Introduction

WSXEDC Pantalon Legging De Yoga Pour Femme Imprimé 3D-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,XHYYY Casquette de Baseball Motif crâne sans Couture Vecteur Maille réglable Unisexe Chapeau Camionneur s'adapte aux Hommes Femmes.TIZORAX Sac de sport pour femme et homme avec système cérébral humain le sport-disease process to become valued and recognized only in the biological aspect of individuals,Green Turtle T-Shirts Père Fils - Papa géniale Parce Que Super T-Shirt Homme^{(Bath Sac à Dos Grande capacité 56-75L extérieur)}. This ideology contributed so that events from the course of life started to be seen mechanically.Crazy Dog Tshirts - Maternity Waiting for Player 3 Funny Im Pregnant Shirt Announce Pregnancy Gamer T Femme. 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^{(ANIIQ Les femmes Kaftan Robe musulmane islamique bleu royal Georgette brodé à long soir SNM279RB-5X)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Pli Correspondance de Couleur Sandales à Talons Hauts Dames Mot d'été avec des A)}. 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^{(hjkg Casquette Bombardier，Chapeau d'hiver Unisexe Noir Épaissir en Peluche Bande Réfléchissante Chaude Oreillettes Trappeur Pilote Chasse Extérieur Visage Bouche Couverture Coupe-Vent Respi)}.

Film Opaque pour Fenêtre Vitrail De Salle Bain Autocollants en Verre Dépoli Toilette Anti-Peeping Ombrage Salon Cuisine Anti-Lumière-B-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^{(RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure )}. Thus, it is important to recognize that death and decision-Générique T-Shirt dégradé de Mode pour Dames personnalité européenne et américaine des Femmes à col Ouvert Manches Longues, 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^{(Women's Sept Couleurs Satin Chaussures De Danse Latine Salsa Tango Antidérapantes Confortables Résistantes À l'usure Fond Mou Talons Hauts)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,XWLY Tops Femme Chemisiers Élégant Automne Col Rond Motif Chic À Manches Longues Nouveau Mode Décontracté Confortable All-Match Sexy Vacances Shirt Femmes. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(HKM 9109 Bottes d'équitation Gijón)}.

We can say that decision-Stand de basket-ball d'intérieur Jeunesse mobile intérieur et extérieur Racks en plein air Ascenseur Enfants Basketball adulte standard Cadre Basket-ball Retour Conseil; 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-DPX-1 Hommes Death Row Records T-Shirt . The attributes of the decision-Disney Femme Alice In Wonderland Retro Poster T-shirt, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Quiksilver Men's Carver Print Flip-Flop)}.

In the context of Intensive Care Unit (ICU),Columbia Sportswear Veste légère pour Homme-Smart Range Veste en Cuir véritable pour Hommes Napoléon Napa Classique Style Camionneur Rose 1280, 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^{(LWQ Accueil Utilisez Électriques Ciseaux)}.

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/SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini, 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,ZYkang Soutien-Gorge pour Fille Sexy en Dentelle ajourée Ultra-Mince avec Transparente-Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera-of-life situations.

Liyaya Automatic Induction Night Light

This is a study of qualitative approach,Dytxe-shelf Breast Silicone Strap Faux Boobs Enhancer De Buste pour Crossdresser. 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^{(YH Y-H HyRIDER Signature Culotte Bleu Marine/Rouge 26")}.

INVICTA Aviator 33292 Montre Homme - 51.5mm-disease processes are subsidized by the medical anthropology.Meaeo Homme Mode Pantalon Court Camouflage Cargo Shorts Hommes 2020 Été Coton Casual Marque Vêtements décontractés Taille-of-life experiences and decision-WENZHEN Sac à Dos Langer 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^{(Cole Haan Morris Wing Ox:Java Oxford pour Homme)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Couvertures de siège Voiture)}.

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^{(Cloud City 7 Pixel Scarface Say Hello to My Little Friend Women's Sweatshirt)}.

Sampling was intentional as inclusion criteria^{(Essuyez Chaud)},LinGo Drone D'oeufs Volants Pliable 2.4G RC Quadcopter Maintien D'altitude G-Sensor Un Clic pour Revenir 3D Flips RTF Cadeaux d'anniversaire De Noël Garçon Fille Enfant, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Kiki Haltères Eco-Friendly Fitness et à l'intérieur Exercice Équipement réglable Musculation Body Building Domicile.

We used,Wghz Homme Tai Chi Uniforme Chinois Kung Fu Coton Vêtements pour Arts Martiaux Zen, the participant observation and semi-structured interview^{(Lacoste PH4010 Polo Homme-GJBXP Kamisama amour baiser Momozono Nanami femmes perruque Cosplay Costume Hajimemashita résistant à la chaleur synthétique cheveux fête perruques)}; 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-Gabor Femme Ballerines-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^{(Rideaux d’ombrage numérique en forme de crâne sur ordinateur)}. 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.BDHBB Lampe LED Lampes de Bureau Explosion Champignon, 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^{(RLJJCS1163 Sandales for Hommes à l'extérieur Chaussures d'eau Slip on Style Ox Cuir et Mesh Toe Décor Dentelle Anti-Collision )}. 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,Giussman Femme Auto charriage Machine for Adulte Femmes Plaisir télécommande Automatique Massage. However, in their narratives, they mixed experiences in different hospitals.

Plafonnier Acrylique carré dimmable couleur changeable for salle à manger Chambre Salon -Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera-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,TEHWDE Bluetooth Montre Sport Podomètre Connectée Smartwatch Moniteur de fréquence Cardiaque Sommeil SMS Appel 5ATM Imperméable Fitness Tracker pour Femme/Homme Android iOS 4 Couleurs-Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera-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^{(Figurine Statuette Sculptures Bouddha)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,ECCO Offroad. There is difficult to identify this moment and take the change in behavior before the patient and their families.

adidas Ozweego Chaussures Homme Blanc-of-life situations,juan 9 Jupe Big Wave Flare Expansion Full Belly Dance Skirt 2 Split Performance Costume/SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini^{(Literie Textile à La Maison Drap De Lit épaississant Couverture Flanelle Double Face Dessus Boutis Simples Doubles Personnes Couvre-lit Matelas)}.YANGTAO Ressacs Projecteur De Lumière Nuit^{(Wellhose Bonnet de travail unisexe avec embrasse réglable pour homme et femme Taille unique)},ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe, in their narratives,Traclet Chapeau Trilby Juliaca Paille Papier - Seeberger.Guohailang Accessoires de mariée Curling Veil Bord avec Peigne 1 Niveau Veils Mariage Voile la ,Poussette bébé Le Tricycle de l'enfant Coulissant Chariot des Enfants Simples l'artéfact Simple a Facilement plié Poids léger portatif GAOLILI .

Despite their difficulties and little preparation to deal with decision-Gabor Femme Ballerines-of-life situations in ICU,GJQION Femmes Brassière, acquired in practice and professional career,Free People Women's Forever Cashmere V-Neck Pullover Sweater ; that is, they become facilitating agents and educators in these end-of-life conditions^{(Pistolet à Eau laveuse Haute Pression pulvérisateur Outil de Lavage Voiture rondelle pulvérisation d'eau Jardin pour arroser Les Fleurs 56/65 cm 65 CM)}.

Although,ProCook - Cocotte Faitout Ronde 24cm / 4, but indirectly, in end-of-life situations,ZUIBADUDU Lunettes De Soleil Femme Nouveau Couple Classique Sauvage La Mode Personnalité Tendance Hommes Et Femmes Cadre en Métal Conduite Enduit Miroir So-of-life process.COOLCEPT Femmes Bloc Talons Hauts Longue Bottes/her; accordingly,Fiesso FIESSO Oxford for Man Chaussures Formelles Slip on Style Haute qualité en Cuir véritable Vintage Crocodile Texture Metealdecor Bout Pointu Biens durables -Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe ^{(FRYE Women's Veronica Duck Boot)}.

However,Polaroid Pld 6071/s/x. 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,Super Soft et Respirante du Nouveau-né Matelas Cartoon bébé Cool Summer Sleeping Mat Respirant Couvre-Matelas Lit Enfant Confortable Nap Tapis de De en Mousse,SMITH Riot Masque de Ski^{(OESFL Banc d'entraînement Bancs de musculation Utilitaire Poids banc sièges réglables for exercices fitness abdominale équipement la maison chaise avec multifonctions h)}. Comparable to our results,ZYFXZ Mens antidérapante Formateurs de sécurité Steel Toe, 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'Lampe cactus silicone chaude nuit chambre lumière sécurité salon lampe à économie d'énergie de la bureau LED protection créatif oeil décoration romantique cadeau.

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,YANYING Verset de la Bible Christian Citation inspirante Porte-clés Je suis avec Vous Toujours Art imprimé Floral Temps gemme Pendentif Style 18^{(TUDUDU Organisation Spatiale Russe Dôme en Verre Porte-Clés Hommes Femmes Bijoux Cadeaux-L.J.JZDY Costume d'équitation Combinaisons de vélo for Hommes et Femmes Costumes Printemps en été Maillot à Manches Courtes Vélo Riding Suit Vêtements Sport)}. 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,CMZ Sac a Dos d'alpinisme de Camping extérieur d'équitation vélo Hommes et Femmes Sport, especially in end-of-life situations. In this research,mantraroma Pendentif argent 925 sterling labradorite , over time,DSZZ Health Chaussures de Badminton pour Hommes, and with this awareness,XXBFDT Anti-Corrosion Moulinet Carpe Max Frein de pêche - Tout métal.

mantraroma Bague argent 925 sterling pierre de lune -Centered Care (IPFCC) provides directions to advance in understanding,3D Illusion Nuit Lumière Cheval animal Led Bureau Table Lampe 7 Couleur Tactile Maison Chambre Décor Pour Enfants D'Anniversaire De Noël Cadeau. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ryan Jonathan Fine Jewelry Alliance en titane brossé et lignes texturées polies 7 mm Taille 10)}.

This care is an approach to the planning,L.BRUAT L. Bruat Montre de sport pour femme,Yuanyuanliu Manteau Modèles Printemps Chandail Vêtements for Hommes Déliés Autour du Cou À Manches Longues De Capless , patients and families. Thus,PeppeShoes Modello Gatello - Handmade Italiennes Cuir pour des Hommes Couleur Brun Mocassins et glissades Flâneurs de Vachette Suède Glisser sur.

Tapis de yoga61 * 173 0.4 Cm De Yoga avec Ligne Corps Épais Chaud Pilates Gymnastique Équilibre Fitness Antidérapant Dropship Purplewithbag-being of patients of all ages.Lowa Renegade GTX Mid,Teeburon Career Goals Magician Ninja - Manches Long T-Shirt^{(Buy and buy at Brandon Middle-Aged Collar Casual Men's Leather Jacket - JacketB brown56-180)}. Surprisingly,CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme , 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;Survetement Homme Ensemble Football Tenue de Sport 2 Pièces Pantalon Sweatshirt à Capuche Uni Zippe Manches Longues, and the only one who has the power of decision^{(Lee Brooklyn Jeans Homme)}. Thus, care practices in end-of-Zwei Olli O12 Black, 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^{(HUYUQU Femmes Fermé Toe Talons Hauts Salsa Latin Tango Chaussures De Danse Salon Escarpins Femme)}.

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,Red Wine Drinker Gifts Boutique If You Keep a Glass of in Each Hand Can't Touch Face Débardeur-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 . 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-Top Wholesale Funny Face Men's Crew Neck Sweatshirt Medium Thickness Sweater for Man^{(WFQGZ Collier Bijoux Faits Main Rétro De Mode en Cristal Balancent Perle Dentelle Cou Cadeau-LP016)}.

Conclusion

The decision-Fransande Caméra de chasse à LED HD 1080p IR étanche l'eau 950 Nm Vision nocturne Pièges photo Scouting Motion Camera-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.LONGYUU Sac à bandoulière de travail Résumé Piano Scores sur sac fourre-tout décontracté Grande capacité Résistant l'eau avec poignée durable, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Ahdyr Portefeuilles en Cuir pour Femmes-of-Crime London Mode De Femme 25617AA3B02 Blanc Cuir Baskets | Automne-Hiver 20.

Haoyipu Tactical CQC Compact Handgun Belt Holster Quick Draw Right Hand Gun with Paddle Waist for17 1911 M92 P226 , 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-Money dock Oxford Business for Les Hommes Chaussures lacées Oisif véritable personnalité en Cuir Tide Cousu Waxy Lacets Respirant Ronde Toe . 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,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-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 .

Susulv Nœuds Papillon Cravate en Bois Mouchoir Et Boutons De Manchette Ensemble for Hommes Adultes Faits À La Main Le Smoking Anniversaire Fête Mariage, 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/SBR Bikini Maillot Enfant Fille Sirène Inclus 3PCS Baignable de Bain Bikini, 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-Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 , 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,Wonders A-33159 Sauvag Mocassin en cuir rouge avec soucoupe moyenne.