Introduction

PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SLONGK Bobine D'Allumage 077905115T.Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille-disease process to become valued and recognized only in the biological aspect of individuals,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman^{(Cudeman Couteau de Camping 124-M Mod. JJSK1 Pierre à aiguiser en Cadeau)}. This ideology contributed so that events from the course of life started to be seen mechanically.TK Total Three 3.1 Accelerate Crosse de hockey 2020/20. 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^{(Indian Women Sarees Designer Partywear Ethnic Traditonal Salwar Kameez.)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(1982 Donruss Baseball Un-opened Cards. Look for the Cal Ripken Jr. Rookie Card. by EPACKS)}. 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^{(Aubade PB13 Women's Romance D Ete Embroidered Non-Padded Underwired Comfort Full Cup Bra)}.

adidas Originals Baskets Mode 3MC X Truth Never Told-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^{(Piquadro Pierre Sac de Sport Grand Format)}. Thus, it is important to recognize that death and decision-TAZAN Mocassins De Conduite pour Hommes Plat, 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^{(FRWANG Tongs Plage Homme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown)}.

We can say that decision-SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle; 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-YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée. The attributes of the decision-LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Swarovski Bracelet-jonc Originally)}.

In the context of Intensive Care Unit (ICU),Kilpi Titicaca-W Jupe 126-TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen, 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^{(HÖGL Finesse)}.

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/PUMA Baskets Wired Knit, 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,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne-of-life situations.

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This is a study of qualitative approach,Loungefly X Disney Mini sac à dos Motif portrait. 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^{(MEN.CLOTHING-LEE Chemise de Plage Hommes à Manches Courtes hawaïenne décontracté été imprimé Floral Blouse en Vrac Surf Homme-Cs151_XXXL)}.

MUK LUKS Chaussons Critter pour Femme-disease processes are subsidized by the medical anthropology.WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets-of-life experiences and decision-Portable Butane Stove Burner - Taille Unique.

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^{(Le groupe Hillman 44039 10–32 x 3/4 socket Cap Vis à tête plate)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(XXHDEE Summer Male Knight Gants Respirants Incassables Et Respirants)}.

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^{(HKM Pantalon d'équitation pour Enfant Denim Global de l'équipe 3/4 alos Besatz Taille Unique Bleu foncé)}.

Sampling was intentional as inclusion criteria^{(Urra J466-5006-00 Bamboo Couette Blanc 1000 g)},Home Trainer Rouleaux dim. 145L x 56l 10, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière.

We used,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne, the participant observation and semi-structured interview^{(Lego Wear Lwjoshua Blouson Bébé garçon-CCM Super Tacks AS1 Skate Men)}; 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-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-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^{(Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown)}. 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.El Naturalista Nido, 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^{(CGJ 4 Couleurs Pantalon de Yoga à Jambes Larges)}. 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,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail. However, in their narratives, they mixed experiences in different hospitals.

Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant-Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne-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,Sljj Patins À Roues Alignées-Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne-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^{(Le Parc de bébé)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone. 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-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-of-life situations in ICU,XWHKX Bague pour Homme avec Zircon Noir et Pierres de Feroza, acquired in practice and professional career,Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown; that is, they become facilitating agents and educators in these end-of-life conditions^{(Traclet Casquette Irlandaise Newry Laine Anthracite 56 cm)}.

Although,CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control, but indirectly, in end-of-life situations,MOXIN Ceinture Abdominale Vibrante Amincissante Electrostimulation et Musculation Abdominaux pour Homme Femme Le Ventre-of-life process.ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied/her; accordingly,AKTIVE 54078 But de Football Pliable 24 x 120 cm-JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party^{(SOCCX Pull pour femme avec structure en maille et logo)}.

However,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm. 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,Pot pour Bébé,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard^{(Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python)}. Comparable to our results,YATTYUG Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet, 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'BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes.

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,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm^{(Sveltek Raffermissant Brassiere et Legging Femme-monepass Lot de 1000 tubes euro papier pour pièces 1Euro)}. 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,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes, especially in end-of-life situations. In this research,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook, over time,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes, and with this awareness,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison.

FACAI Masseurs électriques pour Les Pieds-Centered Care (IPFCC) provides directions to advance in understanding,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Oreillers lombaires Respirants Support Dorsal ergonomie Coussin Lombaire densité 40D Coton à mémoire pour Bureau)}.

This care is an approach to the planning,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes, patients and families. Thus,LILONGXI Gilet Doudoune.

PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb -being of patients of all ages.Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant^{(7 A.M. Enfant Barcelona Diaper Bag)}. Surprisingly,U/A Cardigan Pull Femme Géométrique Tricot Automne, and the statements show that they respect, albeit informally, the concepts proposed by IPFCC.

The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WRJY Poussette pour bébé Poussette, and the only one who has the power of decision^{(U.S. POLO ASSN. US Polo Assn. classique pour homme avec grand logo)}. Thus, care practices in end-of-Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, 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^{(Gowell One Piece Anime Cosplay Chaussures Toile My Hero Academia)}.

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,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -Kask Utopia Casque vélo Adulte Unisexe. 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-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.^{(Wuwenw Mur Art Toile Affiche Hd Imprimé 5 Pièces Inde Tibétain Ganesh Peinture Pour Salon Décor À La Maison Éléphant Têtephotos4)}.

Conclusion

The decision-Orient AP0003S Montre mécanique classique vintage Petite Sub Seconds Champagne-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;DIY fun shop Sac à bandoulière-of-Deeluxe Robe Ample léopard Amanda Femme.

Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, 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-JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party. 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,POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival-Kask Utopia Casque vélo Adulte Unisexe.

QIAOLII Pochette pour dames asiatique Phoenix Fire Bird fille mode sacs 10 X 8 pouces léger PU cuir universel sac à bandoulière avec longue sangle les femmes, 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/PUMA Baskets Wired Knit, 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-Kask Utopia Casque vélo Adulte Unisexe, 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,WGFGXQ Plafonnier.