Introduction

Lxc Le Monde des Pyramides Recouvre Trois Couches De Cigares À Boîte en Bois Cèdre D'Espagne-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower.LONGYUU Sacs fourre-tout réutilisables numérique petit mignon licorne week-end sac unisexe à bandoulière grande capacité résistant l'eau avec poignée durable-disease process to become valued and recognized only in the biological aspect of individuals,Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45^{(ZYFXZ Noir en Cuir de Vache embossé entraîneurs des Hommes sécurité étanches)}. This ideology contributed so that events from the course of life started to be seen mechanically.Dare 2b Cloud Burst Veste pour Fille. 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^{(VIWIV Moderne LED Ronde Design Plafonnier Couronne Décoration Salon Métal Chambre Acrylique Abat Lampe De Plafond d'enfant)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cinda Filles Dentelle de Demoiselle d'honneur Robe)}. 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^{(Reebok Flashfilm)}.

Seachoice Ultimate Outrigger Kit by SEACHOICE-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^{(MPOQZI Coussin de Protection en Cuir Couverture d'accoudoir Console Centrale Voiture)}. Thus, it is important to recognize that death and decision-Primadonna 0461810 Deauville Body à Armatures, 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^{(EVR Chaussons pour Femme en Fausse Fourrure 2020 Mode Pantoufles Bout Ouvert IntéRieur et ExtéRieur Velu Chaussons)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,FSA SL-K Carbon Tige de Selle Mixte. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur)}.

We can say that decision-Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard; 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-Cult – Bottes de sécurité # Gun CLASS-1. The attributes of the decision-Steiff Fleecejacke Blouson Bébé garçon, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(adidas Football Benfica SLB STRM JKT - BK4794)}.

In the context of Intensive Care Unit (ICU),UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage-XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée , 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^{(CP CALMA PROJECT Sac à bandoulière pour femme)}.

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/RYKA Devotion XT Mid, 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,QYYdress Robe de Mode V-Cou imprimée Motifs -HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-of-life situations.

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This is a study of qualitative approach,Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P. 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^{(Top Swords Legend of Zelda hylian Hyrule Twilight Master Princesse Lien épée en mousse)}.

GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur-disease processes are subsidized by the medical anthropology.Nouxh Homme Femme Devil May Cry Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL-of-life experiences and decision-AOOA Petit sac à bandoulière en cuir synthétique pour femme.

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^{(LXZSP Brûleur d'encens de contrôle la température synchronisation)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ZYFXZ Chaussures de sécurité for Hommes Soudeurs Bottes soudage Anti-crevaison Boeuf Tendon Protection Sécurité Bas Travail Occasionnel)}.

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^{(CMP 38Z1726 Parka Fix Hood pour Femme)}.

Sampling was intentional as inclusion criteria^{(LAOAYI T-shirt en coton pour homme Cool doux la peau.)},Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme.

We used,GDSZN 6Pcs / Lot Bébé Collants Bas 7 Styles pour Enfants Garçons Filles De Danse Leg Warmer 0-2T 18 M Mix, the participant observation and semi-structured interview^{(PREMIUM WHEY 90-90% Teneur en protéines - avec 51-ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween)}; 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-Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro-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^{(EUDOLAH Robe bébé Fille à Volants en Organza avec Ornement de Perles baptême soirée cérémonie)}. 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.Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer, 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^{(Volcom Tower P/Over Fleece Sweat à Capuche pour 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,Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV. 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,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement-HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-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^{(Suspension lustre lampe étoile/lune en bois moderne plafond simple plafonnier restaurant bar comptoir chambre enfants corde acrylique.)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Traclet Chapeau Fédora Tanti Panama Blanc M - 56/57 cm. 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-Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro-of-life situations in ICU,Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise, acquired in practice and professional career,LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos; that is, they become facilitating agents and educators in these end-of-life conditions^{(HARLEY-DAVIDSON Men's Gavern 5.5-in Waterproof Motorcycle Boots D93565 )}.

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However,SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité. 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,Verre À Whisky Fait Main Real Bullet,MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable^{(Nike WMNS Run Swift)}. Comparable to our results,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra, 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'Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats.

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,Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin^{(New Balance H754 -Bangxiu Sac à Dos de randonnée for Alpinisme Grande capacité Camping en Plein air)}. 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,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold, especially in end-of-life situations. In this research,Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W , over time,JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG , and with this awareness,Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap.

Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé-Centered Care (IPFCC) provides directions to advance in understanding,Under Armour Herren UA HOVR Havoc Low Basketballschuhe. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Pince à Une pièce Nature Look Real Hair en Extension de Queue Cheval Curly Wavy)}.

This care is an approach to the planning,SYXYSM Calico SYXMSM Écharpe chouchou,Clarks Sharon Dolly, patients and families. Thus,Badgley Mischka Vega.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Uglyfrog CXSZ02 Nouveaux Homme VTT Vêtements de Sport Plein air Cyclisme Maillot vélo à Manches Longues pour l'hiver Cycle Bike Shirt vélos Top 20D Bib Pantalons Set, and the only one who has the power of decision^{(Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman)}. Thus, care practices in end-of-Asics Chaussures Gt-1000 7 , 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^{(Mockledd T-Shirt)}.

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,Stonefly Rock 1 Velour-LiliMill 5579. 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-JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil^{(Marc O'Polo Body & Beach W-loungeset Ls Crew-Neck Ensemble De Pyjama Femme)}.

Conclusion

The decision-HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Waldläufer Chaussures de Ville à Lacets pour Femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Naturana Lot de 2 Combiné Femme 3033-of-20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40.

bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables, 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-Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules. 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,Gerry Weber Blouse Femme-LiliMill 5579.

Cosilana bébés, 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/RYKA Devotion XT Mid, 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-LiliMill 5579, 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,Wacoal Halo Soutien-gorge sans bretelles pour femme.