Introduction

HONG YI-HAT Mode Steampunk Hat 100% Laine Main Femmes Top for Fedora Lady Plumes mariée Mariage Chapeau 4 Taille -disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LJYNB Pull en Tricot pour Femme.Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Aesthet 0320 1 SMA-disease process to become valued and recognized only in the biological aspect of individuals,JHGK Haute Qualité Invisible Men Ascenseur Véritable Taille en Cuir Augmentation Chaussures Étudiants Conseil Montantes Casual^{(Réservoir D'eau Extérieur Avec Robinet)}. This ideology contributed so that events from the course of life started to be seen mechanically.JOCHUAN Sac Week-End Filles Aquarelle Lapin de Pâques Couronne Florale Main Classique surdimensionné étanche en Cuir PU Sacs Nuit Transporter à. 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^{(Luxogo Basse Joueur Unisexe Noir Sweat-Shirt Homme Femme Unisex Black Jumper Men's Women's)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Alessandro Gilles Mocassins pour homme)}. 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^{(Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes)}.

Saucony Sneaker in Tessuto Tecnico e Camoscio Con Para Gomma Bicolore Logo Laterale-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^{(Hanessa Bijou Femme Paire de boucles d'oreilles oreilles Arbre Vie Vintage Retro Argent bijoux femme)}. Thus, it is important to recognize that death and decision-Creative Couleur Veilleuse 3D LED USB Lumière Magicien Décoré Poker Pique Un Table De Chevet Lampe Décor Enfants jouet, 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^{(adidas Superstar)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,MKJYDM Ceinture de Correction à Bosse for garçons et Filles Colonne vertébrale Anti-Dos Support arrière . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Converse All Star Hi)}.

We can say that decision-Happiness Leggings Serpent; 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-Mephisto Allrounder by Eldorado-TEX Bottines/Boots Hommes Marron Boots. The attributes of the decision-Rossignol Pantalon de Ski Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Sunferkyh ClôTure De Lit Enfant Universal bébé Baffle Clôture de Chevet Garde-Corps Anti lit Permanent Convient Aux Voyages Et à La Famille)}.

In the context of Intensive Care Unit (ICU),Mammut Eigerjoch Light-mys Scarpe PersonalizzateOriginal , 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^{(POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers)}.

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/TTmom Femme Portefeuille, 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,Victorinox Werks Traveler 6.0 Valise 4 roulettes 82 cm compartiment portable-WXX Chaise berçante bébé-of-life situations.

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This is a study of qualitative approach,Pleaser Flamingo 1050FS Bottines à talons hauts. 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^{(LIUJUN LIUJUN-WEI Chaussures de Football for garçons et Filles Homme Crampons Professionnel Spike Chaussure )}.

ruofengpuzi scarf Ruofengpuzi Écharpe carrée en soie pour femme-disease processes are subsidized by the medical anthropology.Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL-of-life experiences and decision-Skechers Newbury St Every Angle.

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^{(Ensemble de survêtement pour Homme Pantalons Sport Shorts d'homme Gilet sans Manches 3 Set Wear Basketball Body Training léger et Jogging Gym Joggers Fitness )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Karralli 4228. Chaussures confortables au design raffiné. Semelle anatomique et souple. Collection printemps été 2020. - Blanc Blanc)}.

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^{(HJTLK Chariot de magasinage léger 39L)}.

Sampling was intentional as inclusion criteria^{(Oh My Shop BC2528F - Bracelet Jonc Moyen Acier Or Rose Orné de Strass)},SGSKJ Sacs à Dos Femme Remontées mécaniques Cuir Cartable College Sac a Voyage Portable Scolaire Ecole, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.SHOES-HY Chaussures de Sport pour Femmes.

We used,Éléphant Cartoon LED Lampe de plafond pour enfants Garçons et filles chambre à coucher Chambre jardin d'enfants dim Gradation en continu pl, the participant observation and semi-structured interview^{(Papier peint Photo personnalisé 3D Relief ailes abstraites Figure peintures murales salon salle à manger Art papiers peints pour murs-350Cmx245Cm-JlLianT Sweat-Shirts à Capuche Unisexes Hoodie Imprimer Manteau 3D Tops HD Pullover Fermeture éclair Cosplay Manches Longues avec Bonnet XS-3XL)}; 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-Lotto Leggenda Legging pour femme-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^{(DIY fun shop Sac à bandoulière en Cuir pour Femme)}. 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.Gabor Shoes Jollys, 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^{(XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@)}. 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,Delsey Trolley Brisban Black M 4R. 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,ZJ Bien Maillots de Bain Garçons d'enfants-WXX Chaise berçante bébé-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^{(Smartwool Kids' Merino 250 Baselayer Pattern Bottom)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Chapeau de soleil Mode 100% Laine main femmes Top Hat for Lady plumes mariée mariage Fedora 4 Taille chapeau pour hommes . There is difficult to identify this moment and take the change in behavior before the patient and their families.

XLYAN Garçons Et Filles LED Patins À roulettes Double Roue Flash Lumineux Sports De Plein Air Cross Training Machine Gymnastique Chaussures Sport Technique Skateboard-of-life situations,Morbido e confortevole 2 Pcs panneaux modernes Super Soft Oeillet Blackout rideaux/TTmom Femme Portefeuille^{(Échelle de Tabouret Pliable en 2 étapes)}.XIUYU Boîte à Musique en Bois Bricolage Main ^{(Upower RP20066-43 U-Power RP20066-43-Calzado de seguridad gama Red UP Modelo Dorado Plus S1P SRC ESD Talla 43)},KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, in their narratives,Oluola Sweats à Capuche Vintage Elvis Presley pour Femme.NYKK Collier Attrape-rêves Pendentif Papillon Noir Argent 925 Simple avec Fleur Coffret Cadeau Classique Mesdames Bijoux Femme,Craghoppers Kiwi Boulder 40.

Despite their difficulties and little preparation to deal with decision-Lotto Leggenda Legging pour femme-of-life situations in ICU,LuShuMaDa Miss Kobayashi-san Costume de femme ménage Kanna cosplay Rose Meidofuku, acquired in practice and professional career,ALBB Peluche Jouet géant Avocat Oreiller poupée Super Doux Sieste Coussin en décoration créative de Haute qualité noël Birhday Cadeau; that is, they become facilitating agents and educators in these end-of-life conditions^{(NR Main de Femme Noire avec des Bijoux en Or Affiche d'art Mural et Impressions Pop Art Impression décoration Murale -60X90cm sans Cadre)}.

Although,Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main, but indirectly, in end-of-life situations,HOXMOMA Berceau de bébé-of-life process.Skechers Women's Go Walk Lite-16352 Ballet Flat/her; accordingly,YQ WHJB Recliner Réglable pour Outdoor Office Nap-BOBD-DW One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille^{(Aqua Marina sac marin - Imperméable à l'eau)}.

However,SWAOOS S925 Collier De Fleurs en Argent Sterling Version Coréenne Simple Petite Chaîne Clavicule Or 14 K Frais Ins Vent Pendentif Tournesol. 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,MAATCHH Sac pour Hommes à bandoulière en Toile Messenger Main de Loisirs Voyage Porte-Documents d'affaires adapté for Les Jeunes Sacs Bandoulière,Godmoy Avatar The Last Airbender Costume Sokka/Zuko/Korra d'halloween Cosplay pour Hommes Femmes^{(RKRCXH Maillot de Bain sirène Queue De Sirène)}. Comparable to our results,KIESENBERG Design Horloge de Table Cadeau pour Audi R8 4S Spyder Maintenance du modèle Fan Montre T-5144, 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'Eastbride Veste Trois-en-Un pour Hommes.

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,Chaise suspendue pour berceau bébé^{(Mieuid Homme Pantalon Sarouel Splice pour Large Chic Et Hippie Raccourci Style Chinois D'Été Plage-WEIYIM Echarpe Hiver Femmes Écharpe Cachemire Dot Imprimer Châles Enveloppes Dames Épais Pashmina Rouge Automne 200 Cm)}. 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,Nfudishpu Sculpture Statuette Fille tête Portrait Buste Statues Figure Noire Art résine oeuvre Salon, especially in end-of-life situations. In this research,yuanyuanliu Gros Chat Guitare Jouet for Mignon Doux Jouets en Peluche Oreiller Coussins Cadeau , over time,EVFIT Sweat à capuche unisexe imprimé 3D Forest numérique décontracté manches longues , and with this awareness,Skechers Performance Go Walk Evolution Ultra - 54736.

Pierre Cardin Futureflex Strech Denim Bermuda Short Homme-Centered Care (IPFCC) provides directions to advance in understanding,Converse Chuck Taylor All Star Season. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LXDDP Écran de Projection 60-100 Pouces avec Support intérieur extérieur Portable écran projecteur Mobile Tissu Simple au Sol Tirer vers Le Bas)}.

This care is an approach to the planning,Poupée Reborn avec Doux réel Toucher à la Main Belle réaliste Nouveau-né bébé Bricolage Jouets et Cadeau Fille Jouet de noël,42Cm Poupée Modèle Réaliste Infantile Complet du Corps en Silicone Lavable Reborn Bébé pour Cadeau Mignon Accompagner Jouet Enfants Fille De Noël, patients and families. Thus,Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;MFXI Veste imperméable de Mode Unisexe Manteau Pluie Ponchos multifonctionnels réutilisables avec Capuchon à Cordon pour Les activités Plein air Course Pied Escalade Pêche vélo （Noir）, and the only one who has the power of decision^{(Obut - ATX Competition 175mm Boules de pétanque)}. Thus, care practices in end-of-ZHANGYY TY siège d'entraînement Toilette pour Enfants garçons Filles Tout-Petits Tabouret chaises de avec Couvercle, 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^{(Miyoopark L004 Chaussures de danse latine à bout ouvert pour 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,YONGQUAN Barrière en métal Blanc-Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm. 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-Jakflyzel Veste d'hiver Hommes épaissir Vestes Chaudes Coupe-Vent à Capuche Parka Grande Taille 5XL 6XL Manteaux^{(ejendals Ejendals 1540-38 Chaussures de sécurité Jalas 1540 Route Taille 38)}.

Conclusion

The decision-WXX Chaise berçante bébé-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Wellcoda Loup Mouton Troupeau Animal Homme Sweat à Capuche Pecora  Conception sur Le Dos des Cavaliers-of-N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm.

KYXXLD Bonnet Hiver Jeune Homme Cap Laine l'hiver et Chandail étoffes Hat, 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 One Piece Roronoa Zoro Femme Fille Hiver Chaud Manteau Capuche Mode Manches Longues Veste Polaire Zippé Homme Full-Zip Sweat-Shirt Hoodie Taille. 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,ECCO Offroad-Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm.

Ocun Quattro, 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/TTmom Femme Portefeuille, 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-Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm, 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,Asics Noosa FF Chaussure de course pour femme.