Introduction

Kilpi Titicaca-W Jupe 126-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen.PUMA Baskets Wired Knit-disease process to become valued and recognized only in the biological aspect of individuals,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2^{(Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique)}. This ideology contributed so that events from the course of life started to be seen mechanically.Loungefly X Disney Mini sac à dos Motif portrait. 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^{(Mammut Eigerjoch Light)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LLLQQQ Applique Européenne Simple Extérieur Étanche en Aluminium Cour Salon Corridor Allée Escaliers Lumières Décoratives)}. 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^{(TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne )}.

MUK LUKS Chaussons Critter pour Femme-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 Men's Vargo Vibe Oxford)}. Thus, it is important to recognize that death and decision-WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets, 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^{(Speedo Vengeance Mirror Lunette Mixte)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Portable Butane Stove Burner - Taille Unique. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Yowablo Chaussures Femmes Hiver Maison Pantoufles Chat De Bande Dessinée Antidérapant Chaud Intérieur Chambre)}.

We can say that decision-Home Trainer Rouleaux dim. 145L x 56l 10; 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-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière. The attributes of the decision-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Originals Adidas Continental 80 White Crystal)}.

In the context of Intensive Care Unit (ICU),Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-El Naturalista Nido, 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^{(Under Armour Charged Assert 8)}.

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/YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, 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,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-Lee Men's Performance Series Extreme Comfort Khaki Pant-of-life situations.

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This is a study of qualitative approach,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume. 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^{(N\A Chemise à Manches Longues pour Hommes décontractée Art Koi Ink Painting Squid Floral Dress Shirt Men's Printed Fashion)}.

ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-disease processes are subsidized by the medical anthropology.WENZHEN Sac à Dos The North Face-of-life experiences and decision-ALPE 32201134 Bottines en Daim pour Femme Gris.

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^{(Dll Jeu personnalisé Hommes Jeunes de Basket-Ball Maillots Gilet sans Manches Chemises Respirant Sport réservoir en Cours Formation Tops Gym )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Roberta Rossi sac pour femme fashion casual ceinture d'épaule Hobo cuir véritable suède imprimé tressé Made Italy 44x45x15 RR80ST051CGNOL_P)}.

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^{(ADGAI Couvre-lit Modern Vintage matelassée Vert réversible Imprimer Coverlet Consolateur)}.

Sampling was intentional as inclusion criteria^{(OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes )},L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille.

We used,CP CALMA PROJECT Sac à bandoulière pour femme, the participant observation and semi-structured interview^{(Urban Classics Camo Sherpa Pull Over Jacket Blouson Homme-DANJIA Argent-gris perruque)}; 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-Macron Home Jersey White/Red 19/20 Red Star Belgrade-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^{(Joyara Bague Femme 14 CT Or Blanc 0.9 Rond Rouge Rubis Éternité Chevron)}. 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.ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant, 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^{(Ensemble De Train Jouet Déformation pour Enfants Piste Ceinture Électrique 3 À 6 Ans)}. 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,Korntex KXRJGS Veste imperméable Jaune Taille S. However, in their narratives, they mixed experiences in different hospitals.

Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme-Lee Men's Performance Series Extreme Comfort Khaki Pant-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,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre-Lee Men's Performance Series Extreme Comfort Khaki Pant-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^{(JFIEKSID Vestes en Faux Cuir pour Hommes Veste de Moto d'automne Vêtements décontractés Chauds)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied. 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-Macron Home Jersey White/Red 19/20 Red Star Belgrade-of-life situations in ICU,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm, acquired in practice and professional career,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes; that is, they become facilitating agents and educators in these end-of-life conditions^{(KYOTO Plaquette Semi-métal S1989)}.

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However,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts. 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,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes,LILONGXI Gilet Doudoune^{(Ysting&CO Ysting Chapeau Haut en Laine)}. Comparable to our results,RKRCXH Queue De Sirène Et Nageoire, 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'PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb .

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,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu^{(A&Q Ninja Slackline Monkey Bar Kit Obstacles À Suspendre en Plein Air-L.HPT Chaussures pour Hommes)}. 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,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant, especially in end-of-life situations. In this research,U/A Cardigan Pull Femme Géométrique Tricot Automne, over time,WRJY Poussette pour bébé Poussette, and with this awareness,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé.

Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -Centered Care (IPFCC) provides directions to advance in understanding,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre)}.

This care is an approach to the planning,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme,DIY fun shop Sac à bandoulière, patients and families. Thus,Deeluxe Robe Ample léopard Amanda Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, and the only one who has the power of decision^{(Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure)}. Thus, care practices in end-of-Ellesse Orazio Sweatshirt Maillot de survêtement Homme, 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^{(Gringo Fairtrade Felt Owl Shoulder Bag)}.

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,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903. 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-CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8^{(Lit bébé Pliable Amovible lit Portable Matelas bionique Nouveau-né Anti-Pression)}.

Conclusion

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YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, 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-DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie. 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,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903.

Ducati Femmes Polo D-Attitude Gris - M, 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/YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, 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-LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903, 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,Kappa Doudoune Stade Français Paris Adulte 2020/2021.