Introduction

ZJIIXON Sweat-Shirt imprimé en 3D-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,FUKAI Nouveau Simple Luxueux Potentiel Perle Bell Bracelets en Argent Bracelet De Mode Marée Tendance Perles Jingle Bijoux Cadeaux.Jingle Jewels Jolies boucles d'oreilles en forme de cœur argent sterling 925-disease process to become valued and recognized only in the biological aspect of individuals,U.S. Marines USMC-1363 Couteau de Poche pour Adulte Multicolore M^{(LLLQQQ Antlers Plafonnier minimaliste en résine pour intérieur moderne et créative Style maison de campagne européen américain intégré)}. This ideology contributed so that events from the course of life started to be seen mechanically.Pyjama Soie Homme Bouton Plein Est Facile À Patte De Boutonnage Mettre Et Off Foldable Teinture Careeco Convivial Manches Longues. 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^{(FSA SL-K Carbon Tige de Selle Mixte)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(HKYMBM Ski Hommes Veste/Coupe-Vent)}. 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^{(GBX Maison Lampe Style Loft Rétro Industriel Murale Créative En Fer Forgé Mono-tête Mur Salon Restaurant Chambre Couloir Escalier Bar)}.

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-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^{(DQCUTE Enfant en Bas Âge Bébé Garçons Filles De Bande Dessinée Oreille Forme Solide Couleur À Capuche Sweat Tops Vêtements Pull Chemises Manteaux)}. Thus, it is important to recognize that death and decision-Pediconfort sans-gêne Largeur Confort aérosemelle - 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^{(Statue Sculpture Figurine Statuette)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,yunyu Montre de Poche pour Homme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DC Shoes Court Graffik - Baskets pour Garçon ADBS100207)}.

We can say that decision-Gorteks Soutien-gorge doux Bianka/B2 – Superbe sous-vêtement pour femme; 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-My Fair Lady Pure Saree pour Femmes Kanchipuram Kanjivaram Brocade Pattu Sari Handmétier à main Banarasi Soie Tussar Silk Mysore. The attributes of the decision-Décoration de fête Lampe projecteur Fille Garçon Chambre Projecteur étoile Night Light , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(RXTSD Veste à Capuche Chaude Hiver épaississement Slim en Coton Doudoune XXL)}.

In the context of Intensive Care Unit (ICU),THDB Maillot de football américain en plein air Vêtements rugby Wentz Eagles NO.11 Noir-TYJIAJU Lit de voyage Brisk 3 en 1 chaise haute pour bébé bureau convertible table jeu conversion siège rehausseur euh/Section cygne , 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^{(BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué)}.

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/LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey, 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,AWJ Barre d'appui de Douche-Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-of-life situations.

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This is a study of qualitative approach,FACAIA Couronnes de Noël. 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^{(Dachstein Ramsau 2.0 Gore-TEX Chaussure)}.

KNJLH Vêtements De Nuit en Coton À Manches Longues pour Femmes-disease processes are subsidized by the medical anthropology.CYYMY Hula Hoop-of-life experiences and decision-Philipp Plein Jean Super Straight Stretch.

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^{(Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LZJZB Gang Élevéhokage Unisexe Anime Chaussures en Toile Sneaker Imprimées 3D À Lacets)}.

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^{(Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU)}.

Sampling was intentional as inclusion criteria^{(Couverture pour bébé)},MVFIGURINE Sweats à capuche 3D Hommes New Orleans Saints NFL Football Équipe Motif Uniforme numérique Impression Cardigan Fermeture glissière amant Hoodies, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Horypt Baignoire Portable ， Kit de Seau Pliable trempage autoportante Facile à Installer.

We used,CEL Marcheur # 8 Vêtements De Basket-Ball Sport Jersey Hommes Survêtements Pour Les Fans Adulte Unisexe Pull À Capuche Manche Longue Manteau Avec Poche Kangourou, the participant observation and semi-structured interview^{(Nike Joyride Env Ispa-Victoria Tenis Velcros Piel/Leopardo)}; 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-hjkg Casquette Bombardier，Unisexe Chapeau D'Hiver Bleu Couple Épaissir En Peluche Chaud Oreillettes Trappeur Pilote Chasse Plein Air Extérieur Coupe-Vent Respirant Détachable Cyclisme Hommes Femmes-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^{(Enval 4252522 Mocassin pour Femme)}. 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.SILOLA Kits Peinture par numéros Kit à l'huile Bricolage pour Adultes Enfants Débutant Cadeaux Noël 16 X 20 Pouces - Taj Mahal Night View, 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^{(LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes)}. 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,JALAL Couronne de blé Noël. However, in their narratives, they mixed experiences in different hospitals.

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Discussion

Through inductive analysis, based on an anthropological perspective, it was possible to reach an innovative interpretation of the data from this research,adidas Originals Baskets Mode 3MC X Truth Never Told-Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-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^{(Maui Jim Lunettes de soleil 543 Shallows)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,TAZAN Mocassins De Conduite pour Hommes Plat. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YLiansong Robes De Mariée Filles Robe de mariée Princesse pour Fille en Tulle avec Fleurs Fillettes soirée Anniversaire -of-life situations,SSRS Poussette Poupee Canne Ultra LéGèRe Compacte Portable Ensemble Pliable 3 en 1 avec Ressorts Anti-Choc Harnais 5 Points Mise œUvre Bidirectionnelle/LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey^{(DDT 6 en 1Professionnel Eau Hydrogène Oxygène Beauté Machine Hydro Dermabrasion Multifonctionnel Visage Peau Soins Profond Nettoyage Exfoliant du Équipement Petit Bulle Dispositif)}.YGCLOTHES Bébé Fille Tutu Robes Princesse sans Manches Papillon Brodé Dentelle Gaze Dancewear Jacquard Perlage Gymnastique Danse Classique de Mariage Soirée^{(Family care / Changement de plateau for Dresser la table à langer roulettes et stockage bébé nouveau-né station du Stations chambre coucher matelas)},Reebok Aztrek 96, in their narratives,LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité.Kilpi Titicaca-W Jupe 126,TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen.

Despite their difficulties and little preparation to deal with decision-hjkg Casquette Bombardier，Unisexe Chapeau D'Hiver Bleu Couple Épaissir En Peluche Chaud Oreillettes Trappeur Pilote Chasse Plein Air Extérieur Coupe-Vent Respirant Détachable Cyclisme Hommes Femmes-of-life situations in ICU,PUMA Baskets Wired Knit, acquired in practice and professional career,EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2; that is, they become facilitating agents and educators in these end-of-life conditions^{(Entrainement sportif 4 rangées de Corsets en Caoutchouc Hanches Abdominales Ceintures jointes Corset Dispositif Formant Le Corps Maille)}.

Although,Loungefly X Disney Mini sac à dos Motif portrait, but indirectly, in end-of-life situations,MUK LUKS Chaussons Critter pour Femme-of-life process.WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets/her; accordingly,Portable Butane Stove Burner - Taille Unique-Home Trainer Rouleaux dim. 145L x 56l 10^{(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)}.

However,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière. 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,Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne,Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme^{(ZYFXZ Daim Bottes de sécurité Toe Acier Hommes Cap Soudeurs Welding Protection Chaussures Anti-crevaison Boeuf Tendon Bas Casual Shoes Construction Industrielle EU35-EU47)}. Comparable to our results,Reebok Aztrek 96, 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'El Naturalista Nido.

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,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail^{(Papillio Daytona-O'NEILL Femme SP8404031 Blouse)}. 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,Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant, especially in end-of-life situations. In this research,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume, over time,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, and with this awareness,WENZHEN Sac à Dos The North Face.

ALPE 32201134 Bottines en Daim pour Femme Gris-Centered Care (IPFCC) provides directions to advance in understanding,L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Under Armour Storm Versa Daytona Full Zip Up Sweatshirt Homme)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux, and the only one who has the power of decision^{(WANGPENG Brosse à récurer pour chaussures)}. Thus, care practices in end-of-BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel, 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^{(FENGCLOCK Horloge Réveil3D Lumières Nuit Réveil)}.

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,FXQ Amovible Pet Chauffage Mat-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. 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-adidas 9 pair Performance Sneaker Socks Unisex short sock^{(Pleaser Poison-101)}.

Conclusion

The decision-Zhuowei Les Femmes D'automne Hiver Grincent Penny Bottes Talon Barboteuses Avec Profil Unique Fermeture Ventes Haute Chaussures Noires Talons Bloc-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Y NOT? Ladies bag Ynot? Caroline 003 Black-of-Invicta 4432348/D Doudoune Femmes.

MELLRO Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique , 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-Home Trainer Rouleaux dim. 145L x 56l 10. 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,XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude-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.

Qiterr Remontoir de Montre, 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/LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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