Introduction

Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M.Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues-disease process to become valued and recognized only in the biological aspect of individuals,Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité^{(EdenPark Eden Park [N6779] - Ceinture cuir "Eden Park" rouge bleu )}. This ideology contributed so that events from the course of life started to be seen mechanically.Pediconfort sans-gêne Largeur Confort aérosemelle - Femme. 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^{(FCXBQ Ball Pit Tent Playpen Barrière de sécurité pour bébé - avec Balle)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LOVEKUSH 50% Off Gemstone Jewellery 6MM289 6mm Rhyolite jasper round ball loose gemstone beads 16" Code:- RADE-34129)}. 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^{(Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao)}.

yunyu Montre de Poche pour Homme-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^{(Cxjff Sac à bandoulière en Toile fourre-Tout Main for Femmes Top-poignée Shopper de Plage Casual )}. Thus, it is important to recognize that death and decision-Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme, 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^{(MFH 'Tente)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité)}.

We can say that decision-Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light ; 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-THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir. The attributes of the decision-TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Pandora Love Makes A Family Dangle Charm)}.

In the context of Intensive Care Unit (ICU),LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey-AWJ Barre d'appui de Douche, 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^{(PUMA Femmes Chaussures De Sport A La Mode)}.

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/FACAIA Couronnes de Noël, 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,KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes-LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux-of-life situations.

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This is a study of qualitative approach,CYYMY Hula Hoop. 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^{(Under Armour Charged Toccoa 2 Chaussure de course pour homme)}.

Philipp Plein Jean Super Straight Stretch-disease processes are subsidized by the medical anthropology.MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies-of-life experiences and decision-Horypt Baignoire Portable ， Kit de Seau Pliable trempage autoportante Facile à Installer.

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^{(MIBO COSITS LA AUTENTICA ABARCA MENORQUINA Auténticas Avarcas Menorquinas Basic Nobuck Negro - Talla 38 EU)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Reebok- - Royal Cl Jogger 2 KC Mixte Enfant)}.

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^{(ZSHWP Sexy)}.

Sampling was intentional as inclusion criteria^{(Tableau de Bord Multifonction Plateau Score à 4 Chiffres protable FILP pour la compétition Sportive )},CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.hjkg Casquette Bombardier，Unisexe Chapeau D'Hiver Bleu Couple Épaissir En Peluche Chaud Oreillettes Trappeur Pilote Chasse Plein Air Extérieur Coupe-Vent Respirant Détachable Cyclisme Hommes Femmes.

We used,SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View, the participant observation and semi-structured interview^{(New Rock Unisexe 272-S1 Noir Métallique Réacteur Gothique Genou Haute Cuir Zip Boucle Bottes-YLYT Lampe Starry Sky Night Light Enfants Nuit)}; 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-JALAL Couronne de blé Noël-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^{(Craft Chaussures Femme Nordic fuseknit)}. 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.hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi, 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^{(Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée)}. 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,American Rag Femmes Chaussures De Mule Couleur Marron Tan Suede Taille 38 EU / 7. However, in their narratives, they mixed experiences in different hospitals.

Pneus de Scooter électrique-LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux-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,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux-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^{(Robelli 48 x Nez Rouge Jour Halloween Clown Cirque Mousse Déguisement nez)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée-of-life situations,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité/FACAIA Couronnes de Noël^{(Fyx Nuisette Pyjama Femme Bretelle Sexy Robe de Soiree Longue 2020 sans Manche Lingerie Court Vêtement Nuit Dos Nus)}.Kilpi Titicaca-W Jupe 126^{(Under Armour Chaussettes HeatGear Tech Crew de pour homme)},Lee Men's Performance Series Extreme Comfort Khaki Pant, in their narratives,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen.PUMA Baskets Wired Knit,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2.

Despite their difficulties and little preparation to deal with decision-JALAL Couronne de blé Noël-of-life situations in ICU,Loungefly X Disney Mini sac à dos Motif portrait, acquired in practice and professional career,MUK LUKS Chaussons Critter pour Femme; that is, they become facilitating agents and educators in these end-of-life conditions^{(BINLUN Bracelets de Montres en Acier Inoxydable 18mm 20mm 22mm 24mm 26mm Bracelet Montre Remplacement Dégagement Rapide pour Homme et Femme avec 6 Couleurs - Or)}.

Although,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets, but indirectly, in end-of-life situations,Portable Butane Stove Burner - Taille Unique-of-life process.Home Trainer Rouleaux dim. 145L x 56l 10/her; accordingly,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne^{(Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420)}.

However,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme. 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,El Naturalista Nido,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail^{(WFQGZ Chaussures De Sport pour Hommes Plates Coréennes Marée)}. Comparable to our results,Lee Men's Performance Series Extreme Comfort Khaki Pant, 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'Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant.

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,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume^{(Canne à Pêche réglable Set Rod Lancer et pêche sur la Glace Roue de crevettes avec Imitation Bois poignée Peche Cannes télescopiques-Chaco Men's Dixon HIGH Hiking Shoe)}. 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,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, especially in end-of-life situations. In this research,WENZHEN Sac à Dos The North Face, over time,ALPE 32201134 Bottines en Daim pour Femme Gris, and with this awareness,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens.

VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille-Centered Care (IPFCC) provides directions to advance in understanding,CP CALMA PROJECT Sac à bandoulière pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(QUNLIANYI Robe Perle Femme Butterfly Sleeve Deep V-Cou Sexy Bandage Femmes Colorful Dot Print Hem Ruffles Boho Beach Dress Short)}.

This care is an approach to the planning,Macron Home Jersey White/Red 19/20 Red Star Belgrade,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, patients and families. Thus,Korntex KXRJGS Veste imperméable Jaune Taille S.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;FXQ Amovible Pet Chauffage Mat, and the only one who has the power of decision^{(FXQ Amovible Pet Chauffage Mat)}. Thus, care practices in end-of-adidas 9 pair Performance Sneaker Socks Unisex short sock, 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^{(Zsport Zbra Silver Soutien-Gorge de Sport Femme)}.

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,Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans-HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces. 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-Y NOT? Ladies bag Ynot? Caroline 003 Black^{(GYKFY Sac à bandoulière en Paille tissé la Main pour Femme rotin avec et bandoulière)}.

Conclusion

The decision-LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Invicta 4432348/D Doudoune Femmes, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -of-XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude.

Qiterr Remontoir de Montre, 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-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne. 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,RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces.

SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité, 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/FACAIA Couronnes de Noël, 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-HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces, 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,Panier Panier.