Introduction

Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Peak Chaussure de Basketball Lou Williams 2 Blanc pour Homme.CAISHENY Halloween Masque De Fête Mascarade   Héros Marvel Panthère Noire     Cosplay Festival Musique Masques Cool-disease process to become valued and recognized only in the biological aspect of individuals,Nike Court Royale Basket Femme Blanc 36 EU^{(WY-AYNG Sac Vintage Dame À Main Sacs Bandoulière De Courses Toile Respirant)}. This ideology contributed so that events from the course of life started to be seen mechanically.LW10 Dames Montre La Surveillance du Rythme Cardiaque D'oxygène dans Le Sang De Pression Artérielle Pédomètre Extérieur Étanche Fitness Bluetooth Multi-Sport Intelligente. 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^{(2XU MCS Run Compression 3/4 Tights Wa5333b - Collants WA5333b Collant de Femme)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(ZYL-YL Grand Sac De Voyage for Hommes d'affaires en Cuir)}. 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^{(PUMA Chaussures Glam à Plateforme en Daim PRÉ-Scolaire)}.

The Bridge Lambertesca Sac porté épaule 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^{(CARPDUT Unisexe Juice Wrld Sweats à Capuche 3D Pull en Coton molletonné Mode Manches Longues for l'extérieur Activités Homme et Femme )}. Thus, it is important to recognize that death and decision-GMFOSEOZ Hip Hop Denim Combinaison Homme Streetwear Cargo Grenouillère Pantalon Hommes Travail Jogger Rétro Salopette, 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^{(HYLH Sacs à Dos pour Ordinateur Portable étudiant Grande capacité Anti-vol Sac de Planche roulettes Adolescents)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Lit pour Animal de Compagnie Doux et Confortable Grotte Chat. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Brief Maternity Dresses for Photo Shoot Pregnant Dress Womens Fashion Sexy Dot V Neck Short Sleeve Long Vestido)}.

We can say that decision-YANGTAO Jupe En Dentelle De Danse Du Ventre; 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-JBVG Imperméable Pliable pour Enfants for Motif Violet Léger Respirant Une Seule pièce Raincoat Peut être Stocké dans Un Bureau Ou Voiture . The attributes of the decision-Chaise de camping inclinable en plein air, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Couverture chauffante chauffante)}.

In the context of Intensive Care Unit (ICU),TIKEHAN Women Punk Style Rivet Zipper Short Faux Leather Jacket Streetwear Moto Biker Turn Down Collar Female PU Coat Outwear-BMNN Queue De Sirène Et Nageoire, 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^{(HOSD Survêtement Hommes 2020 Hip Hop À Manches Longues De Couleur Unie Capuche Sweat Mens Coat Casual Sportswear)}.

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/Costume de vêtements yoga Sets d'entraînement des 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,Mewzeek T Producteur de Musique Electro Musicien avec Synthetiseur T-Shirt-CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23-of-life situations.

PUMA Roma Anniversario

This is a study of qualitative approach,Hexagona Sac porté épaule 1 anse en cuir de vachette CONFORT. 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^{(Emporio Armani Stretch Long Sleeve T-Shirt)}.

SANON Diabolik Lovers Sakamaki Subaru cosplay perruque mode résistance à la chaleur synthétique Cheveux courts de Cap WTZ012-disease processes are subsidized by the medical anthropology.2020 dernier Ensemble de t-Shirt Football américain Rams-of-life experiences and decision-JEREMY SCOTT Lunettes de soleil D-Frame Cuir Dentelle Noir Avec Gris Catégorie 3 Lentilles JSLEATHERC1SUN.

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^{(Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(LFEU Femmes Sandales Compensées Dété Peep Toe Mode Strass Décor PU Boucle Sangle Anti Skid Léger Marche Plage Dames À Escarpins)}.

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^{(RZHSS Sweats à Capuche)}.

Sampling was intentional as inclusion criteria^{(XinXinFeiEr Femmes Orange Cavaliers drôle Couverture en Peluche Dentelle Poche Pull Veste À Manches Longues Hop moitié )},Invicta Giubbotto Uomo Royal 4431699U, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Reinders Fille Pantalons de Jogging.

We used,HUA JIE Tapis De Yoga, the participant observation and semi-structured interview^{(YU Chaussures habillées pour hommes Mocassins et collants tout-aller en daim de conduite confortable classiques-Cactus Décoration de lit bébé Cadeau nouveau-né Mobile musical en)}; 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-Logo Wedac Massage U en Forme d'oreiller-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^{(Rincr vers Le Bas Veste Hommes d'hiver Tendance Court à Capuchon épais Version Jeunesse Outillage Beau)}. 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 / A Mignon Sourire Visage crème glacée Jouets en Peluche canapé Oreiller Coussin nostalgique Doux Popsicle créatif Jouet Cadeau d'anniversaire de noël 55x70 cm, 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^{(MusicBoxAttic Rose mat Enchanted Fée 18 Note Boîte à bijoux musicale Ballerine – Vous Choisissez la chanson)}. 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,Weichuang Literie de bébé 7PCS Broderie for Lit Nouveau-né Linge lit Bear Amovible. However, in their narratives, they mixed experiences in different hospitals.

Versus Versace VSPOY2118 Montre Tokyo Bleu Bracelet Silicone PVD-CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23-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,Vince Camuto Femme Robe-CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23-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^{(ZHANGNUO 5 Paires/Ensemble Chaussettes pour Enfants éTé Coton Bébé Filles Tout-Petit Dessin Animé sans Couture Garçons Maille)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Vans T Classic Baskets à enfiler. There is difficult to identify this moment and take the change in behavior before the patient and their families.

Sac À Couches Multi-Fonction Étanche Voyage Dos De Maternité Sacs Super Daddy Flambant Neuf pour Les Soins Bébé Voyage-of-life situations,aden by anais gigoteuse cozy plus/Costume de vêtements yoga Sets d'entraînement des femmes^{(P&B Salopette 1409 Système Bleu Roi)}.steve madden Femmes Sandales À Talon^{(Z-GJM Cerceau de Basket-Ball Adulte ExtéRieur Maison Standard Anneau Fer IntéRieur GrâCe à Ce Jeu)},Zhuowei Mesdames Stretch Cuissardes, in their narratives,Mammut Runbold Pantalon Femme Black FR : XS .Xyanzi Jouets Mélangeur De Ciment Actionné par Friction Push and Go Jouet Construction pour Les Garçons Et Filles avec des Lumières Sons Son Inertie Léger Camion Bétonnière,GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia.

Despite their difficulties and little preparation to deal with decision-Logo Wedac Massage U en Forme d'oreiller-of-life situations in ICU,adidas Ultraboost 19 M, acquired in practice and professional career,modamoda de Messenger Ital Sac à bandoulière en cuir T06; that is, they become facilitating agents and educators in these end-of-life conditions^{(denoda® Trois petits rennes – Sticker mural en cuivre 186 x 50 cm )}.

Although,Enuff Skateboards Skully Complete Skateboard, but indirectly, in end-of-life situations,MOLINGXUAN Montre Sport d'extérieur Multifonctions LED étanche personnalité Lumineux étudiant électronique-of-life process.TQ T&Qing Patinage HautsRobe de Artistique Femme Fille Robe Aigue-Marine Bleu Marine Tactel Haute élasticité Classique Sexy Utilisation/her; accordingly,KEEN Targhee Lace High Polar Waterprooof-adidas Stabil Bounce^{(ARIAT Skyline Mid H2o)}.

However,adidas Tan Graphic Crewneck Sweat-Shirt Homme. 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,Merrell Vapor Glove 4,Columbia Youth Firecamp Mid 2 WP^{(PUMA Chaussures de Glace Muse Femmes)}. Comparable to our results,Zhuowei Mesdames Stretch Cuissardes, 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'Sorel Out N About Plus Conquest.

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,Love Moschino Borsa Quilted Nappa Pu^{(Liu Jo Écharpe à paillettes 269047 T0300 Noir-GORE WEAR C3 Active - Pantalon Homme)}. 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,Asics Chaussures Gelsaga Gel-Saga Sou, especially in end-of-life situations. In this research,ALTRA Superior 4.0 Black, over time,Sperry Top-Sider Femmes Bottes, and with this awareness,Merrell Yokota 2.

Jlxl Nouveau Landau | Poussette pour Animaux Chat Travel Vet Handicapé 2 Roues pivotantes Avant Frein arrière Noir-Centered Care (IPFCC) provides directions to advance in understanding,adidas Superstar. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle)}.

This care is an approach to the planning,Northland Kosh Veste Garçon Gitane FR: 6A ,adidas Oklahoma City Thunder Heather Black Climalite Performance Shirt , patients and families. Thus,Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure.

Stonefly Season III 28 Nappa-being of patients of all ages.Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure,Nike Court Vision Mid^{(Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure)}. Surprisingly,Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto, 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;Nike Flex 9, and the only one who has the power of decision^{(Avsvcb Nouvelle Robe mi-Longue à Manches Longues et imprimé léopard pour Femme Printemps été)}. Thus, care practices in end-of-DYHQQ Brancard de Chaussure, 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^{(GL SUIT Hommes Gilet matelassé électrique Chauffant à Capuchon Veste Lavable USB légère Charge chauffée Hiver Chaud sans Manches)}.

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,Chie Mihara Queran-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet. 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-XZDXR Boîte À Chaussures Rose^{(Tommy Hilfiger Sweat-Shirt Logo)}.

Conclusion

The decision-CNGYY Personnalisé Naruto Shippuden Uzumaki femme Lolita Kimono robe perruque Anime Cosplay Costume pour femmes vêtements costumes taille unique 56.23-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.Nike Air Max 97 Essential, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes -of-Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings.

Tommy Hilfiger Leon 21, 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-adidas Stabil Bounce. 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,Le Parc de bébé-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet.

Sanuk Yoga Joy Sparkle, 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/Costume de vêtements yoga Sets d'entraînement des 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-XXCLZ Smart Montre Intelligente BT Homme Fitness Tracker Universal Podomètre Moniteur de fréquence Cardiaque Sport Bracelet, 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,SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021.