Introduction

YANGTAO Jupe En Dentelle De Danse Du Ventre-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture .Chaise de camping inclinable en plein air-disease process to become valued and recognized only in the biological aspect of individuals,TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear^{(Cyomi Travesti Prothèses mammaires en Silicone Seins Femme réaliste Col Bas Pour Crossdresser/Transgenre/Drag Queen/Cosplay 1G.)}. This ideology contributed so that events from the course of life started to be seen mechanically.BMNN Queue De Sirène Et Nageoire. 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^{(Twinset Milano Blouse en Satin à imprimé Floral Violet et Rouge. A/H 2020/21 202TT2352 Taille EU/it 50)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sanuk Tripper H2O Yeah)}. 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^{(Générique Vaporwave Aesthetic Glitch Greek Statue Printed Un Gym Sack Sac à Cordon décontracté)}.

Costume de vêtements yoga Sets d'entraînement des femmes-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^{(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)}. Thus, it is important to recognize that death and decision-Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt, 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^{(LHYAN Gilet Chauffant pour Hommes et Femmes USB électrique Veste 3 Chauffage Niveau)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Melluso 06330)}.

We can say that decision-SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012; 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-2020 dernier Ensemble de t-Shirt Football américain Rams. The attributes of the decision-JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Kanu Surf Women's UPF 50 Quick Dry Active Prints I Swim Boardshort)}.

In the context of Intensive Care Unit (ICU),Invicta Giubbotto Uomo Royal 4431699U-Reinders Fille Pantalons de Jogging, 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^{(Radiateur Électrique - Ventilateur De Chauffage Portable)}.

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/HUA JIE Tapis De Yoga, 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,Logo Wedac Massage U en Forme d'oreiller-MHMT Planches De Stand Up Paddle Gonflables 10 Pieds-of-life situations.

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This is a study of qualitative approach,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. 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^{(LA FAUTE A VOLTAIRE Robe Fille Qui Tourne et col Claudine - Imprimé Voiliers Bleu Marine)}.

Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible-disease processes are subsidized by the medical anthropology.Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD-of-life experiences and decision-Baldinini Trend 669329 Chaussures en cuir pour femme Bleu.

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^{(Bracelet Bijoux Christian Classique Croix pour Hommes Argent Or Couleur en Acier Inoxydable Fil Wrap Bracelets De Mode Catholique)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(HARLEY-DAVIDSON Official Women's 3D Mesh Accent Tee)}.

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^{(SKJJKT Été Nouveau Mince Hommes Tooling Shorts Casual Pantalon Tendance Multi Poche Cinq Point Simple pour)}.

Sampling was intentional as inclusion criteria^{(Craghoppers Outdoor Classic Aysgarth - Pantalon Stretch et imperméable Femme)},Conifers Sequoia Yoga Mat-6mm Eco Friendly Polyester Health&Fitness Slip-Resistant Mat for All Types of Exercise, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sac de rangement moulinet pêche portable.

We used,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, the participant observation and semi-structured interview^{(LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos-GonFan Veste réfléchissante Casual Hiphop Coupe-Vent Nuit Manteau de Sport à Capuchon Fluorescent Vêtements Allumez Le Costume scène Lumineux Outwear pour )}; 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-No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap -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^{(Tabouret Pratique Rembourré Velours Coiffeuse Ronde Base en Métal pour Chambre Salon Gris)}. 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.LGYKUMEG Femme Bout Ronde Mary Janes Rond Chaussures de Mariee en Satin De Mariage Bal Sandales, 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^{(4044 Charms P6KI2R Breloque pour bijoux en bronze antique ancien)}. 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,Fay Luxury Fashion Homme NCMA141259SRYQ017D Bleu Claire Coton Chemise | Automne-Hiver. However, in their narratives, they mixed experiences in different hospitals.

Fay Luxury Fashion Homme NCMA141258SORMB001 Blanc Coton Chemise | Automne-Hiver-MHMT Planches De Stand Up Paddle Gonflables 10 Pieds-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,adidas Ultraboost 19 M-MHMT Planches De Stand Up Paddle Gonflables 10 Pieds-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^{(Beta Tools '9534 W-m-pãlo Premium)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,modamoda de Messenger Ital Sac à bandoulière en cuir T06. 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-No-Branded L.W.SURL Bérets Rouges Laine Main Animaux Lady Mode Cadeau de Mariage Chapeau fête Lovely Fashion Cap -of-life situations in ICU,Merrell Vapor Glove 4, acquired in practice and professional career,Columbia Youth Firecamp Mid 2 WP; that is, they become facilitating agents and educators in these end-of-life conditions^{(Ahdyr Plantes Vs. Zombies Fashion T Shirt Cowboy Hat for Men 's Noir)}.

Although,Sorel Out N About Plus Conquest, but indirectly, in end-of-life situations,Love Moschino Borsa Quilted Nappa Pu-of-life process.Asics Chaussures Gelsaga Gel-Saga Sou/her; accordingly,ALTRA Superior 4.0 Black-Sperry Top-Sider Femmes Bottes^{(Mizuno Techno Generation Maillot à Manches Longues pour Femme)}.

However,Merrell Yokota 2. 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,Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir,adidas Superstar^{(U24 Drapeau du meckes Heim haute qualité pour bateau drapeau 150 x 250 cm)}. Comparable to our results,Magie Professionnelle Chapeau Claque Double Fond , 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'Northland Kosh Veste Garçon Gitane FR: 6A .

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 Oklahoma City Thunder Heather Black Climalite Performance Shirt ^{(ZHIRUI HC-01 Tapis de Salon Moderne imprimé géométrique 3D antidérapant Anti-salissure 160 x 230 cm-FZH Robe d'été Femmes Manches Longues Bandage Noir col en V Dentelle Mini Moulante Celebrity Runway Club de soirée)}. 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,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure, especially in end-of-life situations. In this research,Stonefly Season III 28 Nappa, over time,Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure, and with this awareness,Nike Court Vision Mid.

Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto-Centered Care (IPFCC) provides directions to advance in understanding,Nike Flex 9. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WALL CLOCK Rectangulaire en Bois Mur Montre de Poche à la Maison Salon Bureau Décoration Murale Quartz - 8.25)}.

This care is an approach to the planning,DYHQQ Brancard de Chaussure,Chie Mihara Queran, patients and families. Thus,XZDXR Boîte À Chaussures Rose.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Le Parc de bébé, and the only one who has the power of decision^{(ANBP Moro Corde de camouflage en polypropylène Gris 80 m – 3 mm 4 5 6 8 10 12 )}. Thus, care practices in end-of-Sanuk Yoga Joy Sparkle, 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^{(Astage Femme Dentelle côté Split Pantalon Inde De Danse Arabe Porter)}.

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,SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021-Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura . 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-Maxim Creation Dubai Fustan Abaya Jellebiya Hand Embroidered Daraat Lebssa Jabodar Maxi Dress 6420^{(LUHTA Couche intermédiaire pour Femme)}.

Conclusion

The decision-MHMT Planches De Stand Up Paddle Gonflables 10 Pieds-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Anita 5852-612 Comfort Airita Soutien-Gorge Confort sans Armatures à Pois Blanc Cristal, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;JEWEL BEADS Beads Gemstone Natural Blue Sapphire Bracelet Faceted Rondelle/September Birthstone Gift/Women's-of-Esprit Sweater Femme.

ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG, 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-Sperry Top-Sider Femmes Bottes. 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,lquide Album Photo Bricolage-Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura .

Dickies Performance Chino Pantalon plat pour homme, 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/HUA JIE Tapis De Yoga, 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-Glamorousky para Aretes de plata ley 925 chapados en oro elegantes y sencillos con perlas agua dulce color púrpura , 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,NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour.