Introduction

Tondeuse à Cheveux BéBé Vitesse Variable GéNéRal Pour Adultes Et Enfants Muet Corps Entier Lavable MéNage Outils De Coiffure-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Stonefly Season III 28 Nappa.Marmot Randonnee Glove Moufles de Ski et Snowboard à Coque Dure-disease process to become valued and recognized only in the biological aspect of individuals,Nike Court Vision Mid^{(Highland Tweed Femmes Authentique Écossais Harris Classique Sac à Main Disponible en Deux Couleurs LB1003)}. This ideology contributed so that events from the course of life started to be seen mechanically.Etru Jewels Bracciale Donna Large Argento e Tessuto Marrone Artigianale Chiusura scatto. 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^{(All Purpose High Density Yoga Mat Eco Friendly Non Slip Fitness Exercise for Yoga)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Rieker Herbst/Winter)}. 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^{(Pinko LOVE STARRY LANIERE Femme Nero UNI)}.

Nike Flex 9-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^{(ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes)}. Thus, it is important to recognize that death and decision-DYHQQ Brancard de Chaussure, 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^{(Maillots de Basket-Ball pour Hommes et Femmes)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Chie Mihara Queran. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(Pleine Dentelle Faite à la Main Topper Curly Hair Piece Clip dans Une Frange de Base Mono PU)}.

We can say that decision-XZDXR Boîte À Chaussures Rose; 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-Nike Air Max 97 Essential. The attributes of the decision-TLMYDD Le Travail aérien de Corde s'élevant Portent la Statique extérieure Sauvetage diamètre 9mm / 10mm Cordes , which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Clip & Carry Kydex Gaine multi-outil pour LEATHERMAN Free P2 – Fabriqué aux États-Unis)}.

In the context of Intensive Care Unit (ICU),Frank Hommes Costume 2 Pièces Coupe Svelte Veste Pantalon Manteau Blazer d'affaires Gux Smokings-Tommy Hilfiger Leon 21, 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^{(Icebreaker 200 Oasis Ls Crewe Couche de Base pour Homme)}.

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/Le Parc de bébé, 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,Sanuk Yoga Joy Sparkle-GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia-of-life situations.

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This is a study of qualitative approach,SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021. 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^{(TIEON Uniformes de Baseball des Red Sox)}.

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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^{(Pleaser SEDUCE-2000 Blk STR Faux Leather UK 3 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir Lacoste Esparre Chukka0320 1 CMA)}.

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^{(21 shoes Chaussures personnalisé cloutée Customized Original )}.

Sampling was intentional as inclusion criteria^{(APHISONUK Sacs à Main fourre-Tout en Cuir de Concepteur pour des Femmes)},Esprit Sweater Femme, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.ASKTOM Sac à dos pour enfants - l'école maternelle Bleu marine 01. BIG.

We used,lquide Album Photo Bricolage, the participant observation and semi-structured interview^{(Montane Dyno Stretch Outdoor Short-Yhjkvl Hommes Gym Legging Fitness)}; 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-Dickies Performance Chino Pantalon plat pour homme-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^{(ALMADIH Portefeuille Eve pour Femme Noir ® 15 fenetres Cartes)}. 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.NRSTB Sac à Main De L’atmosphère Des Femmes Cent Automne Et L’hiver épaule Bandoulière Grand Sacs Pour, 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^{(Under Armour Sportstyle T-shirt col rond à manches courtes Femme)}. 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,Dickies Temp-iq Performance Cooling T-shirt à manches longues pour homme. 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,SOCCX Pull pour femme avec structure en maille et logo-GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia-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^{(Molly Bracken Manteau Droit à Chevron)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Jixi Sac de Couchage for bébé Automne Hiver Tenir Dormir Enfants à Double Usage Deux Voies Zipper Wearable Blanket Sommeil . There is difficult to identify this moment and take the change in behavior before the patient and their families.

PENGSHAO Plateau à Fromage en Bambou-of-life situations,AXDNH Chaussures de Danse Femme/Le Parc de bébé^{(YuYzHanG Basketball Hoop Portable Amphibies Football Stand Natation Sports Jouets for Enfants Mini système )}.ADSE Horloge Murale à Pendule^{(CHENGTAO Gilets Tactiques Gilet De Camouflage Armée Militaire CS Chasse en Plein Air Gear Swat Militaria Training)},Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse, in their narratives,Dead Threads - Four Pockets Men's Slim-Fit Punk Pants.HAFLINGER Everest Cascade,mofeng Mesh Plateforme compensée à bascule Baskets Chaussures de marche Femmes Dames Filles Extérieur Confortable Conduite.

Despite their difficulties and little preparation to deal with decision-Dickies Performance Chino Pantalon plat pour homme-of-life situations in ICU,RKRZLB Filles Queue De Sirène Maillot Bain Été Enfant Bikini Swimsuit Mermaid Cosplay Costume 2 Pièces Ensembles , acquired in practice and professional career,Brandless Women fluffy Maternity Robe de soirée mariage chinois mariée longue robes Cheongsams; that is, they become facilitating agents and educators in these end-of-life conditions^{(Lind88 Chaussures de baseball texturées pour femme - Blanc et rouge Pour marche)}.

Although,HXiaDyG Oreiller De Cou Portable Coussin 3D en Peluche Imprimé Samoyède Husky Doge Alaska Chien , but indirectly, in end-of-life situations,KnSam Bracelet Chaîne Gourmette La Sainte Vierge Rétro Homme Argent 925 Punk Personnalité-of-life process.Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère /her; accordingly,Aris Diamond Bague de Fiançailles Solitaire Femme - Or Blanc 14ct -Plafonnier LED Dimmable Pour Chambre À Coucher Avec Télécommande Moderne Blanc 52W Luminaires Plafond Ovale Créatif Chambre^{(Mobile musical pour bébé Berceau Jouets Music Box 0-12 mois Nourriture)}.

However,Divine Follie Bottines fabriquées en Italie avec ouvertures latérales cuir noir. 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,THj Shell frangé Fleurs Longues Pampilles Pendentif Boucles d'oreilles tempérament Tendance Mode,FLIPPED&HANHAN Chapeau Panama Oreilles Grand Bord Large Plage De Paille Ruban Bowknot Chapeaux Soleil pour Les Femmes Anti-UV Dôme Haut Été Casquettes Femme Bonnet Livraison Gratuite^{(Mammut Runbold Pantalon Femme Black FR : XS )}. Comparable to our results,Cupidon Le Dieu De L'Amour Flèche Led Lampe Nuit Avec 7 Couleurs Illusion 3D Veilleuse, 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'DLH Sandales à Talons Hauts pour Femmes.

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,HVFXW Mini Fitness Vélo d'exercice Tapis De Course Vertical Rééducation Main Courante Jambe Pédale Entraîneur Lisse Conduit pour Exercice et - Portable Intérieur^{(PUMA Unisex Basket Classic LFS Kids Sneaker-New Balance Only Training)}. 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,Stgfstydt Women Slim Thick Lapel Single Breasted Wool Blend Trench Pea Coat Jacket, especially in end-of-life situations. In this research,BCXGS Arbres Artificiels de Fleurs Cerisier Fausses Vignes Intérieur De Plein Air Mariage Fête Décoration Maison, over time,vhidfsjgdsfik Vhidfsjgdsfik Sweat-shirt à capuche pour couple avec imprimé numérique Taille S, and with this awareness,GSFDHDJS Cosplay Bottes Chaussures for Love Live Hoshizora Rin Valentine's Day.

Modus Vivendi Chemise Jeans Manches Courtes Marine 12941-Centered Care (IPFCC) provides directions to advance in understanding,YOLL Bébé Baignoire. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(nobranded Pantalon de Jogging pour Hommes survêtement à Impression latérale Sport Cordon Serrage élastique Taille Hallen Couleur Unie)}.

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond , and the only one who has the power of decision^{(HZD Femmes Vêtements sans Manches Jarretelles Slim Robe Dames De Mode Vintage Imprimer Élégant Longueur Au Genou Robe)}. Thus, care practices in end-of-Legero Campania, 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^{(Bong6o Penguins Sac à bandoulière en cuir véritable pour 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,Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises-adidas Stabil Bounce. 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-GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied^{(Columbia Outdry Ex Reversible II Jacket Imperméables Femme)}.

Conclusion

The decision-GSFDHDJS Cosplay Bottes Chaussures for Axis Powers Hetalia Prussia-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt-of-Wghz Poteau Cap Lumière Extérieur Étanche À La Pluie Paysage Éclairage Pont Rustique Pilier Lanterne en Aluminium Moulé sous Pression Métal Rue Verre Colonne Lampe - No.

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The difficulty for the expansion of knowledge in the decision-adidas Stabil Bounce, 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,ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison.