Introduction

Studio Untold Femme Grandes Tailles Jupe plissée-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap.DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge-disease process to become valued and recognized only in the biological aspect of individuals,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire^{(The North Face Trail Escape Edge Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres. 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^{(Danielle Nicole Little Mermaid Ursula Crossbody)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HLONGG Peep Toe Sandales Talons Hauts)}. 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^{(Horloge Murale silencieuse Moderne de Chat Dudu)}.

TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto-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^{(Wrangler Authentics Men's Big & Tall Classic Relaxed Fit Flex Jean Homme)}. Thus, it is important to recognize that death and decision-Carter's Baby Ensemble de body et pantalon pour bébé garçon, 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^{(XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,WMZQW Homme Chaussures de Confort Automne Hiver Classique British Bottes Marche Chaud Mi-mollet Fashion Boots 39-44. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BILLABONG Short de Bain All Day Riot Lt pour Homme)}.

We can say that decision-ZyuQ Bottes pour hommes d'automne Martin Masculines Britanniques De Haute Couture D'Outillage Rétro À Fond Épais dans Les Chaussures; 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-lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée. The attributes of the decision-Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Noppies Vêtements Bébé Un Enfant Female T-Shirt Moody)}.

In the context of Intensive Care Unit (ICU),Intéressant Cuisiner rôle de cuisine Jouets enfants Play Set jeux for les Cuisine Garçons Filles Pretend Jouet Jeux la maternelle et tout-petits fille-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI, 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^{(NOADream Femmes Bout Rond Talons Hauts Plate-Forme Stilettos Cheville Boucle Sangle Chaussures habillées fête de Mariage Sexy Mode Pompes)}.

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/adidas Response It Hommes Synthétique Chaussure de Course, 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,JHSHENGSHI Support de Pot Plante Jardin à 3 Niveaux ， Présentoir d'herbes Fleurs Terrazzo in Ferro battuto soggiorno contenitore per Interno Conteni-BILLABONG Garçon Short décontracté-of-life situations.

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This is a study of qualitative approach,Applique murale rustique moderne pour chambre à coucher. 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^{(Divine Follie Femme Bottines)}.

YuYzHanG Housse De Pluie pour Voiture Bébé Pare-Brise Générale Enfant Parapluie Poussette -disease processes are subsidized by the medical anthropology.Ericcay Chapeau De Thé Floral Forme Haut Mini Unique élégant Derby du Kentucky Violet Et Crème Fleur Alice Au Pays des Merveilles Fou Mariage en-of-life experiences and decision-YAOLAN Raindrop Lampe de Table en Cristal.

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^{(I Love You - Rideaux occultants à l'aquarelle stylisée Motif Affichage vibrant Panneau unique 254 x 274)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Collections Etc Sloggers Chaussures de Jardin imperméables pour Femme avec Semelle intérieure Confort)}.

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^{(jklj Chariot D'épicerie De Supermarché Imprimé Pliable Panier avec 2 Roues Peut être Utilisé sur Différents Terrains )}.

Sampling was intentional as inclusion criteria^{(Nike Zoom 2k)},AMIT FASHIONS Chemisier Lehenga entièrement Cousu en Soie Banarasi pour Femmes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Qazwsxedc Pour vous HYF 3 en 1 épaule PU Sac Casual Ladies Messenger Bag .

We used,N / A Herren-Basketball-Jersey - Jersey Pelikane # 11 Jrue Holiday Breathärmel Sports Fitness T-Shirts Fans de Basket-Trikot, the participant observation and semi-structured interview^{(Blaklader 4753251699984XL Veste softshell à capuche Noir/gris foncé Taille 4XL-DYH&CTS Doudounes Coton Veste d'hiver Femmes Lâche À Capuche en Rembourré Manteau Femme Épais Longues Parkas Outwear)}; 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-HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-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^{(Jewelco London Europa Hommes Or Jaune 9k fantaisie bague)}. 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.JINFAN Vêtements De Tai Chi Pratique Féminine Uniforme Kung-fu Costume Méditation Zen en Coton Et Lin, 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^{(Honeywell Ranger 6" Heavy-Duty Men's Rubber Steel Toe Work Shoes)}. 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,Navires Bébé Jouet Tapis Enfants Rampant Nursery De Jeu Couverture. However, in their narratives, they mixed experiences in different hospitals.

Ourui Montres Bracelet-BILLABONG Garçon Short décontracté-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,EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite-BILLABONG Garçon Short décontracté-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^{(DJNGN Sac à Dos pour Enfants Bowling Y)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes-of-life situations,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité/adidas Response It Hommes Synthétique Chaussure de Course^{(shiwu Chaussures à Lacets Formelles pour Hommes en Cuir Bicolore Oxford Poli habillées)}.Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine^{(adidas Terrex Swift R2 GTX)},HXF Charmant Filles Princesse Blanche Robe, in their narratives,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable .LDH Mi-Longueur Doudoune Femme Hiver,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme.

Despite their difficulties and little preparation to deal with decision-HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-of-life situations in ICU,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale, acquired in practice and professional career,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton ; that is, they become facilitating agents and educators in these end-of-life conditions^{(MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique )}.

Although,Etnies Barge XL, but indirectly, in end-of-life situations,Kipling Citypack XS Bretelles de sac à dos ajustables-of-life process.adidas EQT Cushion ADV/her; accordingly,Aubade Haut de Maillot Bain Noir Taille100D-Bisgaard 63102218^{(Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer)}.

However,AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling . 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,Inov8 F-Lite G290 Chaussure De Course à Pied - AW20,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady ^{(Assiette De Diner Plaque Cuisson en Porcelaine 6 Pouces Bol À Dessert Ramequin Baker Dîner Plats Pâtes Vaisselle Ménagère)}. Comparable to our results,HXF Charmant Filles Princesse Blanche Robe, 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'DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir.

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,New Balance Lav V1 Hard Court^{(OYPY Femmes Tango/Salle de Bal/Chaussures Danse Latine Salsa Heeled Chaussures Professionnelle for Dames Filles 5cm / 7cm -XQRYUB Coussin d'accoudoir de Console Centrale Voiture)}. 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,Under Armour Charged Rogue Twist Ice 302, especially in end-of-life situations. In this research,Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU, over time,Champion Cropped Coaches Jacket Blouson de survêtement Femme, and with this awareness,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme.

Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater-Centered Care (IPFCC) provides directions to advance in understanding,Powerslide Swell Trinity Lite 100 Inline Skate 2020 Black. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Bobux Zap)}.

This care is an approach to the planning,KeenFlex Tente de Camping 2 Personnes Double Couche Ultra légère,LIULINUIJ Boutonnière Au Dos, patients and families. Thus,LOVEKUSH 50% Off Gemstone Jewellery 1 Strand Natural Mojave Purple Copper Turquoise 7 inch AAA Quality Smooth Pear Shape Briolettes 15X7 MM Code:- RADE-28864.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;A.OAQRFA Sac à main pour femme, and the only one who has the power of decision^{(HESTRA Henrik Gants de ski court en cuir)}. Thus, care practices in end-of-Trussardi Jeans, 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^{(MATEIN Sac à dos roulettes pour ordinateur portable)}.

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,MKeDa Mens Automatic Watches Classic Rotatable Bezel Stainless Steel Calendar Male Luxury Dress Wrist Watch-Wacoal Bra Underwire Soutien-Gorge de Sport Femme. 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-Salamander Vasco^{(Daesar Bague Homme Argent 925 Sterling Punk Rétro Fleur Dragon Anneau Noir Taille 56.5-74)}.

Conclusion

The decision-BILLABONG Garçon Short décontracté-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Party King Adult 80's Pop Diva Fancy Dress Costume X-Small, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Napapijri Serber Ls T-Shirt Homme-of-BILLABONG Short de Bain All Day Riot Lt pour Homme.

adidas Originals KXT21 Pro Modèle Blanc Taille 14, 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-Bisgaard 63102218. 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,MATEIN Sac à dos roulettes pour ordinateur portable-Wacoal Bra Underwire Soutien-Gorge de Sport Femme.

Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003, 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/adidas Response It Hommes Synthétique Chaussure de Course, 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-Wacoal Bra Underwire Soutien-Gorge de Sport Femme, 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,Heatile USB Chauffant Gilet Lavable Chauffage Rapide Trois thermostats Apte à Homme et Femmes pour Le Voyage en Plein air.