Introduction

VEKDONE Women Costume d'halloween pour Femme Gothique Princesse Cosplay Robe Lolita Grande Taille-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,CP CALMA PROJECT Sac à bandoulière pour femme.Macron Home Jersey White/Red 19/20 Red Star Belgrade-disease process to become valued and recognized only in the biological aspect of individuals,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^{(AXDNH Chaussures de Danse Femme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Korntex KXRJGS Veste imperméable Jaune Taille S. 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^{(Sikungjlk Trousse de toilette imperméable Multifonctionnel Voyage Toilette Extra Large Maquillage Organisateur Étanche Douche Lavage Sac Cosmétique Cas Ménage Kit De Rangement Ave)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(anne cole Women's Frank Mid Rise Scoop Bikini Swim Bottom)}. 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^{(Gabor Femme Bottines)}.

Lfny-bag Lfny-bagSac à bandoulière en Cuir pour Femme-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^{(WDGXZM Plaquettes de Frein Avant et arrière Moto)}. Thus, it is important to recognize that death and decision-Eastern Counties Leather Bottes Jodie en peau de mouton - Femme, 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^{(Haedr Coussin résistant à la Casse pour bébé)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,lquide Support de Rangement pour Micro-Ondes Coin à 2 Niveaux. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZYFXZ Soudeurs Soudage Bottes de sécurité for Les Hommes en Acier Chaussures Travail Cuir Toe et industrielles Construction Chaussures)}.

We can say that decision-BAIYU Femmes Formelle Sparkling Sequin Hors épaule Dentelle Sexy Robe De Soirée Mince Cocktail Vintage Elegant Prom Maxi Robes Plancher Lenth Tassel; 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-FXQ Amovible Pet Chauffage Mat. The attributes of the decision-adidas 9 pair Performance Sneaker Socks Unisex short sock, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(CONTESSA Rail Picatinny allongée pour Dispositif de Vision Nocturne Browning X-Bolt Extra Short)}.

In the context of Intensive Care Unit (ICU),Générique Pantalon Women Pants Fall Winter Washed Blue Thin Skinny Feet Jeans-Y NOT? Ladies bag Ynot? Caroline 003 Black, 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^{(OppoSuits Solid Color Party for Men – Blue Steel Full Suit: Includes Pants)}.

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/Invicta 4432348/D Doudoune Femmes, 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 Classique Montre de Poche Mécanique Romaine Numerals Man Half Double Hunter Skeleton mécanique -LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-of-life situations.

Kilpi Titicaca-W Jupe 126

This is a study of qualitative approach,XiexHOME 27"x77 écharpe Wrap châle faisans avec des plumes colorées femmes grande mens longue élégante couverture chaude. 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^{(Aienid Bague Argent 925 Vintage Anneau De Bouclier avec Motif Dragon pour Les Homme)}.

Qiterr Remontoir de Montre-disease processes are subsidized by the medical anthropology.RUSSSS Adulte Plaine Blanc Gym Hommes À Capuche Pull Motion Manches Longues Sweat Unisexe Solide Couleur-of-life experiences and decision-SSG Home Voyage en Plein air École Sac Collège école à Dos Décontractée Etudiant Mode Simple Grand Capacité.

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^{(HKJZ Maillots de Bain Mesdames Imprimé Skinny Haut Elasticité Siamois Manches Longues for patauger Wetsuit et Vacances Plage Maillot Bikini )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Element L1jkc2 Veste Homme)}.

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^{(Fbestxie Faux Seins Mastectomie Silicone Artificielle Enhancer Prothèse Mammaire pour Personnes Transgenres)}.

Sampling was intentional as inclusion criteria^{(ONEMIX Chaussures de Course pour Homme - Tricot 3D légères à Coussin d'air Basket)},Panier Panier, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Zerimar Bottines Femme | Cuir Chaussures Elegant Classique Bottes.

We used,WANGXIAO Veste en Duvet Hommes, the participant observation and semi-structured interview^{(Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479-DSHUJC Réticence équitation Plate-Forme-équitation Plate-Forme-vélo Turbo Formateur vélo Exercice Fitness Cadre Fixe)}; 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-Plafonnier carré simple à LED-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^{(Sabatini Change System Sania S1502)}. 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.Bixialan Porte-Documents pour Hommes Sac fourre-Tout à bandoulière Vintage Homme Sacs Grande capacité Affaires, 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^{(Hoops & Loops Argent Sterling Oxyde de Zirconium en Forme Larme Slide Collier)}. 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,Trussardi Jeans by TrussardiZip. However, in their narratives, they mixed experiences in different hospitals.

APcjerp Poussette for Les Enfants de 8 Mois - 6 Ans-LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-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,Wygwlg Chaussures de Travail Hommes Baskets à Bout en Acier sécurité léger Respirant-LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-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^{(Statue Sculpture Figurine Statuette)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,U/A Cardigan Pull Femme Géométrique Tricot Automne. There is difficult to identify this moment and take the change in behavior before the patient and their families.

WRJY Poussette pour bébé Poussette-of-life situations,Diaod Creative Cartoon Simple Lazy Sofa Lounge Banana Tissu Enfants Chaise Peut être retiré Forme Mignon Canapé/Invicta 4432348/D Doudoune Femmes^{(DC Shoes Court Graffik - Baskets pour Garçon ADBS100207)}.Camping Batterie de cuisine Bouilloire Vaisselle extérieure portable Pot Gamelle Pan Bowl randonnée pédestre pique-nique Outdoor Théière ^{(adidas Originals Adidas Continental 80 White Crystal)},JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, in their narratives,Beirich Automatico incubatrice automatica cova coperture 3 in 1 rottura iniziale Temperatura utilizzo Hatcher e controllo automatico Del vassoio regolabile umidità tornitura..Bong6o Penguins Sac à bandoulière en cuir véritable pour femme,DIY fun shop Sac à bandoulière.

Despite their difficulties and little preparation to deal with decision-Plafonnier carré simple à LED-of-life situations in ICU,Deeluxe Robe Ample léopard Amanda Femme, acquired in practice and professional career,Nuomanna Couverture en flanelle ultra douce et chaude pour bébé Motif le hérisson; that is, they become facilitating agents and educators in these end-of-life conditions^{(BCOGG Captain Marvel Aquaman Mera Ladybug Girls spiderman mon héros académie cosplay costume costumes d'halloween pour femmes Combinaisons XXL comme indiqué)}.

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However,Xsdfwstssd Women Winter Warm Zipper Belted Suede Lamb Wool Shearling Lined Jacket. 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,CHOUCHOU Cendrier pour cigares - Fille Mignonne personnalité créative décoration Table Basse du Salon de la Maison 8,CHOUCHOU Cendrier pour cigares - décoration Salon créatif Envoyer Table Basse Bureau Cadeau Petit ami 3^{(Dachstein Ramsau 2.0 Gore-TEX Chaussure)}. Comparable to our results,JJHR Robe de Soiree V-Pendaison Conduit Paillettes Licou Épaule Épissage De Soirée Celebrity Runway Party, 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'Queng.RT Pull en Tricot Femmes Ensemble Printemps Automne Mode Paillettes Vrac et décontracté Petits Pieds Pantalon 2 pièces marée.

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,Sac à Dos Pliable Léger^{(Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport-Roberta Rossi sac pour femme fashion casual ceinture d'épaule Hobo cuir véritable suède imprimé tressé Made Italy 44x45x15 RR80ST051CGNOL_P)}. 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,YPSMCYL Ski Snowboard Planche Inférieure Extrudée Personnalisée à Fleurs Plate Polyvalente Unisexe, especially in end-of-life situations. In this research,RKRLJX Queue De Sirène pour Mermaid Bikini Cadeaux sur Mesure , over time,Ducati Femmes Polo D-Attitude Gris - M, and with this awareness,Kappa Doudoune Stade Français Paris Adulte 2020/2021.

Shaker à Cocktail Boston Standard Professionnel-Centered Care (IPFCC) provides directions to advance in understanding,AQWESD Pied de Table canapé en Bois 4 pièces. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Lfny-bag Lfny-bagSac à Dos pour Femme Sac en Cuir Souple Main PU)}.

This care is an approach to the planning,GFBVC Cas de Stockage Bijoux Européenne Retro Style Princesse Boîte à en Argent Petite plaqué Glaze Rangement ,Dafang Regarder Montre à Ceinture givrée Simple pour Dames loupe créative Quartz échelle numérique, patients and families. Thus,XSY Denim Zipper Genou Talon Hiver Bottes.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;Odlo Midlayer 1/2 Zip Ceramiwarm Element Pull Homme, and the only one who has the power of decision^{(Nike Joyride Env Ispa)}. Thus, care practices in end-of-Divine Follie Femme Bottines, 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^{(Victoria Tenis Velcros Piel/Leopardo)}.

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,Nine West Capri en jean pour femme-WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets. 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-Skagen Femme Analogique Quartz Montre avec Bracelet en Cuir SKW2672^{(Joyara Bague Femme 14 CT Or Blanc 0.9 Rond Rouge Rubis Éternité Chevron)}.

Conclusion

The decision-LIUDATOU Casque de vélo in-Mold Enduro VTT Casco Ciclismo Casques Montagne Hors Route Casquette sécurité-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Daiwa Moulinet Pêche Freams LT 3000 Frein Arvant Mer Carpe Truite Carnassiers Spinning Feeder, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Josef Seibel Tanja 13 Halbschuh Braun-of-Columbia Outdry Ex Reversible II Jacket Imperméables Femme.

Canne Pliante bâton de Marche pour Les béquilles âgées, 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-Ellesse Orazio Sweatshirt Maillot de survêtement Homme. 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,Nike Vaporx 12 Academy TF-WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets.

Clarks Sharon Dolly, 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/Invicta 4432348/D Doudoune Femmes, 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-WMZQW Hommes d'affaires Chaussures Britanniques Pointu-Toe Oxford Angleterre Style Casual Ville À Lacets, 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,Skechers Femmes Chaussures De Sport A La Mode.