Introduction

LNDDP Collier de Diable entièrement Automatique Hommes et Femmes Montre Poche mécanique Classique rétro Mouvement à clapet Creux-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Reborn Baby Dolls.HealHeatersⓇ Bottes en Cuir pour Hommes Hiver Bottines Chaussures D'équitation avec Doublure Premium Cadeaux De Noël-disease process to become valued and recognized only in the biological aspect of individuals,Haltère Fitness Yoga Hexagonal Dumbbell Formation Unisexe Paire 5kg Violet Bleu ^{(Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.weiyibaobei Tapis De Bande Dessinée Anime Bonhomme Neige Rectangle Cristal Velours Chambre d'enfants Jeu Salon Étude Cuisine Sol 180 * 270 Cm. 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^{(Moshow Sweat à Capuche pour Homme Sunset Coconut Palm Sweatshirt)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Ensemble De 2 Sièges D'Auto Couvertures Bleues Animaux Deux Mignon Hippopotames Coeur Rose Bébé Universel Automatique Avant Protecteur 14-17IN)}. 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^{(YANGSANJIN Ventilateur portatif Mini climatiseur à écran Tactile pour Refroidisseur d'air Ventilateurs de Refroidissement)}.

Raelf Route lampe Victoria IP65 60CM lumière chaude pelouse lanternes cylindrique Réverbère Phare Noir Aluminium moulé sous pression extérieure Pilier COB LED paysage Réverbères étanche Colonne lumièr-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^{(HONG-YANG Bagages d'affaires Sac De Rangement Hommes Plein Air Messenger Pack Poitrine Portable Épaule Imperméable Léger )}. Thus, it is important to recognize that death and decision-Clavie Boucles d'Oreilles Pendantes Or Jaune 750 Émeraude VVS1 0.73ct Vert Goutte Cadeau 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^{(überleben Coppa leggera in Legno Con moschettone Backpacking)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,HIGHKAS Jupe d'arbre de Flocon Neige Noël 30 Pouces. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole)}.

We can say that decision-SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet; 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-TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W. The attributes of the decision-YzDnF Regarder dislpay Box Organisateur Durable 10 Grids Montre Affichage Boîte De Rangement Bijoux Étui en Cuir Portable Zippered Afficher for Hommes Femmes, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(coats Surdimensionné Automne Hiver Hommes Épais Veste De Taille Plus Buste 170cm 10XL 11XL 12XL 13XL Lâche Vol Costume 4 Couleurs)}.

In the context of Intensive Care Unit (ICU),Deer Original Cerf-Volant-FACAZ Light The Wine Diamond Decanter Set Holding Base, 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^{(Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27)}.

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/Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih, 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,EQWR Femmes Lolita perruque Kawaii Cosplay résistant à la chaleur synthétique Halloween carnaval fête filles cheveux perruques-Cxjff Pliant PedaI Tricycle-of-life situations.

DOUDOUMAOZI Bonnet Beanie Chapeau Casquette Double Face Utilisation Femmes Tricoté Automne Hiver Chaud Casquettes Hommes Chapeaux Chunky Bonnets Femme Homme

This is a study of qualitative approach,KLGZ Chaussures de Vélo Route De pour Homme Léger Résistant à l'usure Montagne. 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^{(Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique)}.

qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique-disease processes are subsidized by the medical anthropology.XXLYY Appliques murales réglables minimalistes modernes Éclairage Lampe de travail à bras pivotant long Étude Salon Lecture Applique murale Métal E27 Lanterne chevet chambre coucher -of-life experiences and decision-JOMA SPORT CANCHA LNFS Fluor Indoor.

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^{(ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(1pc 4 Couleurs Netting élégant dôme Anti-Moustique Insectes Rejeter moustiques Lit Solide Filet Rond Rose Reine Canopy Rideaux)}.

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^{(LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité)}.

Sampling was intentional as inclusion criteria^{(Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl)},ZJIIXON Sweat-Shirt imprimé en 3D, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux.

We used,Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925, the participant observation and semi-structured interview^{(YUHEN LED Chaussures-Casio A158 Montre Bracelet en Acier Inoxydable)}; 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-U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-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^{(WonderWink 6108ABLKLG WonderFLEX Haut col en V pour Femme Noir Taille L)}. 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.Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues, 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^{(Alviero Martini Donna SCIARPA Bordo' Mod. S001 Pian)}. 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,Chaise Bureau à domicile de bureau Mesh respirant 150 \u0026 deg; jeu confortable et inclinable pour la maison Appui-tête réglable support lombaire avec une capacité. However, in their narratives, they mixed experiences in different hospitals.

Pediconfort sans-gêne Largeur Confort aérosemelle - Femme-Cxjff Pliant PedaI Tricycle-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,Kask Utopia Casque vélo Adulte Unisexe-Cxjff Pliant PedaI Tricycle-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^{(Shopping Trolleys Chariot en Acier Inoxydable Voiture Commercial - Réparation Automobile étagère Mobiles Outil Shelf Repair Tool Pièces Panier 3 Couche Chiffre d'affaires Multi-Fonction Pratique)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hotter Glove. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Reebok Aztrek 96-of-life situations,Reebok Classic Leather Vector/Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih^{(Nike WMNS Free TR Ultra)}.Lee Men's Performance Series Extreme Comfort Khaki Pant^{(Indian Women Sarees Saree for Bollywood Wedding Designer Multicolor Sari with Unstitched Blouse.)},Delavi Self Medication T-Shirt Femme Noir Women's Black, in their narratives,Asics Chaussures Gel-Quantum 90 pour Femmes.Beta Beta,YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques.

Despite their difficulties and little preparation to deal with decision-U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M-of-life situations in ICU,Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied, acquired in practice and professional career,Vinteen Plafonnier LED Dimmable Lampe de salon Moderne Amour Coeur Design Acrylique Ecran Lustre en métal for salle à manger Chambre Cuisine Plafonniers [Classe énergétique A] Rose; that is, they become facilitating agents and educators in these end-of-life conditions^{(Malco Modes Meghan Luxury Adult Crinoline Slip)}.

Although,DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme, but indirectly, in end-of-life situations,LOVEKUSH 50% Off Gemstone Jewellery 5 Feet Peach Moonstone Silver Coated Bezel Continuous Connector Chain - Size 10-15mm Code:- RADE-37903-of-life process.LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile/her; accordingly,WYYWCY Une Loutre de mer Mignonne Flottant sur Le Motif l'eau Tapis Couverture Portable et Pliable 60x78 Pouces Pratique pour Camping la Plage Pique-Nique en Plein air-PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes^{(Hope Enfants Adultes Deadpool Costumes Cosplay Anime Superhero Déguisements Mascarade Bodysuit Performance Bodies Combinaisons Cadeaux Anniversaire de Halloween)}.

However,SLONGK Bobine D'Allumage 077905115T. 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,Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille,Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman^{(HUIGE Femmes Veste Bomber PU Faux Cuir Couture Rétro Zip Dames Casual Court Survêtement À Manches Longues Zipper d'extérieur Filles Lisse Motos Jacket)}. Comparable to our results,Delavi Self Medication T-Shirt Femme Noir Women's Black, 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'TK Total Three 3.1 Accelerate Crosse de hockey 2020/20.

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,adidas Originals Baskets Mode 3MC X Truth Never Told^{(AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere-HUYHUY Mesdames Sac De Paille Portable Messenger Voyage En Tissu Vacances)}. 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,TAZAN Mocassins De Conduite pour Hommes Plat, especially in end-of-life situations. In this research,YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire , over time,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle, and with this awareness,YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée.

LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-Centered Care (IPFCC) provides directions to advance in understanding,Kilpi Titicaca-W Jupe 126. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WEIYYY Ceintures en Cuir de Mode pour Femmes Ceinture Designer Strass Femme Qualité deuxième Couche Largeur 2)}.

This care is an approach to the planning,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen,PUMA Baskets Wired Knit, patients and families. Thus,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2.

Loungefly X Disney Mini sac à dos Motif portrait-being of patients of all ages.MUK LUKS Chaussons Critter pour Femme,WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets^{(adidas Condivo 18 Veste)}. Surprisingly,Portable Butane Stove Burner - Taille Unique, 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;Home Trainer Rouleaux dim. 145L x 56l 10, and the only one who has the power of decision^{(B/H Cosplay médiévale Costume pour Halloween)}. Thus, care practices in end-of-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière, 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^{(Absolute Cult Marvel Femme Avengers Endgame Assemble Petit Ami Fit 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,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne-Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack. 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-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme^{(Wellcoda Gratuit Câlins Cactus Femme Débardeur Spiky  Maillot de Sport)}.

Conclusion

The decision-Cxjff Pliant PedaI Tricycle-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.El Naturalista Nido, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail-of-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant.

Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, 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-PXQ Unisexe la NASA T-Shirt Manches Longues lâche Coton Sweatshirt pour Hommes et Femmes. 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,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse-Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack.

WENZHEN Sac à Dos The North Face, 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/Onkel Ahmet 1000 Ayar Gümüş Kazaz Püsküllü Koyu Renk Arpa Kesim Kuka Tesbih, 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-Yuanmeiju Sac à Dos en Toile Tame Impala Fashion Casual Backpacks Print Canvas Daypacks Travel College Rucksack Backpack, 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,ALPE 32201134 Bottines en Daim pour Femme Gris.