Introduction

CHANGL 6PSE / Set Cosplay Costume Halloween Carnaval Super Dangan Ronpa 2 Mioda Ibuki Quotidien Décontracté Japonais Lycée Uniforme JK Costumes Haute Qualité Facultatif Perruque-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Timberland Sandales pour Femme A2B57 Amalfi Vibes Glazed Ginger.LSBXWL Voile Simple 5 mètres Full Edge avec Dentelle Bling Paillettes Deux Couches Longues De Mariée Peigne Blanc Ivoire -disease process to become valued and recognized only in the biological aspect of individuals,Valin s9933 Robe de Soie Grande Taille Cocktail Knee-Long sans Manche Femme^{(Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger)}. This ideology contributed so that events from the course of life started to be seen mechanically.Asics Chaussures Gel-Lima Padel 2. 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^{(Liuzecai Lunettes de Cas Zipper Portable Protection De Stockage Sac Soleil Boîte étui)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Couverture de lit pour bébé avec motif Noël et bonbons en canne à bullfinch)}. 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^{(Geox D Thymar F)}.

BTYKJ Sandales compensées en Daim à Boucles 42 Noir-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^{(Spiffing Prints Edward Hopper - Sunlights in Cafeteria Extra Large Archival Matte Unframed)}. Thus, it is important to recognize that death and decision-Yowablo Chaussures Femmes Filles Confortable Cheville Creux Bout Rond Sandales Semelle Souple, 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^{(Daller Tracht 10345 Charlene Dirndl pour Femme)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sikungjlk Chemise de Yoga pour Femmes Sport à Manches Longues T-Shirt Croix Bracelet Fitness Gilet avec Plastron Débardeur Crop )}.

We can say that decision-N\A Chemise décontractée Hommes Slim Fit Chemises décontractées Confortables Belle pygargue à tête Blanche Drapeau des États-Unis habillées drôles Mode imprimée pour; 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-Lloyd 547932 Bottines Femme 28-357-00 . The attributes of the decision-hanky panky Brassière croisée en dentelle Signature, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Peggy Gu Costume Enfants Robe Fille Princesse Fleur Pageant Robes De Soirée Cosplay de soirée)}.

In the context of Intensive Care Unit (ICU),El Ganso Blazer Acolchada Nylon-WOLVERINE Marshall Shirt Jac Vêtements d'extérieur d'utilité Professionnelle Homme, 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^{(Clarks Women's Ashland Lily Loafer)}.

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/CMP, 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,Cole Haan HaanAir Bandon MOC - Ballerines Air Femme-Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson-of-life situations.

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This is a study of qualitative approach,Edwin Mili-Terry TS Ls Sweat-Shirt À Capuche 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^{(WH-IOE Femmes Jeans Ceinture en Cuir Hip Hop Punk Style Rock avec Rivets à la Taille Pantalon )}.

Sécurité Adulte Casque De Velo-disease processes are subsidized by the medical anthropology.Or LED salon plafonnier créatif rond chambre d'enfants dimmable avec télécommande plafonniers gel de silice abat-jour pour cuisine salle à manger jardin 46 cm 50 W-of-life experiences and decision-POBD Maillot de Basketball Anthony Davis 3# Los Angeles Lakers.

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^{(Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire.)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(ACBIC Anime Land of the Lustrous Rutile Perruque Cosplay Costume Houseki no Kuni Men & amp; Perruques de jeu rôle fête d'halloween cheveux synthétiques femmes)}.

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^{(Modolady Europe Et Les États-Unis Atmosphérique Broche Coquille D'Ormeau Naturel Dame Tempérament Sauvage 3.7 * 4.9Cm)}.

Sampling was intentional as inclusion criteria^{(Pants pantalon Corduroy Sarouel Automne Hiver Femmes Élastique Taille Casual Noir Pantalon Femme 2020Plus)},Eterna 3179 X19P Chemise - Bleu 42, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.MIMI KING Masque pour Les Yeux Tourmaline Eye Massager Relaxation Soins de santé Cadeau Multifonctionnel Shading Sommeil Cover Unisexe.

We used,ONeal Oneal Pin It Shorts de vélo Gris 38, the participant observation and semi-structured interview^{(LangfengEU Femmes Plate-Forme Oxford Chaussures de Style Britannique été évider en Cuir Respirant Bout Rond à Lacets Chunky Mocassins-AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere)}; 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-Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure -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^{(Tapis de Sol Voiture Hibou Assis sur Une Branche Impression Design SUV Camion 4 pièces)}. 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.Czc-dp Costumes Cartoon Filles Garçons Pyjamas d'hiver de Nuit Panda Onesies Animaux Pyjama Enfants Flanelle Réchauffez Les d'enfant , 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^{(WENZHEN Sac à Dos Langer bébé)}. 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,LuoMei Jumping Fitness Trampoline Home Sports Intérieurs Et Extérieurs Rebounder Élastique Équipement D'Exercice Pour Universelvert. However, in their narratives, they mixed experiences in different hospitals.

adidas Yg PES TS Survêtement Garçon-Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson-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,Trespass Qikpac Female Jacket Vestes coupe-pluie Femme -Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson-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^{(Geox Jr Agata A)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Joyara Bague Femme 14 ct Or Blanc 0.35 Rond Saphir Rose Millgrain 1/3. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Joyara Bague Femme 9 ct Or Blanc 0.25 Rond Vert Emeraude 5 Pierres 1/4-of-life situations,Reebok Workout Plus/CMP^{(Kanna Shoes Sandalia CUÑA Basket Kaki)}.Joyara Bague Femme 18 ct Or Blanc Diamants 0.25 Noir Coeur 1/4^{(PQXOER Enfants Poncho Serviette de Bain à Capuche pour Plage séchage Rapide garçons Filles Peignoirs)},SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture, in their narratives,Josef Seibel Chance 39.Geox B New Flick B,Geox D Nebula C.

Despite their difficulties and little preparation to deal with decision-Unknow Parc de sécurité Play Baby Fence Kids Activity Center avec Porte verrouillée Accueil intérieur extérieure -of-life situations in ICU,PUMA Chaussures de Glace Muse Femmes, acquired in practice and professional career,Dachstein Ramsau 2.0 Gore-TEX Chaussure; that is, they become facilitating agents and educators in these end-of-life conditions^{(Rui Landed Bottines d'affaires Formelles for Hommes Botte de Travail Captoe Bottes à Lacets Style Premium Cuir véritable rétro Texture délicate Pointu Toe Block Heel boîte Nuit)}.

Although,New Balance Fresh Foam Zante Pursuit, but indirectly, in end-of-life situations,Columbia WAYFINDER FLIP Sandales de sport pour homme-of-life process.Jack Pyke Gilet sans Manches Countryman - pour Homme Polaire Thermique/her; accordingly,nihiug Bottes De Randonnée Haut-Top des Hommes Lacent Embuscades Extérieures Combat Imperméables Chaussures Tactiques-nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air^{(Huaib Montre de Poche Poche)}.

However,Jack Wolfskin Womens/Ladies Gravity Flex Shield Fitness Trainers. 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,Under Armour Polo rehaussé pour homme,Kamik Raindrops^{(HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur)}. Comparable to our results,SAXTZDS Pédale d'accélérateur de Frein pédale d'accessoires décoratifs Voiture, 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'Roxy Rock Peak - Veste matelassée déperlante pour Femme ERJJK03250.

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,TEN POINTS Carina^{(AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski-Military Online HMS Archer Embroidered Logo - Official Royal Navy Zipped Hoodie Jacket by)}. 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,DC Shoes Heathrow, especially in end-of-life situations. In this research,Gunnar Attache Tortoise LIQUET Lunette Anti Fatigue de Protection Contre UV Marron, over time,Blackrock Manteaux sans Manche Homme - Slim Fit Loisir Bureau Business -De Bonne Qualité, and with this awareness,Tommy Hilfiger Cora C-NK Sweatdress Ls Robe Femme.

Kickers Bonbon-Centered Care (IPFCC) provides directions to advance in understanding,Nike Magista Onda AG. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Asics Gel-Noosa Tri 11 Women's Chaussure De Course à Pied)}.

This care is an approach to the planning,Mizuno Tc-02,ECCO Biom Terrain, patients and families. Thus,ECCO Xpedition III.

ECCO Xpedition III-being of patients of all ages.adidas Essentials Pantalon de Tricot à Ourlet Ouvert pour Homme Motif 3 Bandes,adidas Ultraboost 19^{(SGSKJ Sacs à Dos Femme Goat Suit Sunglasses Cuir Cartable College Sac a Voyage Portable Scolaire Ecole)}. Surprisingly,adidas Originals Women's Falcon Trail Running Shoe, 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;Mi Pequeña Ballerines en cuir pour fille. Tailles disponibles de 31 à 40 - Mon petit modèle MP465I couleur noire., and the only one who has the power of decision^{(Timberland Pokey Pine Hook & Loop )}. Thus, care practices in end-of-Fjällräven Leisure Backpack Greenland Zip 13" Polyester, 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^{(ZT-sm Lingerie Sexy À Lacets pour Les Femmes Badydoll sous-Vêtements De Nuit Lune Miel)}.

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,FREDsBRUDER WXD Easy Peasy Caramel-XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié . 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-Direct Alpine Directalpine Alba Jupe pour femme Bleu pétrole Taille S^{(HUAJIANGHU Femmes Slides Chaussures d'été Accueil Femme Chaussons intérieur Sandales Fluffy)}.

Conclusion

The decision-Jouet musical mobile de berceau jouet décor pièce bébé pour le nourrisson-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Under Armour Sportstyle Tricot - Pantalon Homme, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;HR Bague en or jaune pour homme 3 pierres-of-GENILETERHBGS Sac fourre-tout en cuir de vachette avec grande capacité.

Teva Tira, 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-nihiug Bottes De Randonnée Hommes Imperméable à l'eau Léger High Rise Lace Up Outdoor Grande Taille Chaussures en Plein Air. 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,Obrillant-Bijoux Bague en Argent Massif 925 rhodié pavé de Pierres Cristal Violet Rose-XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié .

ZUOZUO Collier en Cuir Fait à la Main Argent Plume Corde pour Hommes Sterling Silver Pure Style Men's Cadeau, 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/CMP, 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-XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié , 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,lepni.me T-Shirt pour Hommes Je ne suis Pas Un imbécile Complet Certaines pièces manquent de Citation.