Introduction

CMX-Coffrets Coffret de Rangement étui 10 emplacements pour garçon-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,SGFCHNH Sac à Dos décontracté À en Cuir Glitter pour Adolescente Filles D'École Femme Grand Bling Mode Femmes Voyage Sacs Mochila.Paolo Vandini Chaussures à Lacets Tendance Noir ou Brun Clair-disease process to become valued and recognized only in the biological aspect of individuals,Onitsuka Tiger Unisex Mexico 66 Slip-on Shoes D3K0N^{(HEHE sous Le Lit De Chaussures Sac Rangement)}. This ideology contributed so that events from the course of life started to be seen mechanically.Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle. 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^{(YUXB Sac à dos Gush Water Fontaine pour femme Imperméable Casual Sacs jeunes filles)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(Jhonangel Short de Plage en Polyester pour Hommes Rainbow Flag LGBT à séchage Rapide)}. 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^{(modamoda de Ital Grand Sac à bandoulière en cuir Shopper T165)}.

Crime London KOMRAD White-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^{(Antica Cuoieria Stringate Donna Pelle oro)}. Thus, it is important to recognize that death and decision-Onitsuka Tiger Baskets Corsair Unisexe-Adulte, 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^{(SanDisk 64 Go microSD HC XC microSDXC Class 10 Carte mémoire 64 G )}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,Pandora Femme Vermeil Charms et perles - 788692C01. Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(IUBBKI et sacs à main pour femmes peinture la Butterly poignée personnalisée en cuir PU Rivet Portable impression de mode étanche W)}.

We can say that decision-MASCOT WORKWEAR Mascot Polo De Travail Crossover; 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-Gabor Salma Womens Slip on Ballet Pumps 37.5 Sand Python. The attributes of the decision-DMZZYGJR Montres De Neuves en Acier Inoxydable Mécaniques Automatiques Bracelet 150M Bleu 41Mm Duo Date 8, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(LXIANGP Sac à bandoulière Multifonctionnel en Cuir de Poches Hommes rétro 8 Pouces)}.

In the context of Intensive Care Unit (ICU),DMZZYGJR Marque Nouveaux Hommes Automatique Mécanique Argent Noir en Céramique Lumineux Acier Inoxydable James Bond 007 Verre Saphir Retour Montre 4-Huangwanru Boîte de Montre pour Homme Bracelet Plateau Couvercle en Verre Noir 12 Affichage Rangement Bijoux Case Hommes ou Femmes , 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^{(FxsD Cigar Cabinet)}.

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/SKTWOE Bottes De Cheville 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,LNLJ Cruise Ship Building Blocks Set Modle Bricolage Diamant Mini Construction Micro Nano Blocs Brique Assemblé Jouet Enfants Cadeau-XZDXR Boîte À Chaussures Rose-of-life situations.

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This is a study of qualitative approach,VDSON Infantino Classic Carrier Porte-bébé avec bébé Wrap Hanche Doux et Respirant Sac à Dos Retour Siège Avant . 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^{(ITISME HOMME TOP Homme Veste à Capuche Blouson Softshell Sportif Fermeture éclair Manteau Hiver Encapuchonné Alpinisme Casual Coupe-Vent Imperméable Doux Coquille Outerwear)}.

LoTong Kit Peinture Diamant 5d DIY Complet Diamond Painting Arts Lovely Dog Pet Broderie Cristal Point de Croix Full Drill Salon Chambre Artisanat pour la Maison Mur Décor K2011 Round Drill-disease processes are subsidized by the medical anthropology.CAOXN Presbytes Lecture Loupes Lumière Ultra Haute Définition sans Cadre Lentilles De Résine Parés Mode Lunettes Optiques-of-life experiences and decision-JIAJU Européenne Haute Paysage bébé Poussette bidirectionnelle inclinable Quatre Roues Amortisseur.

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^{(CHOUCHOU Cendrier pour cigares - modèle Fleur Elephant Bois cendrier)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Tifosi Lunettes de soleil Mira Noir - Rose 2020)}.

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^{(GSFDHDJS Cosplay Bottes Chaussures for Pandora Hearts Xerxes Break)}.

Sampling was intentional as inclusion criteria^{(Yxxc Barrières de sécurité pour bébé Porte clôture à Fermeture Automatique Une Main)},MARC JOSEPH NEW YORK Genuine Leather Smoking Loafer with Embroidery Detail, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy.

We used,Hogan Sneaker New Interactive HXM00N0Q101LIU871M Grigio Uomo 10, the participant observation and semi-structured interview^{(Columbia Men's Bridge to Bluff Pant-Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable)}; 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-Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 -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^{(Child Walker Multi-Fonction Anti-Renversement 6-12 Mois Bébé Peut s'asseoir Homme et Femme Universel FANJIANI)}. 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.Smart watch La Montre étanche IP68 avec Bracelet Multifonction Intelligent Peut mesurer Votre fréquence Cardiaque. Branchez Bluetooth et Autres Bracelets de Sport pour iOS/Android, 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^{(Spiral Direct Lycos Wings-Lace Layered Cap Sleeve Top Black T-Shirt 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,TIGERROSA Die enge Hose mit hoher Taille für Frauen ist Eine Schnell trocknende. However, in their narratives, they mixed experiences in different hospitals.

Hamilton & Young Katy Craig Paire de boucles d'oreilles pendantes avec améthyste véritable-XZDXR Boîte À Chaussures Rose-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,FZC-YM Verre à Whisky en Cristal sans Plomb avec Bouchon-XZDXR Boîte À Chaussures Rose-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^{(Nine West Women's Gramercy Bermuda Short)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,SHOPAMZ Chaussure de Securité Homme Femmes. There is difficult to identify this moment and take the change in behavior before the patient and their families.

YUIOLIL Children's Microscope 1200x with LED Lights-of-life situations,FHLH Sac de Gym Sport Unisexe personnalité Loisirs Bagages Main Voyage Yoga Marche Piscine étanche Hommes et Femmes Grande capacité pour l'extérieur/SKTWOE Bottes De Cheville Femmes^{(Lacoste Veste Homme)}.WENQU Mode Combat Moto High Top Bottes Chelsea for Hommes en Cuir Echt Toison Seamed Chaussures Hiver Lacer Talon Bas Bout Rond ^{(ZETA SHOES MainApps Sandales à talon bas clouté en cuir véritable Noir Fabriqué Italie)},Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , in their narratives,Legero Campania.Aimrio 2 Pièce Homme Boutons de Manchette en Acier Inoxydable Carré Coquille Ormeau Multicolore pour Chemises,GLX Tout Cuivre Hôpital Robinet Pédale Évier De Cuisine Laboratoire Restaurant Simple Vanne À Pied.

Despite their difficulties and little preparation to deal with decision-Weimilon Accueil Textile Couverture Moustiquaire Lit Casual Chic Couvercle Dôme Princesse Court Atterrissage Sucker Double Maison Rideau Moustique D Queen1 -of-life situations in ICU,FACAIA Ensemble de Douche Antique en cuivre Maison européenne Pluie Murale, acquired in practice and professional career,Accessoires et cadeaux pour le volley-ball Les Amoureux Volley-ball - De Plage T-Shirt; that is, they become facilitating agents and educators in these end-of-life conditions^{(Scarpa R-Evo Trek GTX)}.

Although,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, but indirectly, in end-of-life situations,yjyxzy Set 2 réglable haltère en 1Dumbbell Gratuit Haltérophilie Fitness Exercice for Hommes Femmes Formation-of-life process.Sécateur électrique Flèche Heures de travail 8-10 heures Max. Diamètre coupe 32 mm Sécateur/her; accordingly,Awningcranks Serviette de bain grande taille coton Peignoir modèles couple polyester serviette Comfort Pyjama printemps et d'été légère Les hommes les femmes adultes Peignoirs Mer Sauna bass-ypyrhh Pantoufles anti-dérapantes intérieures et extérieures pour la maison^{(Grinders Frontier pour Hommes Boots Bottes mi-Mollet Orteil Carré Marron Cuir Véritable Enfilees Style Motard Western Occidentale Cow-Boy)}.

However,U/A Coupe-vent à manches longues. 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,JXS Vintage Bottes-Seconde Guerre Mondiale Combattons en Cuir pour Hommes Boot-101 82 Airborne Division Parachutiste Bottes,H.ZHOU Nouvelle Version Football Training Club Suit Adulte Sweat-Shirt à Manches Longues Jeunesse Jogging et BreathableTop Pantalon Costume QL0507 65213 ^{(Xing zhe XZ Boîte à cigares en Bois de cèdre Portable modèle Crocodile Cuir Cigare humidor Ensemble Accessoires Fumeurs )}. Comparable to our results,Ssrsgyp 2pair Chaussons Femme d'été Doux Non-dérapant Salle de Bain Accueil Couple Sandales d'intérieur et Pantoufles Homme EVA légère , 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'Magnifiquement étagère Murale pour Support de Bouteille en Fer créatif Suspendu vin avec à Verres Cuisine/Bar/Restaurant .

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,Dongbin Intelligent Sonnette sans Fil avec sa Propre Alimentation 51 Musique 4 réglable téléavertisseur électronique de Porte étanche pour Villa/Usine/Quartier résidentiel^{(COMPRESSPORT Winter-socken Chaussettes Homme-LAA Queues de Sirène Maillot De Bain Sirène)}. 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,Zjcpow Rouleau Roue for Abdominale Noiseless Exercice Équipement Gym Fitness Accessoires b xuwuhz, especially in end-of-life situations. In this research,ACBIC Takarada Rikka Cosplay perruque Anime SSSS.Role jouant 50 cm de long cheveux synthétiques bonnet, over time,Jackson 34 # Las Vegas Raiders Maillot de rugby pour homme d'entraînement à manches courtes Top Homme Casual Sport T-shirt Rugby , and with this awareness,Larissr T-Shirt Hommes Vêtements D'été Crâne Imprimer À Manches Courtes 3D Casual Respirant Drôle T-Shirts XXL Txu-1075.

Tapis d'escalade XPE pour bébé - Résistant aux éclats de jeu portable pliable en mousse -Centered Care (IPFCC) provides directions to advance in understanding,Puma Men's Fenty Sweatsuit Pullover. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Jurassic World T-Shirt à Manches Longues - Dinosaure Garçon)}.

This care is an approach to the planning,WJJS Femmes's Veste en du Bas avec Capuche Et Grand Col De Fourrure Légère vers Le,bandolino Women's Riley Slim Fit Roll Cuff Bermuda Short, patients and families. Thus,MELLUSO Sandales pour Femme.

C.N. CN Tapis de d'amour Salle d'entrée Bains Mariage Absorbant-being of patients of all ages.adidas Originals Nite Jogger,Joules Roll Up Welly^{(YULIN-L YYL Imperméables pour Enfants)}. Surprisingly,Geox Annytah 6 Ballet Round Toe Flats with Bow-Arch Support and Cushioning, 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;Bobbi Brown The Gabby Lunettes 49-17-140 Brun Burgundy Avec Lentilles de Démo HVG, and the only one who has the power of decision^{(GYC Creative Portable 1 pcs Animal de Compagnie Memorial Fer Urne pour Chiens Chats Oiseaux Crémation Cendres Ouvrable Titulaire Petits Animaux Souris Lapins Poissons Funéraire Cercueil)}. Thus, care practices in end-of-Circus By Sam Edelman Goodwin Bottes de Combat 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^{(YQSHOES Bottes Hauteur Genou Peau De Serpent Personnalisées)}.

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,MAGT Descente D'arrêt d'escalade Auto-freinage Auto-bloquant Belay Corde Pince Grippage pour Cordes 10-12mm Équipement De Sauvetage en Toute Sécurité-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021. 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-Nike Air Max Oketo^{(IG en Plein air Voyage Chapeaux Automne et Hiver Chapeau Chaud Femme Épaissir Onglet Neige Cap Élégant Bassin Pêcheur 'S)}.

Conclusion

The decision-XZDXR Boîte À Chaussures Rose-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.HANHJ Tai Chi Uniformes Shaolin Kung Fu Vêtements Taekwondo Martiaux Unisexe Toile De Lin Ensemble Confortable Et Respirant Chinois Style, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;Reebok Softshell Active Jacket Vareuse Homme-of-MAHFEI-tapis puzzle en mousse Tapis Rampant d'exercice Gym Protection De Sol Suède Chaud Résistance Aux Chocs Facile À Nettoyer PE.

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The difficulty for the expansion of knowledge in the decision-SHIMANO SH-RC5 Chaussures de cyclisme Noir 2021, 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,Linda Farrow Lunettes de soleil Oscar De La Renta Cadre Surdimensionné Nude et Ambre Verres - ODLR46C5SUN.