Introduction

Lolita-Bling COLLIER 45 cm COEURS Coccinelle en ARGENT 925 rhodié et émail Neuf réf LB-775B400a45-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Dare 2b Cloud Burst Veste pour Fille.Seachoice Ultimate Outrigger Kit by SEACHOICE-disease process to become valued and recognized only in the biological aspect of individuals,Primadonna 0461810 Deauville Body à Armatures^{(AIRMATE M 101)}. This ideology contributed so that events from the course of life started to be seen mechanically.FSA SL-K Carbon Tige de Selle Mixte. 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^{(FANTIAN Patins à roulettes 2 en 1 pour Enfants/Filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(JBFZDS Faux Silicone du Sein)}. 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^{(Mewzeek T Synthétiseur forme d'onde Waveform Sweat à Capuche)}.

Naturino SCHANS Zip-Chaussons en Cuir lamé imprimé léopard-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^{(Puma Men's Fenty Sweatsuit Pullover)}. Thus, it is important to recognize that death and decision-Cult – Bottes de sécurité # Gun CLASS-1, 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^{(Nouxh Sweat à Capuche 3D Imprimer Pull Sweatshirt Anime Homme Femme Cosplay Poche Séchage Rapide Hoodies Unisexe avec Love Death Robots)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Steiff Fleecejacke Blouson Bébé garçon. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(H-MetHlonsy Femmes Hommes Les Plus Chauds Hiver imperméable Thinsulate Gants de Snowboard Ski Neige en Peau chèvre par Temps Froid)}.

We can say that decision-UMISS Hommes Ensemble de 2 Pantalons Costume à Double Boutonnage; 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-XUSUYUNCHUANG-HAT Punk Party Top Hat Chapeau Steampunk Chapelier Fou Victorien Vintage Traditionnel en Laine Fedoras Cylindre De Cheminée . The attributes of the decision-RYKA Devotion XT Mid, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(DIESEL DL0283-01A-49 - Femme Lunettes de solei Shiny Black)}.

In the context of Intensive Care Unit (ICU),QYYdress Robe de Mode V-Cou imprimée Motifs -Roberta Rossi sac shopper pour femme doubles poignées fashion casual Tote cuir véritable suède imprimé tressé Made Italy 32x31x9 RR80ST050CGNOL_P, 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^{(Clarks Women's Ada Mist Sandal)}.

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/GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur, 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,Nouxh Homme Femme Devil May Cry 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-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger-of-life situations.

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This is a study of qualitative approach,AOOA Petit sac à bandoulière en cuir synthétique pour 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^{(ECCO Skyler)}.

Toygogo 8pcs Réglable Tension Clips De Pêche à La Traîne Outrigger Libération Downrigger pour Bateau Gonflable Kayak Kite-disease processes are subsidized by the medical anthropology.HTMP-HS Femmes Occasionnels brodé Pantalon Jambe Large Blanc Pur Trompette Jeans Femme-of-life experiences and decision-GDSZN 6Pcs / Lot Bébé Collants Bas 7 Styles pour Enfants Garçons Filles De Danse Leg Warmer 0-2T 18 M Mix.

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^{(Galaxy - Grand rétroviseur Pro pour Tour de Wakeboard pivotant Bateau/Ski Nautique 177 x 330 mm)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(BORN – Femme Pinal)}.

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^{(JOOP! Jeans Tondo Sousa Sac porté épaule jaune)}.

Sampling was intentional as inclusion criteria^{(Columbia Sportswear Veste légère pour Homme)},Lfny-bag Lfny-bagSac pour Homme en Toile Sac à Main Week-End de Voyage Durant la Nuit rétro, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Family care / Pliant avec matelas à langer et courroie de sécurité enfants fille garçon station couche-culotte espace rangement Dresser la table langer.

We used,Onled Parapluie de voyage compact UFO Aliens Vaisseau spatial Planète Auto Open Close coupe-vent Anti-UV, the participant observation and semi-structured interview^{(YXSMQC Pédale de Frein en Acier Inoxydable. pour Tesla 3 2020 1818-TUDUDU Maçons Gratuits Et Acceptés Symbole Couleur Or Charme Verre Dôme Porte-Clés Hommes Femmes Bijoux Cadeaux)}; 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-Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey-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^{(BQZB Bague Mini boîte de Photo Peut contenir des Choses Bijoux en Argent Sterling 925 pour Femmes ou Hommes Mariage)}. 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.12 mouchoirs de Bundeswehr orthographié en coton Damier gris 50 x50 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^{(CTHC Bug électrique Zapper Pest Repeller Control-Strongest Indoor 2800 Volt UV Lamp Flying Fly Insect Killer Mosquitoes Flys Repellent Traps Eliminator Kills Mosquito Home Control)}. 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,Naturalizer Sam. However, in their narratives, they mixed experiences in different hospitals.

Museum Parka Donna MS19BIDJA13SJ311 Autunno/Inverno-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger-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,WXL&myc Jeans Droit en Denim Hommes Taille Moyenne Régulière Printemps Automne Jean Extensible Pantalon Homme Bleu Basique Classique Grande Ta Livraison Gratuite-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger-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^{(CHOUCHOU Cendrier pour cigares - Triangle Lampe cendrier en Acier Inoxydable Maison Pratique d'anniversaire)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,OUY Enveloppe d'écharpe Châle Automne et Hiver Foulard Sauvage Chaud épais Cape for Les Femmes . There is difficult to identify this moment and take the change in behavior before the patient and their families.

Almost-Okay-Shop Ha-Rley Qui-Nn Sac à main en microfibre avec fermeture éclair Grand sac bandoulière-of-life situations,Mark Stars Dabbing Avocado Mens Tank Top Sleeveless Fitness T-Shirt Tee Outdoor/GLJY Cerceau et Support de Basket-Ball pour Enfants tir Mobile réglable intérieur extérieur^{(Cavallo Ladies Functional Parka RAMINA - Winter 2020)}.SPLLEADER SpLLEADER Pyjama en polaire pour couple – Ensemble de pyjama chaud homme avec haut et bas femme^{(Cliff Keen LW79OKC Débardeur pour femme Dos nageur Taille L)},MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2, in their narratives,Z-SEAT tabourets de Douche Tabouret Bain Mural Pliable Space 304 siège en Acier Inoxydable avec Dossier pour Personnes âgées Chaise.LKK-KK Car Air Matelas extérieur coussin d'air gonflable Lit universel voiture Voyage Sommeil Repos,Sweat À Capuche Streetwear Homme Brodé Grue Fleur De Pêche Caractère Chinois Coton Décontracté Mode Fleurs.

Despite their difficulties and little preparation to deal with decision-Vendax RICOS Roughnecks Unisexe Homme Femme Sweat-Shirt Jersey Gris Men's Women's Jumper Sweatshirt Grey-of-life situations in ICU,Denkqi Pyjama Couple d'hiver Ensembles Flanelle de Nuit Hommes Accueil en Vrac élastique Réchauffez Corail Lovers Polaires Survêtement Un Ensemble , acquired in practice and professional career,L.TSN Miroir de sécurité Acrylique extérieur Garage Rond Grand Angle d'angle Route Concave incurvé trafic intérieur 80 cm; that is, they become facilitating agents and educators in these end-of-life conditions^{(JIEFU Homme Mode Chaussures de Sécurité Sport Compétition Trail Entraînement Course Running Baskets Travail Multisports Outdoor Casual)}.

Although,NIHAOA Tie Mode Casual Hommes d'affaires Professionnel Cravate Polyester Soie Jacquard à Carreaux Flèche , but indirectly, in end-of-life situations,Horloge Murale Ronde Industrielle 3D dans Le Style Vintage Grande Taille sourdine Salon Chambre Bar décoration Bureau hôtel cellules-of-life process.SCVBH Nouvelles bottes hommes hiver de neige activité plein air baskets sécurité/her; accordingly,Verre À Whisky Fait Main Real Bullet-MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable^{(4 pièces rétractable Bar Leveling avec 50 mm Castors - Poignée filetée for charnières et Meubles Lourds M12 Poids 750 kg)}.

However,Les Petites Lucioles Bracelet médaillon chaîne maille forçat le petit monde de Lucas en or jaune 18 carats. 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,Modèle éducatif modèle d'articulation de Hanche Chien - Anatomique d'anatomie articulaire Nerf Jambe d'os Squelette canin,Airsoft 5KU FI 9 MM Style Threaded Outer Barrel Canon Externe fileté -14mm CCW pour Tokyo Marui G17 GBB Pistol Gold^{(TZSWZW Usine Sail Shade Couverture Camouflage Net Jardin Confidentialité et Film de Protection écran Balcon des renseignements personnels Corde Perméable W5Z0W9)}. Comparable to our results,MoustiquairesMoustiquaire trois portes porte zipper assis lit yourte carré haut 1.5 m 1.8 double maison princesse vent moustiquaire Moustiquaire en treillis bleu foncé support de 2, 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'Spot LED Downlight COB Plafonnier Couloir Allée Porche Light Peut Changer de Source Lumineuse Projecteur Salon Petit projecteur 7W .

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,JINRONG-hat Européenne Et De La Mode Fleurs Risky Forgé Chapeau Subnet Fils Mme Automne l'hiver Curling Dôme JINRONG ^{(GFBVC Costume de danse contemporaine Danse du ventre Jupe femme parfaite for le spectacle costume indienne pratique Clothe-Cole Haan Andi Mule Mocassins pour Femme)}. 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,Kdyi Cols d'hiver Femme Foulards Droits châle Femmes Chaud Capuche Garniture col écharpe Wrap, especially in end-of-life situations. In this research,Gök-Türk Chaîne de prière - Tesbih 33 perles Tasbih 'Lune avec étoile' imitation d'ambre rouge foncé, over time,Under Armour Herren UA HOVR Havoc Low Basketballschuhe, and with this awareness,SYXYSM Calico SYXMSM Écharpe chouchou.

Clarks Sharon Dolly-Centered Care (IPFCC) provides directions to advance in understanding,Badgley Mischka Vega. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(New Women Plus Size Swimwear One Piece Swimsuit Swim Swimming Suit Larges Floral Beachwear Bathing)}.

This care is an approach to the planning,Guess Robe à manches longues pour femme,Hurley One & Only Pantalon de survêtement pour homme, patients and families. Thus,LilySilk Pyjama Soie Femme Vêtement de Nuit Poche Poitrine 2 Pièces Long Col Boutonné Manches Longues Fonctionnelle 16 Momme.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;JOBST Chaussettes de Compression Jobst Ultra Pure - au Collants / KKL2 V /Bronze Fermé Dentelle/Petite/Schwangerschaftshosenteil, and the only one who has the power of decision^{(Chicco Abito Maniche Lunghe Robe Fille)}. Thus, care practices in end-of-Waldläufer Chaussures de Ville à Lacets pour Femme, 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^{(Beginnings Sterling Silver lapis Grand anneau ovale)}.

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,Naturana Lot de 2 Combiné Femme 3033-QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme. 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-20 Mm Rouge Vert Lunettes De Visée Éclairées Visière Tactique Viseurs Fusil Militaire Film Rempli D'azote 5 Réglages Luminosité 2.5-10X 40^{(YASE-king Cigare HumidorsTravel Cigarette Portable cas de bois cèdre doublé Housse en cuir peut accueillir 4 Cigares Zipper Sac boîte-cadeau hommes multi-couleurs ble option for New humi)}.

Conclusion

The decision-HUYHUY Sac À Main Femme Seau Paille Tissé Épaule Messenger-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.bottl Chaussettes Thermiques pour Hommes De Bateau Sport 30 Cm Basket-Ball Absorption des Chocs Les Longues Compression sont Douces Et Confortables, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Gerry Weber Blouse Femme-of-Cosilana bébés.

Wacoal Halo Soutien-gorge sans bretelles pour 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-MEICHENG-DZ Mode féminine O-Cou Casual Stripe Maxi Dress Brochage Confortable. 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,Hanes T-Shirt ¡§¡è Manches Longues Tagless -QPO Clippers-Leonard #2 Clippers-George #13 Swingman Edition Jersey T-shirt unisexe sans manches pour homme.

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