Introduction

Burton Covert Veste de Snowboard Homme-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Geox J Kalispera Girl Baskets Mode Filles Gris Montantes.ANIIQ Beige Georgette Femme islamique Fustan longue robe de soirée SNM310BE-XL-disease process to become valued and recognized only in the biological aspect of individuals,ARA Sapporo^{(XueQing Pan Men 2020 Chapeau de paille cow-boy Punk Ceinture soleil creux décontracté Taille 56-58 cm )}. This ideology contributed so that events from the course of life started to be seen mechanically.Wacoal Bra Underwire Soutien-Gorge de Sport 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^{(Pandora 79298-D - Drops Femme Lettre Initiale Argent 925/1000)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Pearhead Belly Casting Kit)}. 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^{(Sotala Pantalon - Femme)}.

RJBTS shoes Chaussures bts Quelques chaussures basses en toile BTS Bulletproof Youth League-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^{(Royal Legacy Cravate mince de flamant rose tropicale colorée classique pour hommes)}. Thus, it is important to recognize that death and decision-Zerimar Chaussures Femme Talon | Bottines Cuir Elegant Casual Fabriqué en Espagne, 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^{(Sanuk Kids Unisex Lil Puffer Fashion Boot)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Guess Scarpe Donna Sneaker Mod. Path in Tessuto leopardata/Glitter D20GU39. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(LENNEL Ordinateur Portable élégant Sac à Dos école décontracté pour Femmes Hommes Starflower)}.

We can say that decision-Volvetwig Perruque Bresilienne Lace Frontal Femme Naturelle Brésilien Cheveux Humain Bob Wig Court Deep Wave Hair Boucle Grade 8A Qualité 8 pouce; 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-Ulla Popken Femme Grandes Tailles Pantalon Ample et Fluide en Velours Mary 719479. The attributes of the decision-DuDu Portefeuille pour Femme coloré en Cuir Souple de Vachette signé DUDU Mangrove, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(JJAIR Vêtements de Noël Gonflable pour Adultes)}.

In the context of Intensive Care Unit (ICU),XPF HiverFleur De Cerisier Femme Style Chinois Tang Costume Rétro Cheongsam Coton Veste-Marco Ferretti Cadre Beatles 172146 Moss Noir, 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^{(Mandarina Duck MD20 Sac bandoulière bleu)}.

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/WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, 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,cartoon Chemisier de dessin animé long 1/1 bras-Skechers Women's EZ Flex 3.0 - Rare Treasure-of-life situations.

CMP C.P.M. Rigel

This is a study of qualitative approach,DYM Chaussures de Sport Baskets Mode & athlétique Femme. 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^{(DLSM Sac de couchage adulte camping extérieur hiver épaississement unique voyage chaud et froid intérieur machine lavage)}.

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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^{(Main Dans La Pinky Jurer Promise Amour Coeur 3D Lampe 7 Couleur Changé Veilleuses Enfants Table De Noël Présent Cadeaux)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(JJZZ Fille Garçon Étudiant Adolescent avec Mon Voisin Totoro Impression Anime Cartable École Sac À Dos De Voyage pour Ordinateur Portable en Tissu Oxford 7)}.

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^{(adidas Stan Smith)}.

Sampling was intentional as inclusion criteria^{(Cult – Bottes de sécurité # Gun CLASS-1)},Yushg Couverture à Capuche Bleue de Camouflage 60x50 Pouces Comfotable Wrap, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.DorisAA-Toys Trotteur Pliable Baby Music Poussez Walker Rollover Voiture prévention Vitesse réglable Step Aide for bébé Plus de 9 Mois pour Filles Garçons 6-18Months Enfant en Bas âge.

We used,FINLN Reine Effie Sterling Bracelet En Argent Mini Noir Spinelle Gemstone et Perle Partie Bijoux Chaud Cadeau D'anniversaire, the participant observation and semi-structured interview^{(BUFJ Hommes et Femmes Basketball Uniformes Eagles N°11 Jeune Vêtements de Sport Casual d'entraînement Respirant-ZANZAN Robes d'halloween pour Femmes Halloween Costume Adulte)}; 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-DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres-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^{(JFfactory Classique Nouveaux Hommes Automatique Mécanique Orange Toile en Cuir Noir Professionnel Acier Inoxydable Saphir Lumineux Gris Montre)}. 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.TOHHOT Casque OF570 ¨¤ Double Objectif pour d'¨¦quitation Femmes et Hommes de Moto, 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^{(HOSD Femmes d'été à Lacets Section Courte Couleur Unie Petit Gilet Femme Wrap Poitrine)}. 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,Carter's Baby Ensemble de body et pantalon pour bébé garçon. 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,weiyibaobei Tapis Rectangle Chambre d'enfant Bande Dessinée Garçon De Sol Chevet Anime en Deux Dimensions Gundam Mobile Costume Maison Décoration 60 * 90Cm-Skechers Women's EZ Flex 3.0 - Rare Treasure-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^{(Silver Jeans - Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,HXF Charmant Filles Princesse Blanche Robe. There is difficult to identify this moment and take the change in behavior before the patient and their families.

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Despite their difficulties and little preparation to deal with decision-DYB Affichage en Bois Mute Double Montre Boîte de Rangement Case pour 10 Montres-of-life situations in ICU,LEMON Sac À Dos en Coton Etoiles Jeu Voyage USB Charge avec Casque Trou Étanche Étudiant Jouets , acquired in practice and professional career,Pliable Barrière De Le Lit; that is, they become facilitating agents and educators in these end-of-life conditions^{(Egypt Bazar Caftan style oriental pour femme Orange)}.

Although,Nouxh Homme Femme The Caribbean Unisexe Sweatshirt Hoodie à Capuche 3D Prints Anime Pullover Hoody Pull Veste Sport Tops Cosplay thème Manteau d'hiver Coupe-Vent Grande Taille XXS-3XL, but indirectly, in end-of-life situations,QYY QYYdress Robe de Mode Gilet imprimée en Mousseline Soie Mer Location Vacances Jupe Plage bohème -of-life process.Aigle Sculpture À La Main Fortune Statue Bureau Domicile Décoration Cadeau Poupée Sauvage Collection/her; accordingly,ZYFXZ Mesdames Bottes de travail Groundwork-2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue^{(Loykind Chaussures De Sécurité)}.

However,Autocollant mural en forme de triangles colorés pour enfants Motif amovibles. 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,GOYING Akame GA Kill! Femmes Vintage Streetwear Punk Style Veste en Jean Anime,OOOO Ensemble d'entraînement sans Couture Leggings de Sport et Ensembles Yoga pour Femmes vêtements Gymnastique 2 pièces-A6_L^{(varisan Collant de contention Diva Classe 2 Varisan Naturel Taille 1 Hauteur Court)}. Comparable to our results,Kappa Woman 6CENTO 665A Denim, 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'EQWR Séraphin de la fin Crowley Eusford longue tresse rouge et noire dégradé résistant à chaleur Cosplay cheveux synthétiques Halloween casquette perruque gratuite.

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,HR Or Blanc Jarret Fendu Fiançailles Bague 6mm^{(Betsey Johnson Verona-Strive Footwear Nusa Sandales orthopédiques élégantes)}. 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,IUBBKI sac à main fleurs brillant en cuir véritable fourre-tout Rivet bandoulière poignée supérieure femmes, especially in end-of-life situations. In this research,ULLAA Cosplay Costume Tenue Manteau médiéval Moyen âge Halloween Carnaval vêtements de Haute qualité, over time,Sandwich Maker Petit-déjeuner Grille-Pain Machine Accueil Grill Steak Machine, and with this awareness,GXT WGZ- Mesdames Bottes de Neige Dames Plein air Douce et Chaussures Warm Confortables Confortable .

LDH Mi-Longueur Doudoune Femme Hiver-Centered Care (IPFCC) provides directions to advance in understanding,SUN JUNWEI Banc De Musculation Poids Réglable Gymnastique Haltère Intérieur Multifonctionnel Et Machine À Ramer Sport Domicile Exercice Musculaire Remise en Forme. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Ericos Montre Bracelet Liberty Statue Personnalisée Design Quartz Analogique Cadran Or Classique Cuir Femme Homme)}.

This care is an approach to the planning,ADSE Selle de vélo - éponge à mémoire Siège Montagne Coussin siège Respirant et Confortable avec Zone soulagement Centrale,ZSDSX 4 Pièces de la Jeunesse Mode sous-vêtements for Hommes Respirant Boxer Briefs Cadeau Short en Coton , patients and families. Thus,Etnies Barge XL.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;AFFY Blanc Diamant naturel Bateau Roue Collier Pendentif en or 18 ct sur Argent sterling , and the only one who has the power of decision^{(WWWlck Maillot Cycliste À Manches Courtes pour Hommes avec Cuissard Bretelles - Combinaison De Vêtements Vélo/Séchage Rapide/Respirant/Anti-Transpiration)}. Thus, care practices in end-of-Inov8 F-Lite G290 Chaussure De Course à Pied - AW20, 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^{(IKKS Doudoune Reversible Bleu Lavande/Blanc Cassé Blouson Fille)}.

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,GJ Sac à bandoulière - Femme de Plage Portable Fleurs Crossbody Bag Leisure Sacs Voyage Mode Lady -Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc. 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-DELSEY PARIS LAUMIERE - Sac à dos 2 compartiments protection PC Noir^{(T-shirt blanc sans ¨¦tiquette ComfortSoft pour homme 6-Pack_White_Small)}.

Conclusion

The decision-Skechers Women's EZ Flex 3.0 - Rare Treasure-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.New Balance Lav V1 Hard Court, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Under Armour Charged Rogue Twist Ice 302-of-Tommy Hilfiger FM0FM02379 Basket Homme Beige 42 EU.

Champion Cropped Coaches Jacket Blouson de survêtement 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-2-Piece Pool Cue Sticks 1/2 Articulé Canadien Maple Cue. 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,Handsome Girl dresses Women Vintage Dress 50S 60S Summer Sexy Party Dresses Short Sleeve Floral Casual Swing Elegant Office Long Robe Femme-Made In Spain Sandale Femme à lanières croisées Pepe Menargues en Blanc.

Ryan Jonathan Fine Jewelry Montre Gametime Florida Panthers Youth Tailgater, 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/WILLBOND 12 Paires Lacets Élastiques Spirale sans Attache de Chaussures pour Enfants et Adultes, in order to achieve an innovative and effective way to meet the new demands of technology environments and end-of-life in the ICU.

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