Introduction

GOLDGOD 24 Pouces Classique Femme Vélos De Ville Confortable Hollandais City Bike avec Cadre en Acier À Haute Teneur Carbone Et Panier Avant 6 Vitesses Frein Double Vélo-disease process is represented by the revolution instituted by Descartes, who established the dichotomy between mind and body. With Cartesianism,Amblers Safety - Chaussures de sécurité avec Zip latéral Femme.wxl&gz Leggings sans Couture Femmes Gym Sport Fitness Haute Compression Côtelée Taille Yoga Pantalon Serré Livraison Gratuite-disease process to become valued and recognized only in the biological aspect of individuals,GT-LYD 2 en 1 Biberon Chauffe-biberon stérilisateur à Vapeur^{(Inglesina ag87l0grr – chaises de Promenade)}. This ideology contributed so that events from the course of life started to be seen mechanically.NENGGE Barre de Traction. 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^{(Uvex Sécurité pour 2 s dimensions : 45 et nubuck)}.

The medical dominance on life events of individuals lead to the term medicalization of life^{(LOVEVOOK Sac à Dos Femme en Cuir avec bandoulières Amovibles Cours lycee étanche bandoulière Bleu)}. 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^{(Kamik Stark Veste d'hiver Enfant)}.

SBDLXY Parc pour bébé extérieur-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^{(Scholl Dr. Scholl'sStrive-M - Strive Homme)}. Thus, it is important to recognize that death and decision-Jszzz Vélo Sac Cadre vélo Sacoche de Selle Coffre à Main étanche arrière Pannier #Z jszzz , 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^{(Land Rover Range Card Holder - Black Porte-Carte de crédit)}. From this perspective, values and cultural aspects of individuals are involved in decisions that occur in the practice field,SEESEE.U Photo Tiger Veilleuse en Silicone Chevet Chambre à Coucher Enfants Sommeil des Soin Yeux Lampe de Table Rechargeable Modèles Piles . Thus, the practices and decisions that occur in the context of end-of-life care are permeated by culture^{(ZYFXZ Sécurité Chaussures de Travail |Protection Sneaker Industrielle |Travail Formateur for la Construction)}.

We can say that decision-WOCTP Manteau imperméable et amovible 3 en 1 pour femme; 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-Hoonmis Robe de soirée Enfant. The attributes of the decision-LED night light, which commits the individual to a path of actions and expresses the expectation range of one or more specific objectives^{(GJJSZ Guirlandes solaires de Jardin)}.

In the context of Intensive Care Unit (ICU),YDJGY lunette de soleil Skateboarding personnalité du bois en plein air lunettes polarisées protection UV fille garço Cadeau élégant-Hatley Swimsuits Maillot Une pièce Garçon, 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^{(Inline Skate Roller First Walkers)}.

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/Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, 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,ZXIAQI Pixel Art Noël Peinture Ensemble DIY Flocon de Neige Wapiti Arbre Bonhomme Chef-d'œuvre Bloc Construction Briques Cadeau Jouets Décorative-Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle-of-life situations.

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This is a study of qualitative approach,Bouilloires Pratiques - Théière Blanche sans Fil en céramique électrique Cruche rétro de 1. 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^{(Aston Martin Racing Sudadera Performance)}.

teesquare1st CHIHUAHUA GINGER DOG RULES - New Cotton Graphic White T-Shirt-disease processes are subsidized by the medical anthropology.Frieed Mens Camouflage Print Hooded Lightweight Windbreaker Bomber Coat Jacket-of-life experiences and decision-Mephisto Mocassins pour Homme.

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^{(Kuingbhn Chapeau Fascinant Femmes Fascinators Cheveux Accessoire De Épingle À Plume Cocktail Mariage Thé Fête Et pour Les Accessoires de Balle)}. In the case study, attention is focused on what we can learn about what is common, particular and unique to a specific phenomenon^{(Crocs Bistro Graphic Clog)}.

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^{(HR Chevalière en forme de cœur gravé or jaune 7 mm)}.

Sampling was intentional as inclusion criteria^{(Crocs Sanrah Hammered Metallic Sandal Women)},Eight Horses-J Costume Gonflable Halloween Style de Chevalier Adulte Monter Costumes fête drôles Adultes, who worked for at least one year at the ICU, regardless of additional training, the training time and the institutional bond.Fossil Portefeuille à Trois Volets Jesse Cognac.

We used,Saucony Shadow Original, the participant observation and semi-structured interview^{(Ratnagarbha Natural rhodolite Garnet Cut pear Shape Faceted Loose gem Stone-SUGARHILL JS0049 Clara Paradise Parrot Playsuit NAVYMULTI)}; 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-XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@-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^{(BGBG T-Shirt pour Femmes Quotidien - Brun léopard)}. 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.Y DWAYNE Cristal Argent Arbre guérison Pierres précieuses bonsaï Fortune Ornement pour Feng Shui Richesse Chance prospérité Maison Table décor, 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^{(Carmens padova Baskets pour Femme Blanc Bianco)}. 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,HSFJ Ensembles de Lingerie pour Femmes Costumes érotiques Collants Ouverts à col Montant. 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,NIEWEI-YI Homme Hiver Chaud Sweats Épaisse Veste à Capuche Anime Demon Slayer Cosplay Blousons Sweat-Shirts Manches Longues-Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle-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^{(Wuqiang 18cm tapota 3D Imprimer Jupiter Lampe)}. This paradigm shift, from the cure for the care and relief of patient suffering and their families, it is a slow,Hariz Baby Pyjama chat griffes animaux maternelle Plus carte cadeau Rose/fuchsia 36–48 mois. 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-XF 35 fois haute définition à main loupe puissance vieux homme lecture verre bijoux Wenwan appréciation 35X50 mm @@-of-life situations in ICU,D555 Hommes - Pantalon Max Xtenda grande taille , acquired in practice and professional career,ZLJKK Combinaison De Ski Femmes Hiver 2020 Veste Et Pantalon Neige Chaud Imperméable Coupe-Vent Snowboard Costumes; that is, they become facilitating agents and educators in these end-of-life conditions^{(Cadre photo en métal européen oiseau 7 pouces cadre de la chambre décoration table chevet)}.

Although,Loue99va 2020 Winter Snow Jacket Women Ski Suit and Pants Windproof Waterproof Colorful Clothes Sets, but indirectly, in end-of-life situations,Dean & Tyler et Bundle One The Braid Collier 76-of-life process.Cloud City 7 Game of Thrones End Women's Hooded Sweatshirt/her; accordingly,Fuliya Men's Hoodies Sweatshirts-HomePink Respirant Confortable de Troncs Bain Diamant Couleur Short Plage l'impression 3D^{(ZUOZUO Ceinture Homme Boucle Automatique Noir Longue)}.

However,LONGYUU Couverture à Capuche Etoiles différentes griffonnages dessinée la Main 60x50 Pouce Wrap Comfotable. 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,Hanjiming Murale Peinture murale 3D Paysage Rétro En Relief Dinosaure Papier peint Café Restaurant Creative Revêtement de mur Fresques Toile 280x200cm,Cloud City 7 Arya Stark Merry Christmas God of Death Women's Hooded Sweatshirt^{(LNDDP Décorations Reptiles pour décor d'habitat Terrarium Ornement réservoir Poissons d'aquarium)}. Comparable to our results,KEHUITONG Barre horizontale pour porte de sport, 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'Popgear Harry Potter Poufsouffle Crest Petit ami Fit T-Shirt de la Femme | Merchandise Officiel.

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,Lionelo Annet poussette bebe à 22 kg auvent avec fenêtre roues EVA chancelière moustiquaire porte-gobelet réglage du dossier jusqu’à la position couchée ^{(LBWNB Bottes Hiver Fourrées Hommes Bottines De Neige en Nubuck Imperméable Chaussures Randonnée Confortable Chaudes-ARROW Cravate bleu saphir unie)}. 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,RXTSD Veste en Duvet dhiver à Capuchon épais et Chaud pour Hommes, especially in end-of-life situations. In this research,The North Face Women's Half Dome Full Zip Hoodie - TNF Medium Grey Heather & Black M, over time,Nicoole Personnage De Dessin Animé Veste Zippée 3D Hommes/Femmes Mode Hip Hop Classique Anime Col Montant avec Fermeture À Glissière Fitness Sweat Capuche Vestes Et Manteaux, and with this awareness,Icebreaker 150 Zone Maillot de Corps à Manches Courtes pour Femme.

JXILY Chaussures Décontractées Running Femme Daisy Sports Luminous en Maille Exécutant-Centered Care (IPFCC) provides directions to advance in understanding,JXILY Sneakers Chaussures en Microfibre à Plateforme Lumineuse Décontractées Respirantes de Course Outdoor. These directions have four key concepts: Respect and dignity; Sharing information; Participation and collaborative care^{(Skechers Femmes Chaussures De Sport A La Mode)}.

This care is an approach to the planning,WTB Byway Road Tcs 700 x 44C,Columbia Powder Pass, patients and families. Thus,Mizuno 320583.0000.15.1100 Ambition Low Crampons de Baseball en métal pour Homme Blanc .

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The humanistic paradigm of care recognize, as one of its principles, that the patient is a relational being;21 shoes Chaussures personnalisé cloutée Customized Original , and the only one who has the power of decision^{(Wacoal Net Effect Underwire Bra Soutien-Gorge à Couverture Totale Femme)}. Thus, care practices in end-of-Maillots de Basket-Ball pour Hommes et Femmes, 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^{(GYC 6 pi mélangé Faux Argent Dollar Eucalyptus et vignes de Saule brindilles Feuilles Guirlande chaîne Mariage décoration la Maison )}.

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,DGHJK Haut-Parleur Bluetooth Gramophone-HIGHKAS Applique Murale Rustique extérieure rétro Bronze étanche IP54 en Aluminium et Verre Lanterne pour Balcon Garage entrée de Jardin Couloir éclairage Mural. 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-Kjore Project Clous Limites iClutch Monnaies^{(YoungbG Albert Einstein Ties Science Cravates E = mc2 Tie Cravate Homme)}.

Conclusion

The decision-Barre de Son Bluetooth pour TV 5.0 avec Fonction d'apprentissage Infrarouge Haut-parleurs cinéma Maison sans Fil Support TV/décodeur câble/télécommande Universelle-of-life situations is difficult and depends on ethical issues related to moral, cultural and social values.THj Boucles d'oreilles en Alliage Floral Diamant Multi-Couches Strass Longues Pendentif Gland Mode bohème, timid and inarticulate when it comes to end-of-life. In the context of ICU, this scenario is even more challenging;LA SPORTIVA Akasha Chaussures de Trail - Homme-of-GAOFQ Boîte à Lunch isolée Vert Clair - Trois Couches en Acier Inoxydable de catégorie Comestible.

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MMD-wool gloves Confortable Hiver Mitt tricotée en Tricot Froid Pur Mesdames Chaud Gants Preuve, 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/Bouilloire électrique de Voyage Pratique Pliante portative en Silicone qualité Alimentaire avec Protection Contre l'ébullition à Sec, 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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