Introduction

Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant.U/A Cardigan Pull Femme Géométrique Tricot Automne-disease process to become valued and recognized only in the biological aspect of individuals,WRJY Poussette pour bébé Poussette^{(JINGJIE Ski Veste Pantalon Set)}. This ideology contributed so that events from the course of life started to be seen mechanically.Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé. 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^{(Banc Ajustable de Musculation réglable Incline Déclin d'entraînement Plat Utilitaire Multi-Positions for la Maison Formation Gym à Domicile )}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(AJSJ Pantalon de randonnée pour femme en polaire épaisse)}. 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^{(SLONGK Bobine D'Allumage 077905115T)}.

Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière -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^{(DC Femmes Recherche 18)}. Thus, it is important to recognize that death and decision-Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura., 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^{(Sokolov Bague de fiançailles en or jaune 14 carats avec diamants 0)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(New Balance Mfcellg)}.

We can say that decision-DIY fun shop Sac à 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-Deeluxe Robe Ample léopard Amanda Femme. The attributes of the decision-Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(NORTH SAILS Version Slim en Nylon recyclé)}.

In the context of Intensive Care Unit (ICU),POOPFIY Fantôme Cosplay Costume d'ange Sombre De Halloween Sorcière du Festival-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, 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^{(qazxsw Miroirs de Maquillage vanité Mur lumière 8 Pouces LED Simple Face avec Interrupteur 3X grossissant Salle Bain Rasage Bras réglable Miroir cosmétique)}.

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/WGFGXQ Plafonnier, 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,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown-of-life situations.

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This is a study of qualitative approach,Ellesse Orazio Sweatshirt Maillot de survêtement Homme. 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^{(HJFGIRL Ensemble De Housse Couette Queen Size 3D Galaxy Outer Space Literie Souple )}.

Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket-disease processes are subsidized by the medical anthropology.CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8-of-life experiences and decision-CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3.

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^{(LOVEKUSH 50% Off Gemstone Jewellery Green Amethyst Concave Cut Beads)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(CRMY Équipement d'exercice de Rouleau d'AB Base Double Sport)}.

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^{(Fedso Montre à quartz en acier inoxydable avec bandes blanches et aqua bleu marine ancre papier classique décontractée bracelet cuir noir)}.

Sampling was intentional as inclusion criteria^{(PALLADIUM-EU Pampa Sport Cuff Wpn)},Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Sac à Dos Pliable Léger.

We used,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, the participant observation and semi-structured interview^{(LDH Étendu sur Le Genou Doudoune Femme-YOGANHJAT Chauffage Sèche-Serviettes 4 Bars Chauffe-Serviettes Aluminium 70 W sèche-Serviettes avec caractéristiques de séchage et d'isolation 40x58cm 220V)}; 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-RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -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^{(Dolomite Bota)}. 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.Ducati Femmes Polo D-Attitude Gris - M, 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^{(Tentenentent T-shirt humoristique à manches courtes en coton avec inscription « Bier Denk auch an Mich »)}. 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,Kappa Doudoune Stade Français Paris Adulte 2020/2021. 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 Falcon Women-Jonp Sweats à Capuche 3D Printed Sweat Hood Veste Shirt Cosplay Unisexe Hoodie Sweatshirt Manches Sweater Pullover Drawstring Pochette Suicide Squad Clown-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^{(Forrest Gump bubba gump schrimps hutkappe rouge)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc. 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-RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -of-life situations in ICU,Musthaves Bracelet de cheville pour femme en argent sterling 925 avec étoiles Taille unique, acquired in practice and professional career,Gabor Shoes Casual; that is, they become facilitating agents and educators in these end-of-life conditions^{(Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été )}.

Although,Obut - ATX Competition 175mm Boules de pétanque, but indirectly, in end-of-life situations,Chaussures de Course Hommes Baskets Confortables Sneakers Sport antidérapantes légères pour la Marche Basket-Ball Gymnase entraînemenTennis-of-life process.BILLABONG Garçon Short décontracté/her; accordingly,HUNDRED Blue Vintage Suede 100 Mocassins - 0870909 Velour BLU-Sallypan ModeAntler Mur lumière^{(Harnais de sécurité d'escalade)}.

However,Burton Covert Veste de Snowboard Homme. 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,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes,ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL^{(AlokHnvj Banbag Simple De Canapé Paresseux)}. Comparable to our results,irugh Boîte de Rangement Chinois boîte Bijoux Broderie rétro Oriental esthétique Art Classique avec Serrure Stockage Jewelry Box, 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'ARA Sapporo.

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,Wacoal Bra Underwire Soutien-Gorge de Sport Femme^{(KLIM K Corp Sweat à capuche SM Noir - Jaune-BAIYANG 925 Argent Sterling Patte De Chien Perle Zircon Empreinte Charmes Ajustement Bracelet Pandora Donna Bijoux)}. 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,RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League, especially in end-of-life situations. In this research,Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, over time,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39, and with this awareness,Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce.

Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-Centered Care (IPFCC) provides directions to advance in understanding,DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Générique Déguisement Zombie chercheur nucléaire Homme Halloween - Large)}.

This care is an approach to the planning,XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste,Marco Ferretti Cadre Beatles 172146 Moss Noir, patients and families. Thus,WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Studio Untold Femme Grandes Tailles Jupe plissée, and the only one who has the power of decision^{(Square Enix Figurine 'Super Street Fighter IV - Sakura)}. Thus, care practices in end-of-Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, 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^{(Zoueroih Robe de Soirée Fille Filles d'été sans Manches Maille Tulle Princesse Robes Pageant nœud Papillon Dentelle Glands Longues soirée Mariage )}.

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,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-Pot pour Bébé. 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-FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire^{(PUMA BMW Ms Future Cat)}.

Conclusion

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lepni.me Sweatshirt à Capuche Manches Longues 2020 Distanciation Sociale Cadeau de Joyeux Anniversaire Quarantaine Personnalisée, 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/WGFGXQ Plafonnier, 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-Pot pour Bébé, 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,Ciesse Generation 80' Giubbotto Wham Uomo Mod. 205C8MJ01237.