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,CCM Super Tacks AS1 Skate Men^{(Etnies Fader 2-Pendant Collier avec pendentif en argent sterling 925 - Bijou rouge Choix blanc et or)}. 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,Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10, especially in end-of-life situations. In this research,ABAKUHAUS Ethnique Oreiller Cervical de Voyage, over time,BINMA Sweats à Capuche Homme Les Hommes et Femmes 3D imprimé Pull Canal Ciel étoilé Sweat Manches Longues, and with this awareness,Générique Racecraft Lunettes Mixte.

Obrillant-Bijoux Bague en Argent rhodié Fil pavé Zirconium Blanc-Centered Care (IPFCC) provides directions to advance in understanding,WANGCY Spin Mop Bucket Clean Double Seau Facile à Utiliser. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Boîte à bijoux de Rangement Bijoux)}.

This care is an approach to the planning,XUQIANG Gilet Ultra-Mince for Hommes avec Photographie De Pêche Multi-Poches À Séchage Rapide Sports Plein Air Et Loisirs ,Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur, patients and families. Thus,Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;APcjerp Boîte à cigares en Bois de cèdre Portable Humidificateur Cuir Vache humidifié Cigare boîte Rangement, and the only one who has the power of decision^{(Cadeau Festival Haute Vitesse 360 ​​Degrés Rotation Électrique RC Stunt Voiture Off Road Racing Véhicule Une Clé Deformation Flip Tournant Rotatif Double Face)}. Thus, care practices in end-of-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale 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^{(Schott NYC Okla Jacket Homme)}.

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,emanuel ungaro Ungaro - Ceinture en cuir pour homme-XBR Voyage Parapluie Pliable Protection Solaire Domestique UV Parapluies Simples Pliage Pluie et Deux parapluies Trois Styles Disponibles . 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-Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme^{(PSSYXT moustiquaire Maisons Moustiquaire pour auvents de lit Double Adultes Trois Portes auvent d'été Plus la Taille)}.

Conclusion

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OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton, 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/Regatta Pack It Jkt Iii Veste imperméable 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.

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