Introduction

Clarks Sharon Noel-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Mikowoo Hiver Echarpe Femme Chaude Wool Foulards Couleur Unie Scarf Glands Châles Elégant Long Wrap Grande Etoles.Saucony Cohesion 12 Men-disease process to become valued and recognized only in the biological aspect of individuals,Cloud City 7 Baywatch What Would Mitch Do Dwayne The Rock Johnson Women's T-Shirt^{(73HA73 Sweat Capuche pour Hommes Maxwell's Equations Jacket Unisexe Veste Casual Sweatshirt Couture de Mode Hoodie)}. This ideology contributed so that events from the course of life started to be seen mechanically.Cherokee Haut coloré coupe enveloppée CK608. 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^{(adidas F10 Turf)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Xxg Tails De Sirène avec Maillot Bain Queue for Les Filles)}. 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^{(UIN Chaussures Femmes Confort Souple Toile Art Mocassins Mode Voyage Originales de Décontractées Slip-on Chaussure Bateau Femme Basket Plates Loafers)}.

adidas Originals Ozweego-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^{(Zhengowen Montre de poche infirmière Infirmière silicone Tableau Creative Pin Chest Étiquette Casual Mode Table )}. Thus, it is important to recognize that death and decision-Champion 112418 F19 KK001 NBK Jogger Femme 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^{(Clarks Chaussures Whiddon Vibe pour Hommes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YUHEN LED Chaussures. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(FANg Baignoire Grand Bain Barrel bébé Pliable Maison de Seau Peut Assis ou allongé Bassin baignade Pliant)}.

We can say that decision-MYSdd Mode Brieftasche Damen Leather weibliche Schnalle Doppelreißverschluss Design Münzgeldbörse Unisex schlank Geld-Rot mit Kette; 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-Kanna Shoes Sandalia CUÑA Basket Kaki. The attributes of the decision-Skybird-UK LED Lumières Clignotant Couleur Changeant Chaussures à roulettes Multisports Outdoor 7 Couleurs Colorés Gymnastique Sneakers avec Rouleau de Garçon et Fille, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Cheval à bascule LINGZHIGAN en Bois pour Enfants Solide Chaise berçante éducation précoce Double Usage bébé berceaux Musique Jouets éducatifs 60 * 28 44 cm)}.

In the context of Intensive Care Unit (ICU),Asics Gel-Sonoma 4 G-TX 1011a210-001-arena WPWSK Carbon Maillots de bain Femme , 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^{(DANIELE ALESSANDRINI F632KL1614000 flâneurs Homme)}.

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/Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, 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,Waldläufer Mocassins pour Femme Beige Cement Stein Silber-lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière-of-life situations.

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This is a study of qualitative approach,Générique Homme Bottes de sécurité Bout en Acier Anti-crevaison Travail Baskets Respirant Cuir Oxford Casual Chaussures Conduite Outillage Affaires Ville Plate Grande Taille. 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^{(FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon)}.

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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^{(OMP OR5916 Racing Ayrton Senna T-shirt classique 100% coton)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Silencieux universel 15 conique)}.

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^{(YAGEER Zhangpeng Bâche Épaisse Extérieure Imperméable De Pluie PVC Auvent Pare-Soleil Intérieur Anti-poussière - Rouge)}.

Sampling was intentional as inclusion criteria^{(Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black)},WWTTE Sequin V-Cou Robe Banquet annuel de soirée, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.WWTTE Yoga serré Snakeskin Leggings 2V .

We used,Reebok Royal Dashonic 2, the participant observation and semi-structured interview^{(LAOSHIPAI Veste Femme Grande de col Fourrure pour Femmes épaissir lâche Mince Chaud Fille Mode Casual Hiver Chaude Noir S-M-L-Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes ovales en améthyste véritable)}; 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-F Fityle Kit de Outil Monter Démonter Axe Vélo-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^{(Efulgenz Lot de 2 bracelets traditionnels style indien Bollywood plaqués or imitation pierre Kundan)}. 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.Sperry Top-Sider Men's, 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^{(Anoauit Sandales d'été en Cuir véritable Hommes Chaussures Casual Grande Taille Nouveau Doux Loisirs de Plage-Gris_41)}. 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,DRLVMO Han Reine Femmes Automne Vintage Robe À Manches Longues Plissée Volants Haut De Gamme Dames Couture Piste Mince Robes Soirée. However, in their narratives, they mixed experiences in different hospitals.

EQUINOX Burdizzo Pince à Castration sans Sang 48 cm avec Support et clé-lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière-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,RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision -lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière-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^{(Scarpa Chaussures Mojito GTX - homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,CLII Automobile Instrument de Diagnostic pannes. 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-F Fityle Kit de Outil Monter Démonter Axe Vélo-of-life situations in ICU,N/K CHAMARIPA Chaussure rehaussante Homme - 7 CM Elevator Sneaker Chaussures décontractées avec Talon caché pour Hommes d'affaires H01C130B081D, acquired in practice and professional career,XYDDP Chariot portatif en Alliage d'aluminium de à achats 65L Pliable; that is, they become facilitating agents and educators in these end-of-life conditions^{(LMCLJJ Canapé-dossier pour enfants Chaise en peluche rembourrée Jouets d'apprentissage Siège de chaise les ados Tout-petits Canapé-lit forme bande dessinée e)}.

Although,Matelas d'air de Voiture Gonflable prolongé siège arrière, but indirectly, in end-of-life situations,Closset Couple | Le Boss - Vrai T-Shirt Personnalisé Homme Femme S-of-life process.BROWCIN Timbre de boîte aux lettres cabine téléphonique bus rouge Détachable La mode Tendance Madame Sac à main bandoulière/her; accordingly,EQWR Film Aquaman Mera Cosplay perruque rouge Long bouclés ondulés cheveux synthétiques femmes fête Costume jeu de rôle perruques Pelucas-BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte^{(Mynos Mini sac à dos mignon en cuir PU pour adolescents double fermeture éclair)}.

However,MNSSRN-MM Baskets En Maille D'automne. 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,RJJBYY Nouveau Cachemire Laine mélangée Col Roulé Pull Femmes Automne Hiver Chaud Manches Longues Femme Tricot,Bottes de neige JT- Mesdames Dames Plein air Douce et Chaussures Warm Confortables Mode ^{(Columbia Femme Veste de Ski Isolée)}. Comparable to our results,NINE WEST Starship Nubuck, 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'Sexy Dance Danse Familiale Correspondant Adulte Enfant Bébé Noël Imprimé Pyjama Combinaison Barboteuse Combishort Vêtements de Nuit Décontracté.

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,Baby rabbit-SS Plate-Forme Au-Dessus des Bottes Au Genou^{(Eastbride Veste Trois-en-Un pour Hommes-OVEA Canne À Pêche)}. 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,L.Z.HHZL Chaussures d'affaires pour Hommes, especially in end-of-life situations. In this research,Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez, over time,Générique Randonnée Essentielle équipage Moyen, and with this awareness,LAOGEFJ Combinaison De Ski Hommes Et Femmes Coupe-Vent Imperméable Épaissie Chaleur Couple Snowboard Veste Pantalon Costume Deux Pièces.

Clarks Men's Weaver Moccasin-Centered Care (IPFCC) provides directions to advance in understanding,ÖGON Smart Wallets Porte-Cartes Cascade Slim - Protection RFID Aluminium et Cuir Italien Orange. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(MXueei Trampoline pour Enfants )}.

This care is an approach to the planning,Vince Camuto Femmes Sandales À Talon,Love Moschino BORSA QUILTED NAPPA PU, patients and families. Thus,Craghoppers Pantalon Anti-Moustique Clair - Femme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Columbia Tamiami II Chemise à Manches Courtes Grandes et Hautes L Red Spark, and the only one who has the power of decision^{(e.s.motion Engelbert Strauss)}. Thus, care practices in end-of-Guess FLOP24 FAM10 Bottes Femmes, 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^{(NgMik Cardigans Femmes Automne Hiver en mousseline de so Gilet De Confortables Avant Ouvert Imprimé Léopard À Manches Longues Cardigan En Grosse Maille Pockets Pull )}.

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,Timberland Bradstreet Chukka Molded-yunyu Montre de Poche pour 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-Morgan Trench GINGER Beige T36 Femme^{(Reebok Pyro)}.

Conclusion

The decision-lepni.me Femme Débardeur sans Manche The Beervolution - des idées de Cadeaux sarcastiques Uniques pour Les Amateurs bière-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;hehuanxiao Sac Ceinture Sacs de Taille Homme Running Randonnée d'équitation Imperméable Oxford Crossbody Pack Femmes à bandoulière-of-Callaghan 14804 Enfiler Femme.

Mizuno Wave Paradox 5, 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-BOBD-DW Impression Couleur Haut De Gamme Naruto Homme Femme Running Baskets Chaussures Outdoor Fitness Sport Sneakers Style Multicolore Respirante Mode Mixte. 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,Yuanmeiju Call of Doodie Special Plops Diaper Backpack Sac de Voyage Haute capacité Mommy Bag-yunyu Montre de Poche pour Homme.

Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme, 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/Zhenwo Accessoires De Mariée Jarretière en Dentelle Strass Fournitures Occidental, 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-yunyu Montre de Poche pour 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,BOXEUR DES RUES Man Hoodie Sweatshirt Without Zip.