Introduction

SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,2020 dernier Ensemble de t-Shirt Football américain Rams.JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN-disease process to become valued and recognized only in the biological aspect of individuals,Invicta Giubbotto Uomo Royal 4431699U^{(Réaliste bébé poupée Enfant en Bas âge mémoire Aide Pleine Simulation de Silicone Reborn poupée)}. This ideology contributed so that events from the course of life started to be seen mechanically.Reinders Fille Pantalons de Jogging. 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^{(Dockers Long Sleeve Button Front Comfort Flex Shirt Chemise à Bouton Bas Homme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(YAYAS Hommes Casual Pantalon Long de Survêtement Gym Sport Workout Joggeurs Poches Pantalons)}. 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^{(Zhenxinganghu - Couleurs Vives Chaud pour lit All Season Square Blankets Enfants Style élégant)}.

HUA JIE Tapis De Yoga-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^{(Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket)}. Thus, it is important to recognize that death and decision-Logo Wedac Massage U en Forme d'oreiller, 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^{(Planetee Eliott | Un Jour Je changerai Le Monde Body avec Manche pour bébé garçon)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,N / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon )}.

We can say that decision-Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible; 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-Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD. The attributes of the decision-Baldinini Trend 669329 Chaussures en cuir pour femme Bleu, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(MxZas Épée Stand épée de samouraï Hanger Porte d'affichage Trois Couleurs Disponibles for Rack)}.

In the context of Intensive Care Unit (ICU),Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise-Sac de rangement moulinet pêche portable, 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^{(FRWANG Hommes Été Sandales Respirant Tongs Pantoufles)}.

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/GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes, 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,No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap -H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique-of-life situations.

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This is a study of qualitative approach,LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales. 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^{(Windhound Original College Jacke weiß mit schwarzen Echtleder Ärmel M)}.

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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^{(Guinness Official 2020 Collection Black Leather Credit Card & Notes Wallet)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ASDAH Écharpe perturbée en Plein air au col Turban Magique Balaclava Sports Headdress`Q3)}.

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^{(Jack Wolfskin Bondi Notebook Sac A Dos Daypacks Mixte)}.

Sampling was intentional as inclusion criteria^{(Wellcoda s'efforcer Le progrès Femme Sweat-Shirt Imprenditore  Pull Occasionnel)},B/H Orthopédique Pantoufles, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.AJH Tabouret carré Super Doux avec Pieds en Bois entrée du Salon Petit Repose-Pieds Changement de Chaussures Banc Chaise Maquillage pour l'intérieur.

We used,AJH Animal Tabouret Repose-Pieds Ottoman, the participant observation and semi-structured interview^{(FB Fashion Boots 14902-JD Boîte de montre Montre - Pratique Rangement Bijoux )}; 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-IUBBKI cerf 02 Rivets en cuir sac à main fourre-tout dame bandoulière pour femme fille-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^{(O'NEILL Santa Cruz Stripe Boardshorts Homme)}. 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.Échelle de Tabouret Pliable en 2 étapes, 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^{(S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15)}. 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,Frieed Plaid Tassel Tweed Blazer Coat V-Neck Double Breasted Button Belt Ladies Coats Long Sleeve Outwear Jacket. 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,Merrell Vapor Glove 4-H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique-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^{(El Ganso Blazer Acolchada Nylon)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Columbia Youth Firecamp Mid 2 WP. 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-IUBBKI cerf 02 Rivets en cuir sac à main fourre-tout dame bandoulière pour femme fille-of-life situations in ICU,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir, acquired in practice and professional career,adidas Superstar; that is, they become facilitating agents and educators in these end-of-life conditions^{(adidas Gazelle)}.

Although,Northland Kosh Veste Garçon Gitane FR: 6A , but indirectly, in end-of-life situations,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt -of-life process.Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure/her; accordingly,Stonefly Season III 28 Nappa-Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure^{(YUIOLIL Children's Microscope 1200x with LED Lights)}.

However,Nike Court Vision Mid. 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,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto,Nike Flex 9^{(Clarks Women's Verona Rock Ankle Boot)}. Comparable to our results,LSERVER Doudoune Duvet Enfant Fille Manteau Hiver Longue Parka Epaisse Chaud Blouson Veste Capuche Fourrure, 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'DYHQQ Brancard de Chaussure.

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,Chie Mihara Queran^{(Helly Hansen Hp Racing Midlayer Jacket Veste pour hommes Homme-NATTOU Gigoteuse à Porter Toute l'Année Tim/Tiloo Bleu Tog 1)}. 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,XZDXR Boîte À Chaussures Rose, especially in end-of-life situations. In this research,Nike Air Max 97 Essential, over time,TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , and with this awareness,Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings.

Tommy Hilfiger Leon 21-Centered Care (IPFCC) provides directions to advance in understanding,Le Parc de bébé. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jancerkmou Hommes Cyclisme Descente Shorts lâche Sports de Plein air Route VTT vélo Pantalon Court)}.

This care is an approach to the planning,Sanuk Yoga Joy Sparkle,SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, patients and families. Thus,Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;lquide Album Photo Bricolage, and the only one who has the power of decision^{(AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats)}. Thus, care practices in end-of-Dickies Performance Chino Pantalon plat pour homme, 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^{(H.ZHOU Les Hommes de Football américain Sweats à Capuche)}.

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,NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour-CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool. 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-Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme^{(ROTHCO T-shirt – Enfants)}.

Conclusion

The decision-H&E Veste d'hiver pour homme en similicuir doublée de fourrure synthétique-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.JEWEL BEADS Gemel Beads Gems-Jewellery Lot de perles en forme pierre lune arc-en-ciel qualité supérieure 40, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fila Baskets Femme-of-Skechers Summits-Forton 52813/BBK Chaussures basses pour homme.

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SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila, 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/GRTVF Rechargeable RC Car Professional 2.4GHz télécommande véhicule Hors Route 4X4 Fort Chevaux-Vapeur Tout Terrain Racing Toy Cadeau for Les Enfants et Adultes, 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-CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool, 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,Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair.