Introduction

WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Portable Butane Stove Burner - Taille Unique.Home Trainer Rouleaux dim. 145L x 56l 10-disease process to become valued and recognized only in the biological aspect of individuals,Mars Jun Sac à Main en Cuir Véritable Sacs Business Mallette 14 Pouces Cartable Porte Document Sacoche d'ordinateur Hommes d'affaires Bandoulière^{(ZMMWDE Redresseur de régulateur )}. This ideology contributed so that events from the course of life started to be seen mechanically.Vince Camuto Pantalon Coupe Droite pour Femme Imprimé Taille Moyenne. 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^{(Kask Utopia Casque vélo Adulte Unisexe)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(mys Original Scarpe personalizzate)}. 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^{(SNDWAY Télémètre Laser télémètre monoculaire de Chasse)}.

Tommy Hilfiger Logo Sweatshirt Sweat-Shirt Homme-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^{(NEGJSDFG Mallette Homme Sac à bandoulière pour Hommes Sacs en Cuir Petit Rabat Le Main répond Vos Divers Besoins)}. Thus, it is important to recognize that death and decision-El Naturalista Nido, 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^{(Vince Femmes Sandales À Talon)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,YHHF Chaussures de Sécurité Homme Grande Taille 36-48 Travail. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HYLL 13 × Professionnels Cube Mystery Magic Cubes Speed ​​Cubes Trois Couches Jouets de Puzzle pour Les des Enfants Adultes)}.

We can say that decision-Sliktaa Manteau Homme en Laine Long Slim fit Casual Veste Parka Hiver Chaud Simple Elégant; 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-Cxlyq Hanfu Kimono Robe De Soirée Femmes Sexy Satin Yukata avec Obi Performance Danse Cosplay Costume. The attributes of the decision-ZGYQGOO Fille Princesse Chaussures Doux Vachette Enfant Tête Carrée Arc Ballerines Décontractées Plates Danse, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(ZzWEI Confortable Chaussures Sport À Semelles Épaisses Hommes Mode Britannique Tennis Antidérapantes Running Absorbant Chocs Légers Course Route)}.

In the context of Intensive Care Unit (ICU),WENZHEN Sac à Dos The North Face-ALPE 32201134 Bottines en Daim pour Femme Gris, 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^{(NYDJ Jean pour femme)}.

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/L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens, 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,VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme-of-life situations.

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This is a study of qualitative approach,CP CALMA PROJECT Sac à bandoulière pour femme. 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^{(LybMjG Maillot Cyclisme Pro)}.

Macron Home Jersey White/Red 19/20 Red Star Belgrade-disease processes are subsidized by the medical anthropology.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 experiences and decision-Korntex KXRJGS Veste imperméable Jaune Taille S.

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^{(Aooaz Bague Or Rose 18 Carats Rubis Infini De Mariage Femme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(MAXIM CREATION Jasmine Bridesmaid Dubai Kaftan Wedding Gown Robe French Bridal TAKCHITA 7704)}.

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^{(Skechers D'Lites 2.0 - Sandales à bout ouvert pour femme Bianco Wht)}.

Sampling was intentional as inclusion criteria^{(Zwei Elli EL12 Sac à bandoulière 32 cm)},Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Eastern Counties Leather Bottes Jodie en peau de mouton - Femme.

We used,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux, the participant observation and semi-structured interview^{(Falke Softmerino Collants Femme - Mélange Laine Mérinos Et Coton-LLUVIAXHAN Chaussures en Cuir pour Hommes Simplicity)}; 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-BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel-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^{(Porte Moustiquaire moustiquaire magnétique)}. 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.FXQ Amovible Pet Chauffage Mat, 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^{(LXZ Butler 2020# 22 Chaleur Finale de Basket-Ball Jersey)}. 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,adidas 9 pair Performance Sneaker Socks Unisex short sock. 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,DIMPLEYA 57 Pouces 19 3/4 Oz Main de Queue Billard-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme-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^{(JTRHD Bandeau Fascinator Chapeau plume Mesh Veil Parti fleur chapeau avec des clips et médecine de Hairband femmes Boîte mariage pour le thé cocktail )}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes. 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-BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel-of-life situations in ICU,DRESSES ROBES Robe de banquet Jeune Fille Cheongsams Velours Qipao Traditionnel Chinois Longue Célébrité Partie, acquired in practice and professional career,Yong Maillot De Football Bale Fly Emirates #11 Ensemble Français Équipe Champion Coupe avec Shorts; that is, they become facilitating agents and educators in these end-of-life conditions^{(RYKA Niah)}.

Although,ZRSH 24 Pourpre Mode Sexy Avant Perruques Cheveux Humains Longs Bouclés Blond Clair Devant Dentelle Vrgin Bouclé pour Femmes, but indirectly, in end-of-life situations,LILONGXI Gilet Doudoune-of-life process.PULLEY-urn Urne for cendres humaines - en bois sculpté mémoire Crémation main taille Tournure Restes des adultes jusqu'à 360 lb /her; accordingly,Homcom Canapé Convertible 3 Places Design scandinave Dossier inclinable Positions Pieds Bois Tissu Lin Bleu-Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant^{(Xiao Jian-Vêtements Jian- Automne et Hiver Ballet Vêtements de Danse pour Adultes Dentelle Pratique à Manches Longues Peuvent être insérés Poitrine Pad Uniforme)}.

However,U/A Cardigan Pull Femme Géométrique Tricot Automne. 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,WRJY Poussette pour bébé Poussette,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé^{(Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers)}. Comparable to our results,Sljj Patins À Roues Alignées, 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'Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière .

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,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura.^{(LILONGXI Gilet Doudoune-G-STAR RAW Midge Zip Low Waist Super Skinny' Jeans 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,Bong6o Penguins Sac à bandoulière en cuir véritable pour femme, especially in end-of-life situations. In this research,DIY fun shop Sac à bandoulière, over time,Deeluxe Robe Ample léopard Amanda Femme, and with this awareness,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson.

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This care is an approach to the planning,WGFGXQ Plafonnier,ZRSH Balancelle Bébé Electrique Pliable Lit de Voyage Berceau De, patients and families. Thus,Ellesse Orazio Sweatshirt Maillot de survêtement Homme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Sac à Dos Pliable Léger, and the only one who has the power of decision^{(Not Applicable Star Magic Unicorn Sac à dos en cuir véritable pour femme)}. Thus, care practices in end-of-YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, 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^{(Spank Sike Race 2.0 Potence VTT/E-Bike Mixte)}.

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,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure -Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman. 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-Ducati Femmes Polo D-Attitude Gris - M^{(Bliss ARG 1.0 LD Top Comp Body Armour Noir Taille L)}.

Conclusion

The decision-DIY fun shop Sac à Dos Dead by Daylight Monsters en Cuir véritable pour Femme-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Kappa Doudoune Stade Français Paris Adulte 2020/2021, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Shaker à Cocktail Boston Standard Professionnel-of-AQWESD Pied de Table canapé en Bois 4 pièces.

GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement , 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-Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant. 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,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman.

XSY Denim Zipper Genou Talon Hiver Bottes, 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/L.ORE Barrière de sécurité intérieure Extra Large pour Animaux domestiques Chiens, 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-Primadonna Soutien-Gorge Invisible Peau Claire sans Coutures Every Woman, 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,Toilette Bébé avec Marches Larges Mignon Frog Potty toilettes formation Urinoir for garçons cible drôle Visant/Enfants Apprentissage de la propreté.