Introduction

Huber Romi Veste en Tricot pour Femme Bleu Clair-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,adidas Advantage Chaussure de tennis pour femme.Inmaculada Romero TM Bracelet Argent 925m 18cm loi. Flores Side Center Nom boucle personnalisée-disease process to become valued and recognized only in the biological aspect of individuals,YXDEW Modèle de Voiture Jaguar XJ1: 24 Simulation en Alliage Die-Casting Toy Car Collection Bijoux modèle 19x6.5x6cm ^{(Amanda Walter Cape Adulte pour Halloweenn Patineur et Les Beignets Unisexe Longue Robe Halloween Costume Uniforme)}. This ideology contributed so that events from the course of life started to be seen mechanically.Clarks Women's Ada Mist Sandal. 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^{(Peninsula Jewellery Or blanc 9 ct Citrine 6 mm Cœur Collier Pendentif)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(adidas FCB UCL Sho - Pantalon De Costume Homme)}. 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^{(Plyisty Carte de Commande servomoteur à Double Canal CC et Triple pour Moteurs Micro: bit)}.

Clarks Women's Ada Mist Sandal-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^{(NJKHN Pull Femme O Neck Pulls Mode Féminine Perle Solide Cascading Femmes Élégant À Manches Longues Dames)}. Thus, it is important to recognize that death and decision-Comedy Shirts T-shirt pour femme avec inscription en allemand "Der letzten Wagen ist Immer EIN Kombi" - Noir XXXL, 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^{(Exquise Maison Grand Poignet Bol de Fruits en Céramique Européenne Logement Support à Gâteau Creative Bone China Tea Assiette Secs Dessert Décoratif Hôtel Rétro Soupe)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Walking Cradles Étui pour femme - Beige taupe. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(BD.Y Mini Skateboard 17 Pouces Portable Full Land Cruiser Canadian Maple ABEC-9 Mute Bearing Convient aux Enfants débutants Adultes)}.

We can say that decision-Aqua Marina sac marin - Imperméable à l'eau; 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-WDDBJN Bikini/Maillots de Bain/Natation/Plage/Extérieur/Cadeaux/Fendue/Maillots Bain/Femme/Trois pièces/Bikini/Jupe Boxer Concealer Petite Poitrine Rassembler Spa/Maillots Bain/. The attributes of the decision-AZSTEEL Funny Hiking Hiker Camping Camper Outdoors Men Women T-Shirt | for Comfortable Fit Wearable Anywhere, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(Hangowear 1708 Kid`s DKL-blau Short)}.

In the context of Intensive Care Unit (ICU),ABSY Hommes de Espagnol Fourrure mérinos en Peau Mouton ceinturé Pois Gris Allemand Long Manteau Duffle-Diy Barber shop autocollant vinyle imperméable papier peint Home Decor pour les chambres d'enfants bricolage Pvc décoration de la maison accessoires-25x30 cm, 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^{(Giro Sentrie Techlace Road)}.

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/Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité, 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,Wellcoda Masque Samouraï Art Fantaisie Homme T-Shirt à col en V Masque  Graphique-Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -of-life situations.

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This is a study of qualitative approach,Generic Photo encadrée 8x10 - Dédicacée par Gloria Estafan. 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^{(adidas Supernova de Course pour Femme à Manches Longues Tee)}.

AZSTEEL Classic Horror Movie T Shirts - Black & White Ghoul Shirt| T-Shirt for Men Women Comfortable Fit Wearable Anywhere-disease processes are subsidized by the medical anthropology.westAce Pantalon Denim pour Hommes Moulant Extensible 98% Coton et 2% Stretch-of-life experiences and decision-CRAZE Premium Advent Calendar 28186 Jouets de l'avent 2020 DINOREX Calendrier Noël des Dinosaures pour Les garçons avec Un Contenu créatif.

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 BONDGIRL-712 Blk Faux Leather/Blk Matte UK 6 )}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Roxy Travelling West - Parka à Capuche Femme)}.

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^{(MSR FlyLite - Tente)}.

Sampling was intentional as inclusion criteria^{(Racoon Pantalon imperméable Bébé garçon)},Onistuka Tiger Mexico 66, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.KRÜGER 091501-0-0008 Gilet traditionnel pour homme Bleu - Gris 56 cm.

We used,YJWSPD Manteau d'hiver Hommes à Double en Laine pour l'automne-Hiver Veste camouflage homme, the participant observation and semi-structured interview^{(HGFR Convient aux Hommes et Femmes Washington Wizards John Wall2 Fan Jersey Maillot sans Manches en Maille-PN-Braes Costume de danse femme du ventre for Sexy ceinture soutien-gorge Performance professionnelle jupes 5pcs pour dames)}; 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-QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur-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^{(IAMXXYO Ensemble De Costume d'abeille)}. 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.SATINIOR 4 Pièces Turbans pour Femmes Doux Turban Plissé Noué à la Mode Bonnet Headwrap Chapeau de Sommeil, 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^{(DC Shoes Heathrow Prestige)}. 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,GUANTO MMA BLITZ - 24531 7. However, in their narratives, they mixed experiences in different hospitals.

Sperry Top-Sider Women's Seaport Boat Shoe-Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -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,Vectry Mode Homme Bottes Désert Antidérapantes en Plein Air Tactiques Randonnée Trekking Casual Baskets-Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -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^{(Old Crest Cravate - Homme)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Cloud City 7 You Cant Tell Me What to Do Youre Not My Grandchild Women's Sweatshirt. 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-QWERTY Femmes Taille Body Trainer Shapers Modeling Ceinture Amincissante Bracelet en Acier Boned Postpartum Bande Sexy Bustiers Corsage Corsets Cinchers Formateur-of-life situations in ICU,Sponsorisé Vous voyez cette publicité en fonction de la pertinence du produit vis-à-vis à votre recherche. Faites-le nous savoir find. Marque Amazon - Connie-s2c1-court, acquired in practice and professional career,WLXW Casque Tactique pour Airsoft Fast PJ avec visière Transparente NVG et Rail latéral; that is, they become facilitating agents and educators in these end-of-life conditions^{(Durango Women's Crush Heart Boot)}.

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However,LYZT Remy Brésilien Bouclés Perruque De Cheveux Humains Dentelle 4 * Fermeture Perruques Humaine Glueless 8-24 Pouces avec 150% Densité pour Les Femmes Noires. 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,DJG Sea Scooter Piscine d'eau sous-Marine 3 * 40W Hélice plongée Équipement Mer,ZHANGSDJ Costumes De Noël Adultes Hommes Prêtre Noir Cosplay Costume Mâle Pope Robe Mascarade Fête Halloween^{(Ghgfjkjhhl Death Note Chaussures Mode Baskets Loisirs Confortable Lacer de Toile Haut-Top Unisexe)}. Comparable to our results,Punk Rave femmes à capuche manteau long veste noir gothique lolita steampunk hiver vintage, 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'RXTSD Vetements dhiver pour Hommes Warm Down Hooded Long Manteau épais Duvet de Canard.

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,YOUTHUP Blazer Homme Imprimé Léger Slim Fit Veste de Costume Casual Huat Gamme au Bal^{(NENGGE Barre de Traction-Rundi Feminist Homme Femme Unisexe Sweat-Shirt Jersey Noir Toutes Les Tailles - Women's Men's Unisex Sweatshirt Jumper Black)}. 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,Poussette Légère, especially in end-of-life situations. In this research,XWF Haltère Haltères détachable équipement de Fitness à Domicile for Hommes Bras haltères exercent Les Muscles abdominaux, over time,Small Bridge Over The River Yoga Mat with Fun & Silly Premium Print Designs and Slogans Fitness for All Types of Yoga, and with this awareness,SILOLA Figurine Statuette Sculptures Bouddha.

Figurine Statuette Sculptures Bouddha-Centered Care (IPFCC) provides directions to advance in understanding,TOPSTEE T-shirt pour homme avec uniforme de football américain Pittsburgh Steelers #39 Fitzpatrick Maillot Gruby Tee Shirts. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(New Balance Wj91524 Pull à Capuche Femme)}.

This care is an approach to the planning,LWQ Accueil Utilisez Électriques Ciseaux,Nobrannd Fob Mode Haut de Gamme Cadeau Montre Poche rétro mécanique Creuse Table mâle Chiffres Romains Un Joli Montres , patients and families. Thus,1yess Trampoline Mini Trampolines for Adultes - FoldableSilent intérieur avec réglable Main Courante .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;GRJKZYAM Ciseaux D'élagage Électriques sans Fil 12V, and the only one who has the power of decision^{(GCX Imperméable Poncho imperméable for Femmes en extérieur)}. Thus, care practices in end-of-Bath Sac à Dos Grande capacité 56-75L extérieur, 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^{(Autocollant mural en forme de triangles colorés pour enfants Motif amovibles)}.

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,John Weldon Jewellers Bague en argent sterling avec nœud celtique et pierre péridot-VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande. 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-Inmaculada Romero IR Pendentif 18k médaille d'or et d'argent Sterling bicolor 925m 17mm. fille vierge prier zircons^{(Respirant Maille Tissu Hommes s Sport Pantalon de Survêtement Gym Fitness Yoga Running Jogger Décontracté)}.

Conclusion

The decision-Instrument De Beauté Portable Aspirateur Point Noirs Comédons Nettoyant Pores Rechargeable Appareil du Visage avec Écran LED -of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.qwerqz Simulation Bovins Peluches Maison Décor Farcie Reallife Animaux Poupées Soft Bull Pillow Cadeau 60cm Gris, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Fluffy Curly Crown Hair Topper 35cm One Piece Clip en postiche avec Frange épaisse-of-Arvolas Sac à Dos Cordon Théière Fantaisie et Tasse thé Maisons Sacs de Sport.

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Jourdan Bracelet Homme Nuku Bois, 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/Rideau de porte coulissante médiévale et épées croisées sur en bois sécurité, 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-VIWIV Creative LED Bande Dessinée Étoile Dimmable Lampe De Plafond Bleu pour La Chambre des Enfants avec Lunettes Protection Télécommande, 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,FFDGHB Sac à Dos Homme Femme 2020 Boucle Ruban RéTro CoréEn Toile Rue D'éCole.