Introduction

SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire.Failsworth Millinery Hudson Casquette six pièces - Marron Taille S-disease process to become valued and recognized only in the biological aspect of individuals,Topashe Femme Halloween Renaissance Medievale Costume^{(N / A Peluche Chat Jouet Doux en Dessin animé Blanc Mignon avec Chapeau de Fraise poupée Chaton Noir Enfant Enfants 25 cm)}. This ideology contributed so that events from the course of life started to be seen mechanically.iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain. 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^{(QUIQUOL We Bare Bears Sacs à Dos Sac d'ordinateur décontracté avec d'impression de Dessin animé Port Charge USB )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Dthlay Pantalons Pantalon tricoté Minimaliste Automne Hiver Femmes décontracté Solide lâche Femme Droit)}. 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^{(Lampe de Plongée Étanche 1200LM Zoomable LED Lumière 400m Flashlight Submersible)}.

AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski-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^{(UGHUIHG Queen B Collage Beyonce)}. Thus, it is important to recognize that death and decision-Grunland CI0938 ALDE Ciabatta Donna S. Love 36, 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^{(Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,adidas Pulseboost HD Guard M. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(IADISAASD Montre de Quartz Mode/ Couple Occasionnel Watch / Simple étanche -N)}.

We can say that decision-WRJY Poussette bébé; 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-HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux . The attributes of the decision-Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Clementoni Disney Baby anneaux empilables)}.

In the context of Intensive Care Unit (ICU),Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille-TANOU Naturel Vert Jade Yoni Oeuf Cristal Pierre Oeufs Kegel Exercice Boules Vaginales Exerciseur Vaginal Pelvien Boule de Quartz, 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^{(Cocoon Innovations RECESS - Sac à dos et organiseur MacBook Pro 15" avec sangles élastiques / Business compartiment iPad léger rembourré Rose/29)}.

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/Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24, 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,Ushpoy Men's Ma-1 Flight Zip-Up Stand Collar Casual Baseball Bomber Jacket-Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc -of-life situations.

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This is a study of qualitative approach,Fanuosu Couverture de Chaussures Pluie Adulte Oxford Tissu Bottes De Set Hommes Et Femmes À Faire La Randonnée Désert Sable Contrôle Neige Couvre-Pied Épaississement Non-Slip. 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^{(YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre)}.

GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité -disease processes are subsidized by the medical anthropology.Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie-of-life experiences and decision-Clarks Linvale Emmy.

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^{(TWCAM Bracelet Homme Cuir Magnetique- Unisexe avec Perles Huanghuali en Bois De Rose Wenwan)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Cavo timoneria SSC62 per Safe-T)}.

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^{(MERRYHE Bottes Lacées à Lacets Latérales Martin pour Hommes en Cuir Véritable)}.

Sampling was intentional as inclusion criteria^{(Visite de la sonde Quickdraw Diamant Noir)},HHORD Panier De Bicyclette Rétro Tissé D'imitation, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Vinmin USB Rechargeable lumière de vélo Avant.

We used,ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille, the participant observation and semi-structured interview^{(Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W -Toygogo Lanière De Harnais Ceinture Sécurité Taille Simple Protection)}; 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-HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-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^{(Plusieurs couleurs film dessin animé animation enfants veilleuse LED capteur tactile ornements lumière vacances cadeau 3D USB)}. 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.Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme, 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^{(Microphone À Condensateur Kit)}. 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,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes. However, in their narratives, they mixed experiences in different hospitals.

HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger-Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc -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,YALION Chaussures Souple pour bébé -Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc -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^{(Utility Diadora Veste Sail Gris gris M)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir. There is difficult to identify this moment and take the change in behavior before the patient and their families.

teesquare1st Men's Zombie Apocalypse Grey T-Shirt-of-life situations,Fedso Cavalier King Charles Épagneul légèrement coloré Sketch Classique Casual Montre à quartz en acier inoxydable Noir Bracelet cuir Montres/Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24^{(Usb 3d Led Veilleuse F-16 Combat Falco Avion Warcraft Modèle Illusion Fighter Décoratif Lumières Warplane Lampe De Table Chevet)}.Hudson baby Long Sleeve Bodysuits^{(aipipl Décoration d'aquarium Reptile Den Reptiles Hides and Caves Céramique Ornement à la Main Décor Fournitures d'aménagement paysager Betta Accessoires de Poisson)},Naturalizer Sam, in their narratives,YANGPANGZI Maillots de Bain Une pièce Sexy Bikini européen et américain Femme.YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre,YANGPANGZI l'europe et Les États-Unis Nouveau Maillot de Bain Une pièce Vert lac ins Vent Plage balnéaire Vacances Source Chaude était Mode Ventre Mince Couverture.

Despite their difficulties and little preparation to deal with decision-HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout-of-life situations in ICU,Kappa Chaussettes de sport pour Homme , acquired in practice and professional career,YANGPANGZI Maillot de Bain Une pièce européen et américain Femme Ventre; that is, they become facilitating agents and educators in these end-of-life conditions^{(LOVEKUSH RARE BEADS 12X18 MM Blue Jade faceted Pear Briolette 8" Strand)}.

Although,NOSSON Château De Résine Simulation pour Décorations D'Aquarium, but indirectly, in end-of-life situations,Balance de pesée-of-life process.VHGYU Pull en tricot pour homme Printemps Automne Hiver Décontracté Manches Longues Entonnoir Col Carreau Jacquard à capuche Homme Chandail Classique /her; accordingly,California Costumes Mens Royal Storybook Prince Fancy Dress Costume X-Large-Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor^{(LIJIA Cartable Sonic 3 pièces/Ensemble Enfants 3D Dessin animé Sac à Dos Le Motif hérisson Livre Sacs Logo d'école pour garçons étudiant)}.

However,Warm vest TXC Gilet en coton pour homme épais sans manches Taille L. 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,Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus,Ryyland-Home Corne de Chaussure Acier Inoxydable Chausse Ménage Prolongé Poignée Cadeau d'affaires Chaussures en métal Lifter Minimal Bending ^{(Falke Wool Tech. Trend M Ls SH Tee-Shirt à Manches Longues Homme)}. Comparable to our results,Naturalizer Sam, 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'LXZSP Brûleur d'encens de contrôle la température synchronisation.

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,ZHMIAO Maillot de Football américain pour Homme 4# Carr^{(XPF Tai Chi Vêtements Casual Hommes Et Femmes Printemps Automne Hiver Exercice Costume De Sport-2~10 Mois 1800G Silicone Faux Ventre Fausse Mère Enceinte Femmes Artificielles Prénatales Prop Flottabilité Caressé)}. 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,AINUOSHI Alliances de fiançailles en argent sterling 925 avec oxyde zirconium et imitation diamant 3 carats, especially in end-of-life situations. In this research,TIANQIZ Montres deplacer pour Automatique 5 Modes De Rotation Boîte Rangement Stockage USB Remontoir Montre Simple 2 Méthodes d'alimentation, over time,JOOP! Jeans Tondo Sousa Sac porté épaule jaune, and with this awareness,DBWIN Parc de Jeu pour Enfants.

The North Face Veste Chimborazo réversible pour garçon-Centered Care (IPFCC) provides directions to advance in understanding,Hoonigan HRD20 Censor bar T-shirt adulte Medium Authentique. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Shrieking Violet Bijoux en argent avec fleurs véritables - pendentif femme pavot et bourgeon de rose forme ronde 45cm chaine inclus)}.

This care is an approach to the planning,YANGFH Caméra 1080P 12MP HD Jeu Cam 940nm Infrarouge LED Vision Nocturne IP66 Étanche Angle De Détection 110 ° caméra,New Era Americana T-Shirt ~ York Yankees, patients and families. Thus,In:sole Insole Sandales Talon Haut.

MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2-being of patients of all ages.weiwei Survêtement de patinage artistique pour adulte - Pantalon léger en polaire,Essuyez Chaud^{(LJMHG Shorts Summer Denim Women High Waist Jean Female Loose Hole Jeans with Pockets Casual Plus Size S-6Xl L Blue)}. Surprisingly,ADHW Chaise Longue d'extérieur, 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;WSJDE Anime Eva Cosplay Asuka Langley Soryu Perruques Perruque Orange Ponytails Cap, and the only one who has the power of decision^{(Nouxh Homme Femme Dead by Daylight Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL)}. Thus, care practices in end-of-Vienty Sandales à talon Ani Lacets Cuir, 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^{(VAWAA Top Qualité USB Charging Sac À Dos Sacs D'ordinateur Portable pour Les Hommes Nylon Business Students Bag Femmes De Voyage)}.

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,adidas Originals Chaussures Junior Haiwee-DGHJK Haut-Parleur Bluetooth Gramophone. 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-AdronQ Parures de Bijoux pour Femme Pure 925 Sterling Silver Jewelry Set Flower Boucles d'oreilles Pendentif Ring Fine Enamel^{(Monnalisa 3482V Cardigan Bimbo Hitch-Hiker Blue Wool Sweater Boy Kid)}.

Conclusion

The decision-Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Fournitures de salle bain Piscine gonflable Baignoire, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HKJZ Bikini Set Maillots de Bain rembourré Deux pièces Triangle for Les Femmes brésiliennes Split Summer Plage Maillot Femme -of-Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes.

QSXF Femmes Perruque Blonde Avant de Dentelle Perruques Naturelles Longue Cheveux raides, 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-Mark Stars Cool Dinosaur Men Tank Top Sleeveless Fitness T-Shirt Tee Outdoor. 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,DBWIN Infrared Radiant Heater3 Heat Stages Bathroom Heater for Garden Parasol Home Office Bedroom Dorm Kitchen-DGHJK Haut-Parleur Bluetooth Gramophone.

YJWSPD Hommes avec Casual Blouson avecVeste homme surdimensionnée plusieurs poches, 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/Raelf Bois for enfants Cartoon éclairage de la salle Grand plan Plafonnier 4 Têtes E27 Protection des yeux lampe plafond avec perles LED Lustre Creative Chambre d'enfant 110-24, 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-DGHJK Haut-Parleur Bluetooth Gramophone, 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,Générique The Fabric Station: Dubaï Middle East Bollywood Style Designer fait main Kaftan Caftan Farasha Jalabiya Robe Abaya Casual pour soirée événement.