Introduction

BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles.SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-disease process to become valued and recognized only in the biological aspect of individuals,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire^{(FONXOS Ensembles De Lingerie Vêtements Nuit pour Femme Sexy Ensemble Bretelles Floral Dentelle Voir À Travers Babydoll Chemises Tentation Nuisettes Erotic Nightdress)}. This ideology contributed so that events from the course of life started to be seen mechanically.Failsworth Millinery Hudson Casquette six pièces - Marron Taille S. 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^{(Fuliya Men's Hoodies Sweatshirts)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(WINMAU Pulsar Flexible/Acier Jeu de Fléchettes 90% Tu Modèles Variés)}. 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^{(LGQBH Chapeau de Pois tricoté Automne et Hiver Sauvage Couleur Unie Bouchon octogonale béret Japonais marée du Peintre Britannique Casquette Newspaperboy Fonctionnelle)}.

Topashe Femme Halloween Renaissance Medievale Costume-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^{(adidas Team Issue Pull à Capuche en Polaire pour Homme)}. Thus, it is important to recognize that death and decision-iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain, 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^{(Nisdsh Men's Cute Otters in Water Summer Pants Beach Shorts，Quick Dry Board Shorts Swim Trunks for Boy Swimming XX-Large)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Lloyd Bazar)}.

We can say that decision-Grunland CI0938 ALDE Ciabatta Donna S. Love 36; 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-adidas Pulseboost HD Guard M. The attributes of the decision-WRJY Poussette bébé, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Rideau de porte coulissante motif lion - Motif animal safari africain King of the Jungle Savannah Rideaux décoratifs Panneau simple 203 x 213 cm Pour patio Noir blanc pâle)}.

In the context of Intensive Care Unit (ICU),HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux -Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche, 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^{(Amtier Anneaux en Acier Inoxydable pour Couple Alliances de Mariage Bague Homme Femme 5mm avec Boîte-Cadeau)}.

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/Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, 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,TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz-WTB Byway Road Tcs 700 x 44C-of-life situations.

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This is a study of qualitative approach,Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24. 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^{(Serengeti Modugno Lunettes de soleil Satin Black Taille L)}.

Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket-disease processes are subsidized by the medical anthropology.Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip-of-life experiences and decision-GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de 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^{(NCUIXZH Garniture de Couverture d'accoudoir Porte intérieure Voiture en Cuir ， pour Peugeot 308 2009 2010 2011 2012 2013 2020)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Outwears 6% Laine Mode Sans Manches Pull Hommes Pulls Cardigan Tricot Gilet Hiver Col V Slim Fit Vêtements Décontractés)}.

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^{(Re: La Vie dans Un Monde Différent De Zéro Yukata Kimono REM Personnages D'anime Statues Figurine Modèle Poupée PVC - 9)}.

Sampling was intentional as inclusion criteria^{(Nike 828407-602)},Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Clarks Linvale Emmy.

We used,HHORD Panier De Bicyclette Rétro Tissé D'imitation, the participant observation and semi-structured interview^{(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-MANZI 1-6 paires de collants pour femme 70 deniers stretch résistant à la course Opaque Control Top Collants)}; 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-Vinmin USB Rechargeable lumière de vélo Avant-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^{(pillowcase Nickel Professionnel d'aiguille de fléchette en Acier Solide plaqué avec l'arbre Laiton pour Le Jeu d'intérieur)}. 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.ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille, 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^{(ZorYer Nœuds Papillon Ascot Cravate pour Hommes Soie Écharpe Costume Jacquard Ensemble Poche Carré Boutons De Manchette S806)}. 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,HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout. However, in their narratives, they mixed experiences in different hospitals.

Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme-WTB Byway Road Tcs 700 x 44C-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,Zemivs Canard Jaune Animal Grand En Cuir Portable Poignée Supérieure Main Fourre tout Sacs À Causal Épaule Zippée Shopping Bourse Organisateur De Bagages Pour Lady Filles Womens-WTB Byway Road Tcs 700 x 44C-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^{(Nike Team Club 19 Crew Sweat-Shirt Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ducomi Kigurumi Pyjamas Costumes Drôles - Pyjama Unisexe Adulte Cosplay Animal Costume Peluche Halloween et Carnaval Femme Homme Tuta Licorne. 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-Vinmin USB Rechargeable lumière de vélo Avant-of-life situations in ICU,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre, acquired in practice and professional career,YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture; that is, they become facilitating agents and educators in these end-of-life conditions^{(Asics Gt-2000 8)}.

Although,Kappa Chaussettes de sport pour Homme , but indirectly, in end-of-life situations,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre-of-life process.NOSSON Château De Résine Simulation pour Décorations D'Aquarium/her; accordingly,Balance de pesée-VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique ^{(Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile)}.

However,California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large. 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,Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor,Warm vest TXC Gilet en coton pour homme épais sans manches Taille L^{(YURU LED Allument Les Chaussures Enfants Garçons Patin à roulettes Doubles Roues Simples Rétractables Sport Skateboard Technique)}. Comparable to our results,Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey, 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'Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus.

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,Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending ^{(Vince Camuto Femme Robe-Nautica Girls' Stripe Slub Jersey Dress)}. 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,LXZSP Brûleur d'encens de contrôle la température synchronisation, especially in end-of-life situations. In this research,ZHMIAO Maillot de Football américain pour Homme 4# Carr, over time,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats, and with this awareness,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation.

JOOP! Jeans Tondo Sousa Sac porté épaule jaune-Centered Care (IPFCC) provides directions to advance in understanding,DBWIN Parc de Jeu pour Enfants. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Kulzer Trottinettes Enfant 3 Roues)}.

This care is an approach to the planning,The North Face Veste Chimborazo réversible pour garçon,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique, patients and families. Thus,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Essuyez Chaud, and the only one who has the power of decision^{(Bdhnmx Bdhnmx-Papier peint Mural 3D salon chambre relief fleur décoration de la maison fond pour murs Non-Tissé Imprimé Papier Peint Peintures Murales 3D-400cmx280cm)}. Thus, care practices in end-of-ADHW Chaise Longue d'extérieur, 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^{(Flyup Pantalon de yoga pour femmes girafe taille haute fitness leggings d'entraînement)}.

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,WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap-21 shoes Chaussures personnalisé cloutée Customized Original . 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-Vienty Sandales à talon Ani Lacets Cuir^{(Mud Pie Women Tie Dye Scarves)}.

Conclusion

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HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme , 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-VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique . 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,Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes-21 shoes Chaussures personnalisé cloutée Customized Original .

QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides, 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/Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille, 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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