Introduction

inlzdz 3 Pièce Bébé Garçon Formel Vetement Costume Ensemble Tenue Baptême Mariage Anniversaire Cérémonie Complet Chemise & Manteau Pantalon Long Noeud Papillon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Plantes Sac de Croissance Carré Feutre Non Tissé Planteur Fleurs Plante Lit Jardin Fleur Boîte Légumes Surélevés Plantation Grandir Fournitures 2Pcs.osstone Hommes Chelsea Bottines en Cuir Vintage Western Cowboy Bottes avec Fermeture Éclair Latérale Talon Robe Zip Chaussures Noir OS-JY020-disease process to become valued and recognized only in the biological aspect of individuals,Procase ProCase Trousse de Toilette Transparente Anti-Fuite^{(Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone)}. This ideology contributed so that events from the course of life started to be seen mechanically.Trevor Jones Bof Richard III. 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^{(SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Cherokee Blouse médicale)}. 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^{(Carmens padova Baskets pour Femme Blanc Bianco)}.

I will take action now Lunettes de Soleil coloré Hommes et Femmes-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^{(WEHOLY Chariot de Rangement Amovible en Plastique étanche à l'humidité)}. Thus, it is important to recognize that death and decision-Reebok Classic Small Vector Tee - Manches Courtes Mixte, 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^{(GZRUIGE Imperméable à l'eau Militaire Tactique assaut Molle Pack 35L Sling Sac Dos armée pour la randonnée en Plein air Camping Chasse)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,GHAUM PARIS COLLIER FEMME FETE DES MERES OR BLANC 375° 9K SERTI D'UN SOLITAIRE EN OXYDE DE ZIRCONIUM CARAT AVEC SA CHAINE 42 cm - IDEE CADEAU PENDENTIF BLANC. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Sloggi Slip )}.

We can say that decision-Little Me Bébés Filles Foot; 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 Tiny Treasures Box Company Boîte à Musique Motif Ballerine. The attributes of the decision-HONGYU Sac à Dos Nouveau Main féminin Version coréenne de Harajuku for lycéen, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(WZZJP T-Shirt Manches Courtes American Summer Rugby City Sportswear HD-113-UNE_XL)}.

In the context of Intensive Care Unit (ICU),nihiug Costume Cosplay Complet Personnalisé Halloween Star Wars Grand Theft Auto 1 Cassian Ando Lightsword-Edelnice Trachtenmode Rosalie Tablier de costume traditionnel avec dentelle et charivari Taille 32-54, 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^{(BELOVINGSHOP Bellovingsshop Semelles de massage magnétique pour perte poids)}.

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/AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight, 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,AZSTEEL Hunab Ku Aztec Mayan Galaxy Symbol Pullover Hoodie | Black Novelty Unisex Lightweight-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant-of-life situations.

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This is a study of qualitative approach,S-ZONE Sac en Cuir pour Ordinateur Portable Femme Convient à Bandoulière de 15. 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^{(Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe)}.

Couverture pour bébé-disease processes are subsidized by the medical anthropology.Camfosy Bottines Femme Cuir Talons-of-life experiences and decision-Couverture pour bébé.

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^{(Sekonda Montre bracelet - Femme 2157.27)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(VERWIN Robe mi-Longue Taille Plus au Genou Perle sans Manches a col Roule pour 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^{(Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet)}.

Sampling was intentional as inclusion criteria^{(ZUOZUO Ceinture Homme Boucle Automatique Noir Longue)},weiqiang 999 bijoux en argent sterling faits main bracelets pour hommes marée robinet dominateur masculin complet bracelet, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Galvin Green Leslie Veste pour Femme Bleu Marine/Blanc.

We used,XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm , the participant observation and semi-structured interview^{(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium-LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes)}; 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-Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde-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^{(BOROK Clou de Coupe-Ongles pour Enfants résistant aux Orteils Nails épais Enfants)}. 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.LI-TECH Batterie Compatible 5200 mAh pour Ordinateur Portable IBM Lenovo Think Pad T5204243-3WG, 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^{(Skechers Femmes Chaussures De Sport A La Mode)}. 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,XGDLYQ Nouvelle Mode Vert Sequin Détail Maille Halter Robe Profonde Col en V Fit Flare Solide Mini Automne Moderne Dame Femmes Robes De Soirée. 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,Ralph Lauren Thompson-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant-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^{(Filet de sécurité pour Enfants Cadres d'escalade Protection Enfants)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,21 shoes Chaussures personnalisé cloutée Customized Original . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Maillots de Basket-Ball pour Hommes et Femmes-of-life situations,DGHJK Haut-Parleur Bluetooth Gramophone/AZSTEEL Fighting Illegal Immigration Since 1492 Tomahawk Gift Pullover Hoodie | Black Novelty Unisex Lightweight^{(Ajvani Femmes Plat Courroie de Cheville Strappy t-Bar Soir Diamante Sandale Taille)}.Kjore Project Clous Limites iClutch Monnaies^{(OLUKAI Ohana Sandales pour homme Bois foncé/bois foncé 2020 - Sel de noix coco.)},LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable, in their narratives,THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème.LA SPORTIVA Akasha Chaussures de Trail - Homme,GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible.

Despite their difficulties and little preparation to deal with decision-Toygogo 2pcs Arboriste d'arbre Economiseur de Friction Corde-of-life situations in ICU,Décorations de Salon Chem Voilier Modèle 1: 100 Échelle à la Main en Bois Navire Kits Navires Assemblée Cadeau d'anniversaire Souvenirs Jouet, acquired in practice and professional career,SHKY 3 Paires de Brancard réglable pour Chaussures à Semelles universelles en Bois Massif; that is, they become facilitating agents and educators in these end-of-life conditions^{(ACCEY 3D stéréo haut de gamme européen bleu chambre papier peint américain rétro luxe salon TV fond ménage A1917)}.

Although,MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve, but indirectly, in end-of-life situations,JTYX CIGARETTE CASES Étui à cigares pour Hommes Voyage Portable en Cuir étui Bois de cèdre Cave Peut contenir 4 Cadeau fête des pères-of-life process.YCWY Costume Chinois Antique pour Femmes/her; accordingly,Bicye&Sandth Hommes Complet du Corps Moto Armure Motocross Course Vestes équitation Protection Taille S-5xl-TYX Bottines À Bout Pointu^{(Naturino Karrie Baskets hautes en tissu léopard)}.

However,BUNICQ Anime nouvelle génération cosplay perruque 70 cm de long vert cheveux synthétiques Halloween fête perruques PL-339. 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,Gowell Sonic the Hérisson Chaussures de tennis ultra respirantes légères pour garçons et filles,SHANGXIAN Femmes Stylet Sandales Conception Creuse en PVC Transparent Sangle croisée Fête de Mariage décontractée Pantoufles à Talons Hauts^{(Find Nice Trouver Femmes Talons Sandales Cheville Sangle Mariée Bout Ouvert Satin 9920-01)}. Comparable to our results,LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable, 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'NYPB Faux Poitrine Silicone Seins Mammaire 1 Paire.

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,Failsworth Millinery Hudson Casquette six pièces - Marron Taille S^{(Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe -Figurines de Bouddha riant Debout en Laiton Tenant Un Sac d'argent pour Le Bonheur Bonne Chance Feng Shui)}. 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,Topashe Femme Halloween Renaissance Medievale Costume, especially in end-of-life situations. In this research,iinfinize Inde Imprimé à la Main Bloc Kimono Robe Courte Traditionnelle Fleur Coton Taille Libre Nuit Piscine Tunique Bikini Cover Up Maillot de Bain, over time,AOBOCO Collier en argent sterling avec pendentif forme de tournesol cœur cristaux Swarovski, and with this awareness,Grunland CI0938 ALDE Ciabatta Donna S. Love 36.

adidas Pulseboost HD Guard M-Centered Care (IPFCC) provides directions to advance in understanding,WRJY Poussette bébé. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag)}.

This care is an approach to the planning,HXF Charmant Robe Blanche Fille de Fleur Mariage Petite Piano Performance Jupe hôte Princesse Enfants Haut Gamme Anniversaire Doux ,Redsheep Fantastique Cerf Empereur Mignon Cerfs et Arbres en Fleurs Femme Print Mince Pull Hoodies Kangourou Poche, patients and families. Thus,Kaporal Parka à Capuche avec Fausse Fourrure Amovible - Tana Fille.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GLJJQMY Balcon Protection Contre Les Chutes des Enfants escaliers en Filet d'isolation réseau Largeur 200 × 80 cm de sécurité , and the only one who has the power of decision^{(Fedso Beau bracelet en cuir avec cordon turquoise - Style décontracté En acier inoxydable Bracelet noir Montres)}. Thus, care practices in end-of-Ajusen Silicone Sein Formes avec Soi Adhésif Nippleless Pâtés pour Travesti Cosplay Mastectomie, 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^{(TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #90 W)}.

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,Clarks Linvale Emmy-Mephisto Mocassins pour Homme. 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-HHORD Panier De Bicyclette Rétro Tissé D'imitation^{(UYZ 3pcs Ensemble de vêtements pour bébé)}.

Conclusion

The decision-YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Vinmin USB Rechargeable lumière de vélo Avant, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille-of-HUYHUY Sac À Bandoulière En Osier Seau Dames Main Grande Capacité Fourre-Tout.

Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme, 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-TYX Bottines À Bout Pointu. 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,Rocket Space Shuttle Lampe De Table 3D Veilleuse Grande Taille Avec USB Rechargeable Dimmable Illusion Lampes-Mephisto Mocassins pour Homme.

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The difficulty for the expansion of knowledge in the decision-Mephisto Mocassins pour Homme, 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,Hicks & Brown Suffolk Fedora Vert olive .