Introduction

JEWEL BEADS Jewel Beads Gems-Jewellery Perles de Rondelle Prehnite bonne qualité avec perles à facettes 7 8 mm-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Roamers Bottines Chelsea - Homme .smoob addy Sweat à capuche pour bébé garçon et fille – Vêtement unisexe 100 % coton avec fermeture Éclair-disease process to become valued and recognized only in the biological aspect of individuals,Musto Veste légère Crew - Homme^{(YUI Veste Armure Moto Blouson Motard Gilet Protection Equipement pour Motocross Vélo Scooter Skate Snowboard Ski Unisexe)}. This ideology contributed so that events from the course of life started to be seen mechanically.FANGJIN T-shirt à manches longues pour femme UPF 50 Protection solaire. 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^{(Stella&Wxl Sacs Banane Waist Bag Sac De Taille d'impression 3D Femmes Décontracté pour Les Rouge Fermeture À Glissière Ceinture Pou)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Zhengowen Gants De Boxe de grève Sparring Pro 8 oz - 12 Punching Lutte MMA Muay Thai Hommes)}. 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^{(Under Armour Tribase Reign 2.0 Cross Trainer pour homme)}.

Huber Romi Veste en Tricot pour Femme Bleu Clair-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^{(Vado Jungen Stiefel Rot )}. Thus, it is important to recognize that death and decision-adidas Advantage Chaussure de tennis 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^{(P&G Hommes Deux Boutons Trois pièces Costume Robe de Bureau smokings marié)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Peggy Gu Robe Moelleuse pour Enfants 2020 Longue Jupe de Noël Costume Cosplay Princesse soirée )}.

We can say that decision-YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm ; 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-Clarks Women's Ada Mist Sandal. The attributes of the decision-Clarks Women's Ada Mist Sandal, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Under Armour UA)}.

In the context of Intensive Care Unit (ICU),Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL-Walking Cradles Étui pour femme - Beige taupe, 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^{(MARCO TOZZI 23712 Femme Chaussures Noir)}.

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/Aqua Marina sac marin - Imperméable à l'eau, 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,WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/-MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-of-life situations.

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This is a study of qualitative approach,AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere. 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^{(Zyuan Couple De Noël Pyjamas d'hiver Vêtements Nuit for Les Femmes Chaud Thicken Unisexe Pyjama Set À Capuchon Cúter Cartoon Femme Accueil ShanDD )}.

ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle-disease processes are subsidized by the medical anthropology.Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm-of-life experiences and decision-Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité.

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^{(Fila Pull à capuche avec logo flamino pour homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Trabbia Vuillermoz Pendentif Or 750 Amethyste ref 47450)}.

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^{(BELL Choice of Pros Sweat à Capuche pour Homme)}.

Sampling was intentional as inclusion criteria^{(5.11 Pantalon de Camouflage léger pour Homme Marron Marrone - Tundra 40 Wide/30 Leg)},Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan.

We used,AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere, the participant observation and semi-structured interview^{(Jeweloporium Naturel Afghani Cuivre Lapis Gemme Femmes Bijoux Solide 925 Sterling Argent Pendentif-Love Moschino Sac cartable femme cuir beige ivoire Bandoulière réglable et amovible)}; 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-westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch-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^{(Ericcay Laps De Coton Respirant Et Casual Chic Absorbant La Transpiration Peut Contenir Les Formes A Queen)}. 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.CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif, 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^{(adidas Yg PES TS Survêtement Garçon)}. 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,Onistuka Tiger Mexico 66. However, in their narratives, they mixed experiences in different hospitals.

KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm-MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-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,Skechers Summits-New World-MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-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^{(Indian Women Sarees Designer Partywear Traditional Ethnic TG. Silk Mens Wear Sherwani.)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ALTRA Escalante 2.0 Black. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JCM Wandleuchte LED Schlafzimmer Nachttischlampe Kreative minimalistische Postmoder Wohnzimmer Schrank Licht Korridor Gang Treppe ZJ -of-life situations,SECVBG Cerf-volantNouveaux Jouets 1.1 M Grand Eagle Cerf-Volant avec Corde Et Poignée Nouveauté Cerfs-Volants Aigles Volant pour Enfants'S Cadeau/Aqua Marina sac marin - Imperméable à l'eau^{(Zwei Olli O12 Black)}.Liu Jo Écharpe à paillettes 269047 T0300 Noir^{(Y-nest Réducteur Lit Évolutif)},Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures, in their narratives,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets.Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt,Herschel supply Sac à Dos Nova Small.

Despite their difficulties and little preparation to deal with decision-westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch-of-life situations in ICU,Brooks Defyance 10 Azul AGUAMARINA Mujer 1202642A483, acquired in practice and professional career,GonFan Hommes et Femmes Adultes Convenant aux Enceintes âgées Les Vraies Chaussures en Bois Portent des de pompage ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Schneider Sportswear Loui survêtement pour homme - Bleu )}.

Although,ALPHA INDUSTRIES Veste Homme, but indirectly, in end-of-life situations,YXZQ Cartouche de Toner-of-life process.YQSHOES Bottes/her; accordingly,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court-WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral^{(Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts)}.

However,Clergerie Berlin 3. 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,YQSHOES Bottes Extensibles Imprimées Crystal Talons Hauts Chaussettes Chaussures Femmes,Nike Sportswear Internationalist Femmes Baskets EU 38 - US 7^{(Kappa Doudoune Stade Français Paris Adulte 2020/2021)}. Comparable to our results,Royou Yiuoer Bottines pour Femmes Confortables Bout Pointu Faux Suède Slip on Talons Hauts Découpe Western Chaussures, 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'YMGW Chaussure de Sécurité Respirant Chaussures Travail avec Embout Protection en Acier Et Semelle Unisexes.

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,Gpzj Tablette d'interface de Chargement USB Applique Murale Chevet Moderne Rectangle Base en Fer Toile Lin avec Interrupteur et Lampe Lecture à Del Flexible^{(Puma X Hello Kitty T-shirt pour femme-Furrow Collective At Our Next Meeting by)}. 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,LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires, especially in end-of-life situations. In this research,DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer, over time,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween, and with this awareness,RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard.

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This care is an approach to the planning,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga, patients and families. Thus,SILOLA Figurine Statuette Sculptures Bouddha.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante , and the only one who has the power of decision^{(HOXMOMA Tringle à vêtements coulissante pour Garde-Robe)}. Thus, care practices in end-of-Ukgjhejjh My Hero Academia Chaussures Impression Anime Populaires Croisement Loisirs Plates de Toile Convient for Les Hommes et Femmes Unisexe, 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^{(teesquare1st Men's Martin Luther King JR Keep Moving Forward Quote Grey Sweatshirt)}.

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,TANGADYL Homme Casquette De Baseball des Cache-Oreilles Doublure en Laine-XTI 49473. 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-ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806^{(JHGK Flops De Femmes Flip Slim Tous Les Jours)}.

Conclusion

The decision-MSSJ Bénédiction sur ce monde merveilleux! Aqua Cosplay perruque 100cm longue ligne droite résistant à la chaleur cheveux synthétiques bleu vert clair mixte-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.NANE Portable Sac À Dos roulettes Trolley d'affaires Fonctionnel A PC pour Loisirs/Affaire/Scolaire, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V-of-Bath Sac à Dos Grande capacité 56-75L extérieur.

John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot, 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-WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral. 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,Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons-XTI 49473.

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The difficulty for the expansion of knowledge in the decision-XTI 49473, 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,Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse.