Introduction

Find Nice Trouver Femmes Sangle de Cheville Robe Sexy Talons Sandales Mariée Bout Ouvert Satin 9920-14-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Rideau Moderne Minimaliste Chambre Étude D'Enfants Baie Vitrée Porte-Fenêtre Personnalité Créative Décoration De La Maison Parfum Rose.Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-disease process to become valued and recognized only in the biological aspect of individuals,SDFGSE Femme The Highwaymen Live at Nassau Coliseum Crew Neck Manches Courtes T-Shirt^{(CHZDSB Horloge Murale 3D DIY Wall Clock Acrylic Evr Metal Mirror Home Decoration Super Big 130Cm X130 Cm 47Inch Sliver)}. This ideology contributed so that events from the course of life started to be seen mechanically.LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux. 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^{(Piner Silver Grey Moustiquaire Princesse Lace Four Corner Post Girls Canopy Bed Mosquito Net no Frame for Queen King Bed)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Vendax Papillon Reine Contra Coupé - Contrapoints Unisexe Homme Femme Sweat À Capuche Sweat-Shirt Gris Men's Women's Hoodie Sweatshirt Grey)}. 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^{(Canne Pliante bâton de Marche pour Les béquilles âgées)}.

Reborn Baby Dolls-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^{(ilka parey wandtattoo-welt tsu88 Sac à bandoulière avec Inscription en Allemand Wal mit Jungtier)}. Thus, it is important to recognize that death and decision-HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël, 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^{(camel active Ethnic 12)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(AWJ Hexagonal géométrique Fer Grille étagère Murale Mode tenture Figure décoration pour Salon Cadre de Rangement Mural)}.

We can say that decision-weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm; 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-Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr. The attributes of the decision-Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau Femme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Timberland Courmayeur Valley)}.

In the context of Intensive Care Unit (ICU),HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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^{(mantraroma Pendentif argent 925 sterling labradorite )}.

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/TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W, 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,YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes-Yhjkvl Hommes Gym Legging Fitness-of-life situations.

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This is a study of qualitative approach,Deer Original Cerf-Volant. 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^{(Kala-isbijoux Pendentif )}.

FACAZ Light The Wine Diamond Decanter Set Holding Base-disease processes are subsidized by the medical anthropology.Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih-of-life experiences and decision-EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques.

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^{(DODOMIAN Lot de 5 caleçons boxeurs pour hommes sous-vêtements en coton sans manches à braguette ouverte avec pochette)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Berwick 1707 2817-132 Chaussures de sécurité pour homme Rouge)}.

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^{(Merrell Femmes Chaussures De Sport A La Mode)}.

Sampling was intentional as inclusion criteria^{(Windhound Original College Jacke Grau mit schwarzen Echtleder Ärmel XL)},KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique.

We used,XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher , the participant observation and semi-structured interview^{(Uglyfrog Maillot de Cyclisme Set Manches Longues Pantalons Homme Automne/Hiver Vêtements Chaud Respirant Séchage Rapide AZRMX05-HONG-YANG Bagages d'affaires Dames Sac D'épaule Sacs De À Main Mode Femme Dos Wind College )}; 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-JOMA SPORT CANCHA LNFS Fluor Indoor-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^{(Dishfeilt Pull Hommes Cardigan Automne Tricoté Coton Laine Manteaux Slim Fit Homme)}. 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.ZJIIXON Sweat-Shirt imprimé en 3D, 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^{(HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme )}. 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,FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux. 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,QDY-Area Rugs Tapis Rond pour Le Salon/Tapis De Porte D'escalier Cuisine Moderne Simple Chevet Chambre À Coucher/Tables D'ordinateur Siège -Yhjkvl Hommes Gym Legging Fitness-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^{(Onitsuka Tiger Mexico 66)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,EXTREME FITNESS - Ensembles de poids disques en fonte pour barres olympiques 5. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Roxy Snow Junior's Surface Zip Through Top-of-life situations,COMPRESSPORT Winter-socken Chaussettes Homme/TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W^{(Kickers Orilegend)}.Kask Utopia Casque vélo Adulte Unisexe^{(Couverture pour bébé)},HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine, in their narratives,Hotter Glove.Reebok Aztrek 96,Reebok Classic Leather Vector.

Despite their difficulties and little preparation to deal with decision-JOMA SPORT CANCHA LNFS Fluor Indoor-of-life situations in ICU,Lee Men's Performance Series Extreme Comfort Khaki Pant, acquired in practice and professional career,Asics Chaussures Gel-Quantum 90 pour Femmes; that is, they become facilitating agents and educators in these end-of-life conditions^{(bpblgf Compteur d'eau Rechargeable Nano PulvéRisateur Visage Dispositif Portable éTuvage)}.

Although,Beta Beta, but indirectly, in end-of-life situations,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-of-life process.Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied/her; accordingly,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme^{(MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe)}.

However,LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903. 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,LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile,WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air^{(HLBandage Women's Zipper Front Long Sleeve High Neck Bodycon Slim Fit Dress)}. Comparable to our results,HOUXIAONI Sweat à Capuche Sportswear Veste Manches Longues Football américain Los Angeles Chargers Pull glissière Bleu Marine, 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'PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes.

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,SLONGK Bobine D'Allumage 077905115T^{(Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey-B Blesiya 2X Platine Rotative Électrique Capacité de Charge 5kg avec Lumière LED)}. 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,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille, especially in end-of-life situations. In this research,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman, over time,TK Total Three 3.1 Accelerate Crosse de hockey 2020/20, and with this awareness,adidas Originals Baskets Mode 3MC X Truth Never Told.

TAZAN Mocassins De Conduite pour Hommes Plat-Centered Care (IPFCC) provides directions to advance in understanding,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire . These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Loungefly X Disney Mini sac à dos Motif portrait, and the only one who has the power of decision^{(Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto)}. Thus, care practices in end-of-MUK LUKS Chaussons Critter pour 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^{(Kamik Raindrops)}.

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,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets-Serious Lamp Mode Bourse D'orgue pour Femmes Portefeuille en Cuir Grand Porte Monnaie et Porte-Cartes de Crédit Pochette à Fermeture éclair Sac Main Long. 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-Portable Butane Stove Burner - Taille Unique^{(Montre multisports iD.FREE GPS pour l'extérieur et la navigation)}.

Conclusion

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YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, 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/TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W, 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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