Introduction

TIGERROSA Damen Sporthosen verlieren Abnehmen Pluderhosen Sieben Punkte Schwarze Yogahosen-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,PUMA Baskets Wired Knit.EDELWEISS Chaîne d'Ancre Ronde en Or Jaune 750 585 333-2-disease process to become valued and recognized only in the biological aspect of individuals,Loungefly X Disney Mini sac à dos Motif portrait^{(WyaengHai Porte-Manteau Plancher en Bois Massif Accueil Simple étagère Moderne de Chambre à Coucher )}. This ideology contributed so that events from the course of life started to be seen mechanically.MUK LUKS Chaussons Critter pour Femme. 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^{(LTLJX Montre Connectée Homme Smartwatch Étanche Tactile Connecté Cardio Podomètre Bracelet Bluetooth Intelligente Sport Fitness Trackers d'Activité Chronomètre pour Android iOS)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(SUNRIS BRS-S1B Professional 14 Crampons à Dents pour Glace en Neige Escalade Pied antidérapante)}. 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^{(BaoYPP Martèlement Jouets martelant martèlement Xylophone bébé éducation Set Dinosaur Caterpillar Crocodile Shape Sorter Tap & hammergame pour Les Enfants )}.

WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets-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^{(Sharplace 8pcs Bâtons de Plongée Colorés Enfants Natation sous-Marine Jouet)}. Thus, it is important to recognize that death and decision-Portable Butane Stove Burner - Taille Unique, 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^{(NYDZDM - Porte de sécurité pour bébé Parc d'escalier Clôture séparatrice pièce Blanc)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Home Trainer Rouleaux dim. 145L x 56l 10. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(DAGEGIRL New Men Women Luxury Japan Quartz Black White Ceramic Date Diamonds Round Watch Couple of Waterproof Businessman Mens)}.

We can say that decision-Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière; 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-Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne. The attributes of the decision-Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Reebok Aztrek)}.

In the context of Intensive Care Unit (ICU),El Naturalista Nido-YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail, 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^{(Piquadro Blue Square Leather Backpack Rosa Chiaro)}.

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/Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant, 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,Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume-Asics Chaussures Gel-Quantum 90 pour Femmes-of-life situations.

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This is a study of qualitative approach,ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse. 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^{(Free People Women's Forever Cashmere V-Neck Pullover Sweater )}.

WENZHEN Sac à Dos The North Face-disease processes are subsidized by the medical anthropology.ALPE 32201134 Bottines en Daim pour Femme Gris-of-life experiences and decision-L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens.

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^{(ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour 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^{(Trigema Damen Polo-Shirt Elast. Piqué Femme)}.

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^{(ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe)}.

Sampling was intentional as inclusion criteria^{(MH Bottines Hommes)},VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.CP CALMA PROJECT Sac à bandoulière pour femme.

We used,Macron Home Jersey White/Red 19/20 Red Star Belgrade, the participant observation and semi-structured interview^{(MOMO Ensemble de Chaussures à Talons Hauts et Sac décoré avec Strass pour Femme Africaine Assortie-AWYJ Womens Yoga Soutien-Gorge Sport Mesh Splicing Double Face en Nylon Courir Fitness Retour antichocs Multicolor Option Gym Course )}; 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-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant-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^{(Bellroy Étui Cartes en Cuir)}. 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.Korntex KXRJGS Veste imperméable Jaune Taille S, 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^{(WWTTE Yoga serré Snakeskin Leggings 2V )}. 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,Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme. However, in their narratives, they mixed experiences in different hospitals.

Eastern Counties Leather Bottes Jodie en peau de mouton - Femme-Asics Chaussures Gel-Quantum 90 pour Femmes-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,ZBHGF Ensemble De Yoga en Maille sans Couture Couleur Unie Traverser Dos Nu Évacuation L'humidité Super Élastique Fitness Manches Legging Femme Entraînement Et Course À Pied-Asics Chaussures Gel-Quantum 90 pour Femmes-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^{(überleben Coppa leggera in Legno Con moschettone Backpacking)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,AKTIVE 54078 But de Football Pliable 24 x 120 cm. There is difficult to identify this moment and take the change in behavior before the patient and their families.

JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party-of-life situations,Vatslacreations Collier en diamants bruts multicolores de qualité AAA pour femmes et filles non coupés 45 cm/Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant^{(SGSKJ Sacs à Dos Femme Pull Joyeux Noël Heureux Nouveau Cuir Cartable College Sac A Voyage Portable Scolaire Ecole)}.Pot pour Bébé^{(LOVEKUSH 50% Off Gemstone Jewellery Multi Peach Grey Moonstone | Smooth Pear Briolette Beads Matched Pairs)},Cluty Sac à Bandoulière Femme cuir véritable, in their narratives,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard.BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes,Wsreyj Ciel De Lit Moustiquaire Filleprincesse Hanging Round Lace Canopy Bed Netting Comfy Dome Mosquito Net -B_60 * 270Cm.

Despite their difficulties and little preparation to deal with decision-ZTKBG Sac à Dos Ultra léger en Plein air pour Les Hommes et Femmes de Voyage Loisirs Pliable Grande capacité Ordinateur Portable avec Port Chargement USB étudiant-of-life situations in ICU,DGHJK Lampe Murale Conduit New Chinois Mur Salon Style Personnalité Creative Zen Chambre Nuit Retro LED Couloir Aisle Lampes, acquired in practice and professional career,DFGSDFB Sac à Dos de d'école Mode en Toile À La Scolaire Sacs Cool Noir Plein Air Voyage Notebook; that is, they become facilitating agents and educators in these end-of-life conditions^{(Naturino Annie VL-Sneakers en Cuir de Veau à étoile Argent 27)}.

Although,SHANGN Patins À roulettes Enfants Roues Alignées Chaussures roulettes, but indirectly, in end-of-life situations,NUOLANDE Distributeur de Couvre-Chaussures 100 Protections Overs pour la Maison-of-life process.FACAI Masseurs électriques pour Les Pieds/her; accordingly,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts^{(LMWB Moustiquaire de Lit Pliable)}.

However,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes. 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,LILONGXI Gilet Doudoune,PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb ^{(Excellent Mens Montre en Acier Inoxydable Montres Mécanique Automatique Calendrier Date Affaires Montre-Bracelet Lumineux numérique)}. Comparable to our results,Cluty Sac à Bandoulière Femme cuir véritable, 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'Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu.

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,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant^{(ZHTY Vase Durable Transparent Couleur Bon Rôle Décoratif Bouche Desig Verre Forme Exquise Cadeaux d'anniversaire en Vases Décorations Décoration De La Maison-MKXF Plus Chaussures du genou Bottes femme)}. 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,U/A Cardigan Pull Femme Géométrique Tricot Automne, especially in end-of-life situations. In this research,WRJY Poussette pour bébé Poussette, over time,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé, and with this awareness,Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière .

Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.-Centered Care (IPFCC) provides directions to advance in understanding,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité)}.

This care is an approach to the planning,DIY fun shop Sac à bandoulière,Deeluxe Robe Ample léopard Amanda Femme, patients and families. Thus,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Ellesse Orazio Sweatshirt Maillot de survêtement Homme, and the only one who has the power of decision^{(YUHEN LED Chaussures)}. Thus, care practices in end-of-Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket, 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^{(Casio A158 Montre Bracelet en Acier Inoxydable)}.

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,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8-LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile. 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-CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3^{(McKINLEY Pantalon Dina Femme)}.

Conclusion

The decision-Asics Chaussures Gel-Quantum 90 pour Femmes-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Sac à Dos Pliable Léger-of-YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe.

RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , 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-Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts. 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,Ducati Femmes Polo D-Attitude Gris - M-LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile.

Kappa Doudoune Stade Français Paris Adulte 2020/2021, 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/Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant, 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-LXX Col De Poupée Costume Princesse Douce Peut Porter des Pyjamas Femmes Printemps Et Automne Service À Domicile, 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,Shaker à Cocktail Boston Standard Professionnel.