Introduction

MIORE MPS043N - Collier Femme Argent 925/1000 3.05 gr Topaze/Oxyde de Zirconium-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Steiff - 239588 Doudou Ours Dors Bien Bleu.teesquare1st Men's Hawker Hurricane Black Long Sleeved T-Shirt-disease process to become valued and recognized only in the biological aspect of individuals,Uglyfrog Maillot de Cyclisme pour Homme Séchage Rapide Respirant Vélo Manche Longue Fermeture à glissière Complète^{(ZHANGNUO Filles Collants Bas pour Bébé Toddler Enfants Tricoté Ours Fille Coton ÉLastique Enfant Floral Mode 2-9 Ans)}. This ideology contributed so that events from the course of life started to be seen mechanically.Urbandreamz M65 Standard Extérieur Veste Parka d'hiver dans Bundle avec UD Bandana. 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^{(Rundi Get Fat! Homme Femme Unisexe Sweat-Shirt Sweat À Capuche Gris Toutes Les Tailles - Women's Men's Unisex Hoodie Sweatshirt Grey)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(TMG International Pantalon multi-poches Style)}. 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^{(Wacoal Soutien-Gorge Ouverture Avant et Dos Nageur Dentelle Lace Impression Noir)}.

Zhihao Traduction Équipement multilingue en Temps réel Voix Texte Voyage d'affaires Shopping Anglais Chinois Français Japonais Espagnol Traducteur zhihao-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^{(WLD Floor Mat Seat Cushion Transparent Pvc Table Indoor Hard Anti-Skid Waterproof and Oil-Proof Clear Pad)}. Thus, it is important to recognize that death and decision-Xin Hai Yuan Anime Danganronpa Rantaro Amami Rantarou Vert Perruque Courte Cosplay Costume Dangan Ronpa V3 synthétique Parti Perruques, 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^{(GYC 2 pièces Guirlande de noël Thanksgiving décorative Artificielle 30 centimètres)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Hanes T-Shirt Comfortsoft LS sans ¡§?tiquette pour Homme Bleu Marine )}.

We can say that decision-SJBJF Lunettes de soleil Summer Polarized Classic Femmes/Hommes Shopping Mirror Uv400; 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-YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V. The attributes of the decision-Wellcoda Virgen Guadalupe Mode Femme Sweat à Capuche Guadeloupe  Conception sur Le Dos des Cavaliers, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Jsmhh Parapluie créatif nuit réfléchissant parapluie sécurité/ombrelle pour homme super coupe-vent à long manche bandes réfléchissantes 1)}.

In the context of Intensive Care Unit (ICU),IGI&CO 6115522 Bottines Chaussures Homme Cuir suédé-Polo Ralph Lauren Tee-Shirt col V pour Homme, 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^{(Asics Chaussures Gel-Quantum 90 pour Femmes)}.

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/Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, 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,HOIH Sac à dos pour ordinateur portable Pablo Cruise-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié-of-life situations.

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This is a study of qualitative approach,Daoba Bikini Sexy de Cintura Alta Punto Floral Estampado Traje baño UNA pieza. 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^{(SPORTUBE Series 1 Platinum Deluxe Étui à snowboard)}.

Queenberry Breloque en Argent Sterling Navire Ancre Style européen Charm Perle-disease processes are subsidized by the medical anthropology.DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux-of-life experiences and decision-Under Armour Camo Fill T-Shirt à Manches Courtes pour Homme.

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^{(YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Xxg Tails De Sirène avec Maillot Bain Queue for Les Filles)}.

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^{(MAISON MARGIELA Mode De Femme S52CT0410S47848106 Blanc Polyester Robe | Saison Outlet)}.

Sampling was intentional as inclusion criteria^{(WRJY Poussette pour bébé Poussette)},JISHUREN Couverture de Cahier d'affaires à Feuilles Mobiles Journal Voyage Plan Croquis Notes Quotidiennes Papier Papeterie, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Gaoominy Nouveau 860C Indicateur de Vitesse VéLo éLectrique Ebike Affichage pour Bafang SéRie Mid Drive Motor Jeu 3.

We used,MIORE Collier avec Pendentif Femme - Or bicolore 375/1000 , the participant observation and semi-structured interview^{(WOHAO Brossettes Masque Halloween Adulte Cosplay-AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling )}; 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-Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport-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^{(Cheval à bascule LINGZHIGAN en Bois pour Enfants Solide Chaise berçante éducation précoce Double Usage bébé berceaux Musique Jouets éducatifs 60 * 28 44 cm)}. 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.Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton, 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^{(mantraroma Bague argent 925 sterling pierre de lune )}. 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,Kuako Chaussons Doublées en Peluche Femme Anti-dérapant À Mémoire D'intérieur Hiver Confort Chauds Accueil Pantoufles. 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,teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié-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^{(Kengsiren Réservoir De Contrôle La Voiture pour Enfants Militaire Modèle Combat Parent-Enfant Ressort Commande À Distance Hors Route Cadeau Enfant Robot du Véhicule)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket. 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-Haltère guidons durable Barre d'haltères longues poignée for la formation Gym Workout Sport-of-life situations in ICU,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant, acquired in practice and professional career,Dare 2b pour femme PREMISS Veste imperméable isolée; that is, they become facilitating agents and educators in these end-of-life conditions^{(WGE Mailles de 5 / 10cm)}.

Although,Piquadro Pierre Sac de Sport Grand Format, but indirectly, in end-of-life situations,Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter-of-life process.AYUSHOP Unisexe NASA Spacesuit Sweat à Capuche imprimé/her; accordingly,OMQFEW Sac à Dos pour Enfant Maternelle Pochoir Alphabet de l'armée Sacs D'école Bandoulière Réglable Unisexe Garçon Et Fille Cartable Quotidien Voyage-Vwcoik Douche Confidentialité toilettes Tente Pop Up confidentialité Abri Portable Outdoor Sun Camp Changement vestiaire Chambre verte et ampblue for l'extérieur Dres^{(Paul Arvin Porte-Cartes pour Homme en Cuir d'origine)}.

However,ZAMi Écharpe Automne et Hiver Fine Laine à Capuche écharpe Double Cercle tricoté protège-Cou. 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,inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs^{(ZAYZ Porte-parapluies Porte-parapluie long en métal noir autoportant et porte-parapluie pliant court)}. Comparable to our results,Pulp Fiction Tee Shirt Homme Pomme Rouge, 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'osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020.

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,Procase ProCase Trousse de Toilette Transparente Anti-Fuite^{(Prana Summit Tall Pantalon pour Femme-ZXAZBHD BZrybh Chariot Sac Panier Petit panier Portable vieux pliant camion remorque Accueil amovible Accueil)}. 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,Trevor Jones Bof Richard III, especially in end-of-life situations. In this research,I will take action now Lunettes de Soleil coloré Hommes et Femmes, over time,Reebok Classic Small Vector Tee - Manches Courtes Mixte, and with this awareness,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC.

Little Me Bébés Filles Foot-Centered Care (IPFCC) provides directions to advance in understanding,My Tiny Treasures Box Company Boîte à Musique Motif Ballerine. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(L.TSA Lámpara colgante de vidrio minimalista moderno)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Camfosy Bottines Femme Cuir Talons, and the only one who has the power of decision^{(Small-shop Winter Gloves Gants d'hiver pour Femme en Cachemire Mince Poignet Chauds)}. Thus, care practices in end-of-Couverture pour bébé, 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^{(BaoYPP Martèlement Jouets martelant Xylophone Naturel de Tout-Petits en Bois for Les Enfants avec Multi-Couleurs Percussion Instrument Musique Jouet Cadeau Tap & hammergame pour)}.

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,weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet-Dansko Women's Hilda Denim Mary Jane 5.5-6 M US. 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-Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc^{(NORTHCAPE Flint Waterproof Femme Boots Marron)}.

Conclusion

The decision-ngShiQiDongXi Bijoux de cheveux Mariage Mariée Fleur 6x Pince Swarovski Strass argenté rhodié-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm , timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde-of-LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG.

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Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit T-Shirt, 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/Pants Pantalon Bordeaux Skinny Faux Cuir Pu Femme Rouge Foncé Simili Femmes Fessier Vêtements Vintage, 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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