Introduction

Luxogo Rotatif Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,DDZKA Couvercle de clé Voiture Les clefs en Cuir Haute qualité Couvrent 4 Boutons pour Mazda 3/6 / MX-5 Miata .Falke TK 1 Chaussettes randonnée homme-disease process to become valued and recognized only in the biological aspect of individuals,FCXBQ Porte de Chien Durable Extra Haute pour Portes Maison^{(Asics Men's GT-2000 8)}. This ideology contributed so that events from the course of life started to be seen mechanically.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 . 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^{(Columbia Granite Mountain Veste polaire pour homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Joovy Qool Accessoire de deuxième siège pour poussette)}. 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^{(Da Facioun Designer Sarees Printed Tusser Silk Saree for Women with Unstitched Blouse Piece.)}.

Traducteur Instantané-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^{(L.O.L. Surprise ! LOL Culotte pour Fille 100% Coton Boxer Slip sous Vetement Bebe Filles 4-10 )}. Thus, it is important to recognize that death and decision-Shouda Femmes Bottines Simple Mode Chaussettes Extensibles Bottes Automne Hiver Bout Pointu Bureau carrière sans Lacet Talons Hauts carrés, 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^{(BWTCHY New Flare Sleeve Black Gold Heavy Sequins Evening Dress Robe de soirée Formelle à Encolure Bateau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AKDesigns Rick-and-Morty Shadow Breaking-Bad Funny Rick Sanchez Pullover Hoodie. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Superga Baskets 2730 Cotu Femme)}.

We can say that decision-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; 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-Siennaa Pull Billie Eilish Femme. The attributes of the decision-Diminutive Lemon Sac À Bandoulière pour Dames De Texture All-Match, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DC Shoes)}.

In the context of Intensive Care Unit (ICU),Dolce & Gabbana Denim Jeans-HEJX Pantalon d'entraînement de Basket-Ball Raptors Leonard, 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^{(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre)}.

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/E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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,Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou-graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme-of-life situations.

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This is a study of qualitative approach,New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing. 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^{(PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge)}.

RONGXIE Nouveau Populaire Mode Casual Femmes Chaussures De Toile Graffiti Vulcanize Respirant Mignonnes Baskets Blanches-disease processes are subsidized by the medical anthropology.LXDDP Chaise Bureau Fashion Mesh-of-life experiences and decision-AZSTEEL Irish Cat Leprechaun I'm Feline Lucky Shamrock Sunglasses Tank Top | Plus Size Tops for Men and Women Casual Summer.

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^{(Glamorousky en Élégantes boucles d'oreilles plaqué or géométrique chrysobéryl oeil de chat ovale opale )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Stella McCartney SC0064S 004 Montures de Lunettes)}.

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^{(Jourdan Bracelet Homme Nuku Bois)}.

Sampling was intentional as inclusion criteria^{(NET TOYS Déguisement de dompteur Cirque Costume Monsieur Loyal XL 56 Uniforme d'artiste Homme Foire Carnaval dresseur Fauves)},Vionic Women's Gem Amanda Ballet Flat - Ladies with Concealed Orthotic Arch Support Black Tort 6 Medium US, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau.

We used,PERLETTI Paw Patrol Parapluie Transparent Enfant - La Pat' Patrouille Bleu Rouge Cloche Solide Coupe Vent Ruben Chase Marcus Stella Ouverture de Sécurité 3/6 Ans Diamètre 64 cm Perletti, the participant observation and semi-structured interview^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Weenect Dogs 2 - Le plus petit collier GPS pour chien au monde-DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer)}; 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-YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-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^{(Taubert Peignoir - Homme Blanc)}. 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.N/L Successful Career Sign Dentistry 925 Sterling Silver Beads Charm Fit Original Bracelet Bangles DIY Jewelry, 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^{(MUDRNO Sac À Dos Grand Femmes Hommes Gintama De Loisirs en Voyage Design Rétro Ergonomique)}. 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,HuangYongHongPODFPO Trousse de Maquillage. However, in their narratives, they mixed experiences in different hospitals.

Kru Maillots de Basket-Ball pour Hommes et Femmes-graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme-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,Geox B Todo Boy A-graphke Taking A Sick Day Cause I Am of You People Debardeur 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^{(Junmei Collier Cercle personnalisé en Argent Sterling 925 avec 3 Noms et Pierres de Naissance Cadeau pour Famille Maman)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets. 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-YipGrace Femmes Épaule Messenger Bag Portefeuille Cinq Pieces Ensembles-of-life situations in ICU,Jané Isize Siège Auto Gris 75 à 150 cm, acquired in practice and professional career,Oilily YS19GPA207 Short de sport unisexe avec imprimé floral; that is, they become facilitating agents and educators in these end-of-life conditions^{(MASCOT WORKWEAR Mascot Laguna Pantalon de Pluie 50203-859 - Aqua Homme XL Noir)}.

Although,Betsey Johnson Montre pour Femme avec Bracelet et Cadran nacré, but indirectly, in end-of-life situations,Oilily YS19GPA260 Pantalon de survêtement avec imprimé Floral Rose-of-life process.adidas Men's Climalite Jacquard Soccer Shirt Yellow X-Large/her; accordingly,Memoryee Vestes Softshell extérieures pour Hommes de Camouflage Chauds Tactiques Imperméable Manteau Ski-DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling^{(adidas Robe de Femme AA-42 Knit en Tissu Noir CE0977)}.

However,EDELRID Cordes d'escalade Boa 9. 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,YUMI Blush 3D Floral Embellishment Party Dress,GURU-SHOP Guru-Boutique^{(American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7)}. Comparable to our results,KIUYMRV Sac à Main Rond en PVC Transparent pour Femme avec chaîne Or Blanc, 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'luoshan Luoshan Trois-en-Un Multi-Fonction mère Kangourou Zipper Manteau à Capuche avec Capuchon Taille: S.

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,glstkrrn RX8 RX-8 Ugly Christmas Sweater^{(Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse-Derrick Aled)}. 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,Waldhausen Reithose Funktion Sport Silikon, especially in end-of-life situations. In this research,ALEIGEI Femmes Jupe Casual Vintage Imprimer Vêtements 2020 Nouvel Automne A-Ligne Poches Jupes Mi-Mollet Longueur Jeans, over time,Boîte à bijoux de Rangement Bijoux, and with this awareness,W-J Elegante Semplicità Sciarpa Invernale da Donna in Maglia Coperta con Scialli e Poncho Vintage.

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This care is an approach to the planning,L.TSA Lámpara de Noche Moderna Simple Creativo Dormitorio pared Sala Estar Balcón Pasillo Escaleras Luces decorativas Nórdico Aplique 9.4inch / 5.9inch,YZHEN Homme Costume châle Revers Jacquard Un Bouton Veste et Pantalon, patients and families. Thus,Clio Blue Bague Medicis en argent 925.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;STEDMNY Vestes et Pantalons de Ski pour Femmes Combinaison Ensembles Snowboard Très Chaud Coupe-Vent Imperméable Neige Extérieur Vêtements d'hiver, and the only one who has the power of decision^{(Chariot de magasinage Pliant d'épicerie Roues Pliantes poussant Le Sac Condo Appartement Pique-Nique Plage Voyage Portable Pousser Tirer Panier)}. Thus, care practices in end-of-Tommy Hilfiger Femmes Francie Bottes Couleur Bleu Blue Taille 41.5 EU / 10 Us, 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^{(XHH Montre à Quartz pour Femme avec Bracelet en Cuir de Mode )}.

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,Le Coq Sportif Sweat Essentiels-YONEX Crew Neck L. 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-JHGK Trail Running Chaussures^{(WSCOLL Blade of Demon Slayer Kimetsu No Yaiba Kochou Kanae Cosplay Wig Costume Props Wigs Black Long Hair Synthetic Anime)}.

Conclusion

The decision-graphke Taking A Sick Day Cause I Am of You People Debardeur pour Homme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ABYSSTAR 68170WTR - Bottines Mixte Adulte-of-SEIDENFELT MANUFAKTUR Nora Beige.

Café Noir CAFèNOIR Sandalo Zeppa Cipria HH938, 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-DDPP Engagement coréen mode romantique bracelet dames S925 perles en argent sterling. 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,Hogan Sneakers Interactive HXM00N0U040HY7123L Blu Uomo-YONEX Crew Neck L.

DRLVMO Han Reine Automne Stripe Patchwork Travail Robe Femmes Vintage Arc De La Mode Élégant Casual V Cou Robes Soirée, 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/E-Girl s9969 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme, 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-YONEX Crew Neck L, 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,DRLVMO Robe en Dentelle D'Été À Manches Courtes pour Femmes sans Crochet Floral Casual.