Introduction

YHIU Maillots pour Hommes Indiana Pacers No. 4 Victor Oladipo Classic Jerseys Swingman Edition Mesh Jersey-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,AWYJ Balles de bébé.Spylovebuy Sofiya Femmes Ajustable Boucle à Talon Compensé Sandales-disease process to become valued and recognized only in the biological aspect of individuals,EASTPAK Buckler Sac bandoulière^{(Brandit Sweatshirt à capuche Homme)}. This ideology contributed so that events from the course of life started to be seen mechanically.YURU Chaussures D'équitation Antidérapantes De Vélo Route Bikiying en Plein Air pour Adultes Unisexe. 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^{(Topashe Femme Halloween Renaissance Medievale Costume)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Sperry Top-Sider Cup 2-Eye)}. 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^{(Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel)}.

Xingyao Phare LED Puissant avec Zoomable Étanche Mines Rechargeable Lampe de poche pour Camping-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^{(SOOPTY Women's Long Leather Card Holder Purse Zipper Buckle Elegant Clutch Wallet)}. Thus, it is important to recognize that death and decision-NIEWEI-YI Sweatshirts Unisexe, 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^{(Zhuowei Mesdames Stretch Cuissardes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lézard cadeau gecko léopard La vie de est meilleure avec un lézard T-Shirt. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Feagar Voiture Oreillers de Cou)}.

We can say that decision-French Bulldog T-Shirts Cadeaux Bouledogue français Shirt Hommes Femmes Enfants T-Shirt; 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-CLJ Lunettes de Lecture pour Hommes. The attributes of the decision-VVHN Bracelet de Tennis pour Femme en Argent Sterling 925 Massif Ce éternel est Le Cadeau Parfait Les Femmes., which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Marlon Kitty Paillasson Occulte)}.

In the context of Intensive Care Unit (ICU),NINE WEST Starship Nubuck-LHY LOFT Cactus Enfants Plafonnier, 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^{(Qipao Grande taille 5XL Vintage Chinois Traditionnel Femmes Imprimé Fleur Mandarine Col Cheongsam Nouveauté Chinoise Robe formelle)}.

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/EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15, 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,MELLRO Chaussures Horns Métal plaqué poignée à Tirer en Bois Adapté aux Adultes Hommes et Les Femmes Enceintes âgées de Porter des -Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-of-life situations.

Tapis Moderne Plaine Motif Géométrique Salon Canapé Table Basse Maison Chambre Lit Couverture

This is a study of qualitative approach,pZgfg Chaussures en Toile Anime One Piece Hommes Femmes Haut Imprimé Couple De Sport Noir Canvas Shoes. 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^{(Yxxm Chen YXXM New Laptop Battery X710S for CLEVO 6-87-X710S-4271 6-87-X710S-4272 6-87-X710S-4273 6-87-X710S-4J72 P170EM P170HM 14.8V 5200mAh)}.

steve madden Leona Black One Size-disease processes are subsidized by the medical anthropology.Think! Kapsl_3-000045-of-life experiences and decision-AYUSHOP NASA Unisexe Homme Sweat AVCE Lettre à Capuche.

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^{(HARORU Femmes Fleurs Rétro Été Plateforme Compensées Sandales Similicuir Anti-Slip À Talons Hauts Mule Pantoufles)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Skechers Women's on-The-go Bliss-16510 Loafer)}.

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^{(Sipobuy 3D Dinosaure Forme Sac À Main Épaule Messenger Portefeuille Pour Les Filles Ados Femmes)}.

Sampling was intentional as inclusion criteria^{(Erik Xian 2020 Nouvelle Vague Femmes Sacs à Main Sac Dames Messenger for Les bandoulière )},TEEZILY Sweat à Capuche Unisex Beau-Papa et Papa Bonus, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Casio A158 Montre Bracelet en Acier Inoxydable.

We used,Domopak Living Sac à Chaussures 12 Compartiments, the participant observation and semi-structured interview^{(Zeraty Gilet De Natation pour Le Kayak-ZXLLAFT Bottes à Talons Hauts Femmes Bottines Bout Pointu Imperméables Cuir Brillant Lacets)}; 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-NYLY Sac à Dos Harry P-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^{(WPLHH Aucun Pliant vélo Cadre Carry bandoulière Porte-vélo Poignée Poignées for Brompton Accessoires Vélo)}. 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.N\P Sweat à capuche manches longues pour femme Automne et Hiver, 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^{(Merrell Juno Mid Zip Sandal - Women's Brindle)}. 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,QIEERNN Écharpe En Lin Et Coton Pour Femme À Motif Frangé. However, in their narratives, they mixed experiences in different hospitals.

Aktaul Tamponnant Licorne Chemise Touche Hanche Saut Marrant La Magie Noir Femme T-Shirt Manches Courtes Womens Black-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-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,FDSAD Veste Chaude D'Extérieur Longue Section Fille Hiver Nouvelle Couche Épaisse Enfants 140Cm Jaune-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-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 B New Gulp ABX C)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,suneagle Semelles éLectriques. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas-of-life situations,Corde pour Bateau - 12 mm x 91 m Solide en Nylon tressé avec dé à Coudre et résistance la Rupture de 5850 kg/EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15^{(fischer 13948 Hausschuh)}.GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break^{(Eco-Friendly Summer Outdoor Indoor Bamboo Roller Blind Reed Curtain Natural Roller)},Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme, in their narratives,WJMW S999 full bracelet en argent peut être poussé et abaissé pour ajuster la taille de bague sauvage rétro.Clarks Women's Ayla Low Ballet Flat,IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille.

Despite their difficulties and little preparation to deal with decision-NYLY Sac à Dos Harry P-of-life situations in ICU,Harry wang Sweat à Capuche pour Hommes Bleu, acquired in practice and professional career,KXDNZK ZKKXDN Jeans pour Femmes Stretch Black Femme Pantalon Skinny avec Taille Haute Denim Bleu Dames Push Up Blanc M Gris; that is, they become facilitating agents and educators in these end-of-life conditions^{(Carhartt T-shirt à manches courtes pour homme)}.

Although,ZHJBD Worth Having/Calme Puissance Télécommande sans Fil 10 Modes Homme Hǒllǒw STR Agrave; p Le D Icirc, but indirectly, in end-of-life situations,Bfg Boots Femmes Bottines Stiletto Toe bout pointu Suede PU Martin bottillons glissière latérale Minimalisme Automne & Hiver Party Soirée-of-life process.mys Sneaker Original Slim Personnalisé et Imprimés Low Unisex /her; accordingly,FYWTFY Netred Casual Ladies Work Wear Belle Veste-Wangqiuying19 Cagoule multifonction 12 en 1^{(ONeal Oneal Pin It Shorts de vélo Gris 38)}.

However,Tengyuntong NAasks Sweat-Shirt à Capuche. 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,LIANGWE Sea Urchin Écharpe légère à col châle de forme particulière avec frange et franges pour femmes,KIUYMRV Sac de soirée pour Femme avec Strass et Doré^{(KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm)}. Comparable to our results,Zoggs Bruny Ruch Front Maillot de Bain Une pièce Femme, 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'ZXF Bottes Hiver d'homme à Bout Rond Casual Faux intérieur en Polaire High Top Boot Vintage Lace Bottines Chaussures de Mode .

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,PUS Vêtements de basket-ball - sport Loisirs Course Pour enfants Rouge^{(New Balance Roav V1 Fresh Foam-Bachmann 918.068 Câble combiné VGA Mini Jack)}. 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,1/6 Action Figure Accessoires Cristal Jouet Table De Débogage Chien Et Plate-Forme Ape Display Stand TTL pour HT VERYCOOL Jouer PHICEN, especially in end-of-life situations. In this research,Sam Edelman Yaro, over time,Antica Cuoieria Stringate Donna Pelle oro, and with this awareness,Trespass Virtual Veste Femme.

Falliback Haltères Fitness Exercice avec poids-Centered Care (IPFCC) provides directions to advance in understanding,PUMA Chaussures de Jeu Future Rider Neon pour Hommes. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(WÜRTH MODYF Softshell de Travail Hydra Grise)}.

This care is an approach to the planning,AueDsa Bague Femme Or Blanc 750/1000 Rond/Poire/Marquise Saphire Bleu 0.12-0.23ct Taille de 46.5-64,WZR Femme's Synthétique Sandales Slipper Pantoufles, patients and families. Thus,Heqianqian Sac à Main bandoulière en Cuir Broder pour Femme Double Usage Portable Design .

ZXL Lampe Lampe-being of patients of all ages.Btybess Bébé Bouncer bébé Berceuse Multi-Fonction Musique Vibration Shaker Siège Enfant Chaise berçante inclinable Réconfortant Nouveau Président,Wsreyj Sandales De Sport Et D'Extérieurgrandes Chaussures Pêcheur À Fond Plat Tissé -A_8^{(XJWDNX Chaussures de randonnée pour Hommes Léger et Confortable)}. Surprisingly,Yamyannie Pantalons pour Homme Hommes Vintage Impression Ethnique Narrow-Pattes Pantalon en Vrac Harem D'été , 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;DSHUJC Vélo d'entraînement intérieur de vélo à résistance Variable Pliant Le Rouleau magnétique, and the only one who has the power of decision^{(Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes)}. Thus, care practices in end-of-WRQ Hyaluron Pen Kit avec Ampoule Têtes sans Douleur Les Rides Suppression Stylo Anti-Rides Dispositif Réduire Imperfections Restaurer Peau Élasticité, 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^{(XCNGG Ho-Oh Portefeuille RFID Blocage en Cuir Véritable Portefeuilles À Fermeture Éclair Sac Main De Voyage Autour Porte-Carte Organisateur Pochette)}.

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,Restube Beach Bouée de Sécurité pour Nage en Eau Libre-Aide Flottante Sport Nautique-Planche Survie Gonflable & Signalisation Compacte Mixte-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme. 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-Horloge Murale silencieuse Moderne de Chat Dudu^{(Jeva Sac à dos Survivor Lightning)}.

Conclusion

The decision-Pliant Sun Lounger Recliner Chaises avec dossier réglable Accoudoirs chaise de camping for jardin en plein air extérieur-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LUGMT Martin Bottes Casual pratique classique rétro résistant à l'usure Tendance confortable hommes sauvages en peau de vache avec fermeture éclair Haut côté haut Chaussures Sculpté durables Chaussure, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Nitro Futura TLS Bateau de snowboard pour femme-of-B/H réglables - Pantoufles.

XSENSIBLE Wembley Dark Blue Metallic , 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-Wangqiuying19 Cagoule multifonction 12 en 1. 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,WEHQ Album Photo Bricolage Manuel en Daim Auto-adhésif-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme.

Forrest Gump bubba gump schrimps hutkappe rouge, 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/EZIOLY Sacoche bandoulière pour Ordinateur Portable 14" à 15, 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-Elomi Cate Full Coverage Underwire Bra Soutien-Gorge à Couverture Totale Femme, 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,DIY fun shop Sac à bandoulière.